| Description |
1 online resource (455 p.) |
| Contents |
Intro -- Title Page -- Copyright Page -- Contents -- Computerized and Electronic Health Records -- Safe Medication Administration and Use of Barcodes on Medications -- A -- Abuse, Suspected -- Activities of Daily Living -- Advance Directive -- Advice to Patient by Telephone -- Against Medical Advice, Discharge -- Against Medical Advice, Out of Bed -- Alcohol Found at Bedside -- Allergy Testing -- Anaphylaxis -- Arrhythmias -- Arterial Blood Sampling -- Arterial Line Insertion -- Arterial Line Removal -- Arterial Occlusion, Acute -- Arterial Pressure Monitoring -- Arthroplasty Care |
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Aspiration, Foreign Body -- Aspiration, Tube Feeding -- Assessment, Initial -- Asthma -- B -- Bladder Irrigation, Continuous -- Blank Spaces in Chart or Flow Sheet -- Blood Transfusion -- Blood Transfusion Reaction -- Bone Marrow Aspiration and Biopsy -- Brain Death -- Burns, Assessment and Nursing Care -- C -- Cardiac Monitoring (Telemetry) -- Cardiac Tamponade -- Cardiopulmonary Arrest and Resuscitation -- Cardioversion, Synchronized -- Caregiver Strain -- Care Plan, Traditional -- Cast Care -- Central Venous Access Device Insertion -- Central Venous Access Device Occlusion |
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Central Venous Access Device Removal -- Central Venous Access Device Site Care -- Central Venous Pressure Monitoring -- Chest Pain -- Chest Tube Care -- Chest Tube Insertion -- Chest Tube Removal -- Chest Tube Removal by Patient -- Clinical Pathway -- Cold Therapy Application -- Confusion -- Continuous Renal Replacement Therapy -- Correction to Documentation -- Critical Test Values, Reporting -- Cultural Needs Identification -- D -- Death of a Patient -- Dehydration, Acute -- Dementia -- Diabetic Ketoacidosis -- Discharge Instructions -- Do-Not-Resuscitate Order |
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Computerized Physician Order Entry (Formerly Called Doctor's Orders) -- Health Care Provider's Orders, Telephone -- Health Care Provider's Orders, Verbal -- Drug Administration -- Drug Administration, Adverse Effects of -- Drug Administration, One-Time Dose -- Drug Administration, Opioid -- Drug Administration, Stat Order -- Drug Administration, Withholding Ordered Drug -- Drugs, Illegal -- Drugs, Inappropriate Use of -- Drugs, Patient Hiding -- Drugs, Patient Refusal to Take -- Dyspnea -- E -- Elopement from a Health Care Facility -- Emergency Treatment, Patient Refusal of -- End-of-Life Care |
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Endotracheal Extubation -- Endotracheal Intubation -- Endotracheal Tube, Patient Removal of -- End-Tidal Carbon Dioxide Monitoring -- Enema Administration -- Epidural Analgesia -- Epidural Hematoma -- Esophageal Tube Insertion (Sengstaken-Blakemore Tube) -- Esophageal Tube Removal -- Experimental Procedures -- F -- Failure to Provide Information -- Falls, Patient -- Falls, Precautions -- Falls, Visitor or Other -- Firearms at Bedside -- Firearms in the Home -- Firearms on Family Member or Visitor -- G -- Gastric Lavage -- Gastrointestinal Hemorrhage -- H |
| Summary |
"Handbook detailing exactly what to document in any situation for nurses in all practice settings. Over 300 alphabetically organized topics cover diseases, emergencies, procedures, legal and ethical problems, and difficult situations involving patients, families and other health care professionals. Legal casebook"-- Provided by publisher |
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ChartSmart offers you clear-cut guidelines on documenting the significant events associated with: common and uncommon health problems, from asthma and Dressler's syndrome to latex hypersensitivity and transient ischemic attacks; major emergencies, such as drug overdose, GI hemorrhage, acute myocardial infarction, and shock; critical procedures, from blood transfusions and endotracheal tube insertion to pacemaker care and seizure management; potential ethical and legal pitfalls, such as collecting blood as evidence, questioning a doctor's order, using restraints, and more; difficult situations involving patients (such as dealing with hostile threats), families (such as responding to the presence of firearms in the home), and health care team members (such as reporting illegal alterations of medical records). -- Provided by publisher |
| Notes |
Description based upon print version of record |
| Subject |
Nursing records -- Handbooks, manuals, etc
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Nursing records.
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Nursing Records
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Nursing records.
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| Genre/Form |
manuals (instructional materials)
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handbooks.
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Handbooks and manuals.
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Handbooks and manuals.
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Guides et manuels.
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| Form |
Electronic book
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| ISBN |
9781975120740 |
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1975120744 |
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