Complete Guide to Documentation

Publication Year: 2007

Edition: 2nd Ed.

Authors/Editor: Springhouse

Publisher: Lippincott Williams & Wilkins (LWW)

ISBN: 978-1-58-255556-0

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Description

Thoroughly updated for its second edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems.

This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting Joint Commission safety goals, and new information on charting pain management.

Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, Joint Commission documentation standards, and documenting outcomes and interventions for key nursing diagnoses.

Details

Platform: Ovid
Publisher: Lippincott Williams & Wilkins (LWW)
Product Type: Book
Author/Editor: Springhouse
ISBN: 978-1-58-255556-0
Specialty:
Dictionaries & Word References
References
Language: English
Edition: 2nd Ed.
Pages: 448
Year: 2007

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Complete Guide to Documentation

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