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Chart Smart: The A-To-Z Guide to Better Nursing Documentation
Contributor(s): Lippincott Williams & Wilkins (Prepared by)
ISBN: 1605477648     ISBN-13: 9781605477640
Publisher: LWW
OUR PRICE:   $57.59  
Product Type: Paperback
Published: December 2009
* Not available - Not in print at this time *Annotation:

Thoroughly updated for its Third Edition, this portable handbook shows nurses in all practice settings exactly what to document in any situation. Nearly 300 alphabetically organized entries cover diseases, emergencies, procedures, legal and ethical problems, and difficult situations involving patients, families, and other health care professionals. "Legal Casebook" sidebars provide real-world examples of court cases. "AccuChart" sample forms show how to accurately complete various forms.

This edition includes new, difficult, and timely charting situations such as moderate sedation, medication reconciliation, infant identification, faxing medical records, and requests by families for medical advice. Other highlights include expanded information on the electronic medical record, current Joint Commission guidelines on abbreviation use, and the newest NANDA nursing diagnoses.

Additional Information
BISAC Categories:
- Medical | Nursing - Reference
- Medical | Nursing - Fundamentals & Skills
Dewey: 610.73
Physical Information: 0.89" H x 6.83" W x 9.16" (1.42 lbs) 495 pages
 
Descriptions, Reviews, Etc.
Publisher Description:
Chart Smart: The A-to-Z Guide to Better Nursing Documentation tells nurses exactly what to document in virtually every type of situation they may encounter on the job, no matter where they practice--hospital, medical office, outpatient, rehabilitation facility, long-term care facility, or home. This portable handbook has nearly 300 entries that cover documentation required for common diseases, major emergencies, complex procedures, and difficult situations involving patients, families, other health care team members, and supervisors. In addition to patient care, this book also covers documentation for difficult legal, ethical, and professional problems.