Chart Smart: The A-to-Z Guide to Better Nursing Documentation

Publication Year: 2009

Edition: 3rd Ed.

Authors/Editor: Lippincott Williams & Wilkins

Publisher: Lippincott Williams & Wilkins (LWW)

ISBN: 978-1-60-547764-0

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Description

Thoroughly updated for its third edition, this portable handbook shows nurses in all practice settings exactly what to document in any situation.

Nearly 300 alphabetically organized entries cover diseases, emergencies, procedures, legal and ethical problems, and difficult situations involving patients, families, and other health care professionals. Legal Casebook sidebars provide real-world examples of court cases. AccuChart sample forms show how to accurately complete various forms.

This edition includes new, difficult, and timely charting situations such as moderate sedation, medication reconciliation, infant identification, faxing medical records, and requests by families for medical advice. Other highlights include expanded information on the electronic medical record, current Joint Commission guidelines on abbreviation use, and the newest NANDA nursing diagnoses.

Details

Platform: Ovid
Publisher: Lippincott Williams & Wilkins (LWW)
Product Type: Book
Author/Editor: Lippincott Williams & Wilkins
ISBN: 978-1-60-547764-0
Specialty:
References
Language: English
Edition: 3rd Ed.
Pages: 512
Illustrations: 41
Year: 2009

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