Nursing Documentation Made Incredibly Easy - (Incredibly Easy! Series(r)) 5th Edition by Lww (Paperback)
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<p/><br></br><p><b> About the Book </b></p></br></br>Preceded by Charting made incredibly easy. 4th ed. c2010.<p/><br></br><p><b> Book Synopsis </b></p></br></br>Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable <b> <i>Nursing Documentation Made Incredibly Easy</i> <i>!(R)</i>, 5th Editio</b> n. <br>Packed with colorful images and clear-as-day guidance, this friendly reference guides you through meeting documentation requirements, working with electronic medical records systems, complying with legal requirements, following care planning guidelines, and more. Whether you are a nursing student or a new or experienced nurse, this on-the-spot study and clinical guide is your ticket to ensuring your charting is timely, accurate, and watertight. <p/> <b>Let the experts walk you through up-to-date best practices for nursing documentation, with: </b> <ul><li><b> <i>NEW</i> and updated</b>, fully illustrated content in quick-read, bulleted format</li><li><b> <i>NEW</i> </b> discussion of the necessary documentation process outside of charting--informed consent, advanced directives, medication reconciliation</li><li> <b>Easy-to-retain guidance</b> on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practices</li><li> <b>Easy-to-read, easy-to-remember content that provides helpful charting examples</b> demonstrating what to document in different patient situations, while addressing the different styles of charting</li><li> <b>Outlines the Do's and Don'ts of charting</b> - a common sense approach that addresses a wide range of topics, including: <ul><li>Documentation and the nursing process--assessment, nursing diagnosis, planning care/outcomes, implementation, evaluation</li><li>Documenting the patient's health history and physical examination</li><li>The Joint Commission standards for assessment</li><li>Patient rights and safety</li><li>Care plan guidelines</li><li>Enhancing documentation</li><li>Avoiding legal problems</li><li>Documenting procedures</li><li>Documentation practices in a variety of settings--acute care, home healthcare, and long-term care</li><li>Documenting special situations--release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior</li><li><b>Special features include: </b><ul><li><b> <i>Just the facts</i> </b> - a quick summary of each chapter's content</li><li><b> <i>Advice from the experts</i> </b> - seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plans</li><li><b> <i>"Nurse Joy" and "Jake"</i> </b> - expert insights on the nursing process and problem-solving</li><li><b> <i>That's a wrap!</i> </b> - a review of the topics covered in that chapter</li></ul> <br> <b>About the Clinical Editor</b> <p/>Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.
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