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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, 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.
Table of Contents
Contributors and consultants
Documentation (in alphabetical order)
Computerized charting Abbreviations to avoid Common charting mistakes to avoid Charting checkup: You're on trial - How to protect yourself NANDA-I nursing diagnoses: Definitions and classifications Selected references