Skillmasters : better documentation

著者

• Lippincott Williams & Wilkins

書誌事項

Skillmasters : better documentation

Lippincott Williams & Wilkins, c2003

注記

Includes bibliographical references and index

内容説明・目次

内容説明

This portable reference is a timesaving guide on how to enhance charting skills, avoid legal pitfalls, and ensure that a complete and accurate record is created every time. It reviews fundamental aspects of charting, nursing process, legal and professional requirements, guidelines for developing a solid plan of care, and the variety of charting forms currently in use, including computerized charting. Completed forms show exactly how to document assessment, intervention, and evaluation. Also addresses the specific requirements for charting in acute care, home care, and long-term care and rehabilitation. Appendices include NANDA Taxonomy II, as well as common abbreviations and symbols.

目次

• Fundamentals of documentation
• Legal aspects of documentation
• Documentation systems
• Documenting in acute care
• Documenting in long-term care
• Documenting in home care
• Documenting in special situations.

「Nielsen BookData」 より

詳細情報

• NII書誌ID(NCID): BA6079623X
• ISBN:
  • 1582551774
• LCCN: 2002004446
• 出版国コード: us
• タイトル言語コード: eng
• 本文言語コード: eng
• 出版地: Philadelphia
• ページ数/冊数: ix, 211 p.
• 大きさ: 21 cm
• 分類:
  • LCC : RT50.S557 2003
  • DC21 : 651.5
• 件名:
  • LCSH : Nursing records -- Handbook, manuals, etc.