Home / Nursing / Nursing Documentation Made Incredibly Easy

Nursing Documentation Made Incredibly Easy

Edition: 5
9781496394736
ISBN/ISSN:
9781496394736
Publication Date:
July 23, 2018
2018-07-23
9781496394736
Preview link
Packed with colorful images and clear-as-day guidance, this friendly reference guides you through meeting documentation requirements, working with electronic medical ...
Read More
  • 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.

    Let the experts walk you through up-to-date best practices for nursing documentation, with:
    • NEW and updated , fully illustrated content in quick-read, bulleted format
    • NEW discussion of the necessary documentation process outside of charting—informed consent, advanced directives, medication reconciliation
    • Easy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practices
    • Easy-to-read, easy-to-remember content that provides helpful charting examples demonstrating what to document in different patient situations, while addressing the different styles of charting
    • Outlines the Do's and Don’ts of charting – a common sense approach that addresses a wide range of topics, including:
      • Documentation and the nursing process—assessment, nursing diagnosis, planning care/outcomes, implementation, evaluation
      • Documenting the patient’s health history and physical examination
      • The Joint Commission standards for assessment
      • Patient rights and safety
      • Care plan guidelines
      • Enhancing documentation
      • Avoiding legal problems
      • Documenting procedures
      • Documentation practices in a variety of settings—acute care, home healthcare, and long-term care
      • Documenting special situations—release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior
    • Special features include:
      • Just the facts – a quick summary of each chapter’s content
      • Advice from the experts – seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plans
      • “Nurse Joy” and “Jake” – expert insights on the nursing process and problem-solving
      • That’s a wrap! – a review of the topics covered in that chapter

    About the Clinical Editor

    Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.
  • Edition
    5
    ISBN/ISSN
    9781496394736
    Product Format
    Paperback Book
    Trim Size
    7 x 9
    Pages
    312
    Series
    Incredibly Easy! Series®
    Edition
    5
    Publication Date
    July 23, 2018
    Weight
    0.95
  • LWW
  • 1 Understanding documentation
    Laura Gartner, RN-BC, MSN
    2 The nursing process
    Laura Gartner, RN-BC, MSN
    3 Care plans
    Louise Colwill, RN, MSN
    4 Documentation systems
    Cheryl L. Brady, RN, MSN
    5 Enhancing your documentation
    Donna Schultice, RN, MSN, FNP-BC, CEN
    6 Avoiding legal pitfalls
    Antoinette Pretto-Sparkuhl, RN, MSN
    7 Documenting procedures
    Antoinette Pretto-Sparkuhl, RN, MSN
    8 Documenting special situations
    Antoinette Pretto-Sparkuhl, RN, MSN
    9 Acute care documentation
    Louise Colwill, RN, MSN
    10 Home health care documentation
    Marilyn D. Sellers, RN-BC, MS, FNP-BC
    11 Long-term care documentation
    Leigh Ann Trujillo, RN, BSN
    Appendices
  • Doody’s 5 Star! Review
    “This is an excellent, comprehensive, and practical resource for anyone, whether a student, novice, or experienced clinical practice nurse, who wants to improve their documentation skills. Every aspect of documentation is effectively covered in this attractive, colorful, and engaging book! Very worthwhile!”
$ 59.99 USD $59.99

IN STOCK
Quantity:
Risk-Free Returns
If, for any reason, you are unsatisfied with your purchase, return it within 30 days of receipt for a full refund.
Read the full policy>
FREE standard shipping
Free 30-day returns
Get Details
MORE OPTIONS
Item already added to cart.

Buy from another retailer

Sorry! Promocode will not apply for this product.

Added To Your Cart

Nursing Documentation Made Incredibly Easy

Nursing Documentation Made Incredibly Easy

ISBN/ISSN: 9781496394736
Quantity :
Recommended For You

Customer reviews

Overall: out of 5

Sorry, we can’t add this product to your cart due to one of the following reasons:

  • This item may already be in your cart.
  • This item can’t be combined with other items in your cart.
  • Only one instance of this product can be purchased at a time.

Would you like us to update your cart with this item and proceed?

9781496394736 Nursing Documentation Made Incredibly Easy 9781496394736 Home / Nursing / Nursing Documentation Made Incredibly Easy 2 https://shop.lww.com/Nursing-Documentation-Made-Incredibly-Easy/p/9781496394736 //cdn-tp2.mozu.com/16833-25855/cms/25855/files/067d93b8-6f00-4487-85af-14724ab90ecc 59.99 59.99 59.99 1

Your cart cannot contain products from multiple regions.
If you click continue, items in the cart from the previous region will be removed. To keep items from the previous region in your cart, click cancel.

This item is not related to current region.

AAOS members get an exclusive discount. Please click continue to log in as an AAOS member.

Sorry, we can’t add this product to your cart due to one of the following reasons:

  • This item may already be in your cart.
  • This item can’t be combined with other items in your cart.
  • Only one instance of this product can be purchased at a time.

Would you like us to update your cart with this item and proceed?

$1.00 to $29.99

$30.00 to $49.99

$50.00 to $79.99

$80.00 to $99.99

$100.00 to $129.99

$130.00 to $199.99

$200.00 to $249.99

$250.00 to $500.00

$501.00 and above

$6.95

$7.95

$10.95

$12.95

$14.95

$18.95

$22.95

$32.95

$36.95