Charting patient care
著者
書誌事項
Charting patient care
（The nursing know-how series）
Wolters Kluwer Health/Lippincott Williams & Wilkins, c2009
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注記
Includes bibliographical references (p. 382) and index
収録内容
- Documenting from admission to discharge
- Legal and ethical implications of documentation
- Legally perilous documentation
- Electronic patient records
- Documentation in acute care
内容説明・目次
内容説明
Nursing Know-How: Charting Patient Care offers how-to guidance on the latest techniques and trends in documentation, equipping nurses with the "know-how" to efficiently and accurately document patient care admission to discharge. The book is written in paragraph and bulleted format, with hundreds of sample filled-in forms and narrative notes that demonstrate the best and safest charting techniques.
Know-How icons offer expert advice on how to document. Case Clip icons present clinical scenarios involving specific situations, and identify the role that a rapid response team plays in responding to the situation. Legal Lookout icons present legal advice about documentation and real-world court cases where careful nursing documentation is particularly vital.
目次
Contributors and consultants
Part I Documentation and legal issues
Chapter 1 Documenting from admission to discharge
Chapter 2 Legal and ethical implications of documentation
Chapter 3 Legally perilous documentation
Chapter 4 Electronic medical records
Chapter 5 Documentation in acute care
Part II Documentation (in alphabetical order)
Selected references
Index
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