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Chart Smart The A-to-Z Guide to Better Nursing Documentationby Unknown
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This is the 3rd edition with a publication date of 12/16/2009.
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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
Advisory board Contributors and consultants Foreword Documentation (in alphabetical order) Appendices 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 Index