| Description |
viii, 344 pages : illustrations ; 24 cm |
| Series |
Incredibly easy |
|
Incredibly easy (Philadelphia, Pa.)
|
| Contents |
Pt. I: Charting in contemporary health care. 1. Understanding charting -- 2.The nursing process -- 3. Care plans -- 4. Charting systems -- 5. Computerized charting -- 6. Enhancing your charting -- 7. Avoiding legal pitfalls -- Pt. II: Charting procedures and special situations. 8. Charting procedures -- 9. Charting special situations -- Pt. III: Charting in health care settings. 10. Acute care -- 11. Home health care -- 12. Long-term care |
| Summary |
" Charting Made Incredibly Easy! provides up-to-the-minute guidelines on documentation in a comprehensive, clear, concise, practical, and entertaining manner. The book reviews the fundamental aspects of charting such as the medical record, the nursing process, and legal and professional requirements, guidelines for developing a solid plan of care, and the variety of charting formats currently being used. It also addresses the specific requirements for charting, whether the setting is acute care, home care, or long-term care and rehabilitation. Special elements found throughout the book make it easy to remember key points. This edition includes new information on cultural needs assessment, HIPAA, National Patient Safety Goals, and electronic health records."--Publisher |
| Notes |
Previous edition: 2006 |
| Bibliography |
Includes bibliographical references (page 338) and index |
| Subject |
Medical records.
|
|
Nursing records.
|
|
Nursing Records.
|
|
Documentation.
|
|
Documentation.
|
|
Nursing Records.
|
| Author |
Lippincott Williams & Wilkins, author
|
| LC no. |
2009010577 |
| ISBN |
1605471968 |
|
9781605471969 |
|
