Complete Guide to Documentation (LWW, Complete Guide to Documentation)

Type

Book

Authors

Springhouse

ISBN 10

1582555567

ISBN 13

9781582555560

Tags

Reference, Medical History & Records, Assessment & Diagnosis, Fundamentals & Skills, General

Description

Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses. - from Amzon

Number of Copies