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Charting Made Incredibly Easy!
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Main description:

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In its Fourth Edition, Charting Made Incredibly Easy! provides up-to-the-minute guidelines on documentation in a comprehensive, clear, concise, practical, and entertaining manner. The book reviews the fundamental aspects of charting such as the medical record, the nursing process, and legal and professional requirements, guidelines for developing a solid plan of care, and the variety of charting formats currently being used. It also addresses the specific requirements for charting, whether the setting is acute care, home care, or long-term care and rehabilitation. Special elements found throughout the book make it easy to remember key points. This edition includes new information on cultural needs assessment, HIPAA, National Patient Safety Goals, and electronic health records.


Contents:

Contributors and consultants


Not another boring foreword

    Part I: Charting in contemporary health care


  • Chapter 1: Understanding charting

  • Chapter 2: The nursing process
  • Chapter 3: Care plans

  • Chapter 4: Charting systems

  • Chapter 5: Computerized charting

  • Chapter 6: Enhancing your charting

  • Chapter 7: Avoiding legal pitfalls
  • Part II: Charting procedures and special situations


  • Chapter 8: Charting procedures

  • Chapter 9: Charting special situations
  • Part III: Charting in health care settings


  • Chapter 10: Acute care

  • Chapter 11: Home health care

  • Chapter 12: Long-
    term care

Appendices


Practice makes perfect


Joint Commission nursing care and documentation standards


NANDA International nursing diagnoses


Glossary


Selected references


Index


PRODUCT DETAILS

ISBN-13: 9781605471969
Publisher: Lippincott Williams & Wilkins
Publication date: May, 2009
Pages: 352
Weight: 1g
Availability: Not available (reason unspecified)
Subcategories: Nursing
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