Bibliographic Information

Charting patient care

(The nursing know-how series)

Wolters Kluwer Health/Lippincott Williams & Wilkins, c2009

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Note

Includes bibliographical references (p. 382) and index

Contents of Works
  • Documenting from admission to discharge
  • Legal and ethical implications of documentation
  • Legally perilous documentation
  • Electronic patient records
  • Documentation in acute care
Description and Table of Contents

Description

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.

Table of Contents

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

by "Nielsen BookData"

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