Complete Guide to Documentation
Language: English
Published by Lippincott Williams & Wilkins, 2007
- Softcover
- New

Softcover
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- Title
- Complete Guide to Documentation
- Author
- Lippincott Williams Wilkins
- Publisher
- Lippincott Williams & Wilkins
- Publication year
- 2007
- Condition
- new
- Binding
- Paperback
- Language
- English
- ISBN 10
- 1582555567
- ISBN 13
- 9781582555560
- Edition
- 2nd Edition
Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management.
Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
"Synopsis" may belong to another edition of this title.
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