Publication Year: 2007
Edition: 1st Ed.
Publisher: Lippincott Williams & Wilkins (LWW)
Doody's Star Rating®:Score: 78
This full-color handbook is a quick-reference guide to all aspects of documentation for every nursing care situation.
This handbook covers current documentation systems and formats, including computerized documentation, and features scores of sample filled-in forms and in-text narrative notes illustrating everything from everyday occurrences to emergency situations. Coverage includes timesaving strategies for admission-to-discharge documentation in acute, outpatient, rehabilitation, long-term, and home care environments and special documentation practices for selected clinical specialties: critical care, emergency, perioperative, maternal-neonatal, and psychiatric. The book includes advice on legal safeguards, dangerous abbreviations, and compliance with HIPAA guidelines and JCAHO requirements.
Lippincott Manual of Nursing Practice Series: Documentation