{"product_id":"nursing-documentation-made-incredibly-easy-9781496394736","title":"Nursing Documentation Made Incredibly Easy","description":"\u003cb\u003ePacked 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\u003c\/b\u003e. 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. \u003cp\u003e\u003c\/p\u003e\u003cb\u003eLet the experts walk you through up-to-date best practices for nursing documentation, with: \u003c\/b\u003e\u003cul\u003e\n\u003cli\u003e\n\u003cb\u003e\u003ci\u003eNEW\u003c\/i\u003e and updated\u003c\/b\u003e, fully illustrated content in quick-read, bulleted format\u003c\/li\u003e\n\u003cli\u003e\n\u003cb\u003e\u003ci\u003eNEW\u003c\/i\u003e\u003c\/b\u003e discussion of the necessary documentation process outside of charting--informed consent, advanced directives, medication reconciliation\u003c\/li\u003e\n\u003cli\u003e\n\u003cb\u003eEasy-to-retain guidance\u003c\/b\u003e on using the electronic medical records \/ electronic health records (EMR\/EHR) documentation systems, and required charting and documentation practices\u003c\/li\u003e\n\u003cli\u003e\n\u003cb\u003eEasy-to-read, easy-to-remember content that provides helpful charting examples\u003c\/b\u003e demonstrating what to document in different patient situations, while addressing the different styles of charting\u003c\/li\u003e\n\u003cli\u003e\n\u003cb\u003eOutlines the Do's and Don'ts of charting\u003c\/b\u003e - a common sense approach that addresses a wide range of topics, including: \u003cul\u003e\n\u003cli\u003eDocumentation and the nursing process--assessment, nursing diagnosis, planning care\/outcomes, implementation, evaluation\u003c\/li\u003e\n\u003cli\u003eDocumenting the patient's health history and physical examination\u003c\/li\u003e\n\u003cli\u003eThe Joint Commission standards for assessment\u003c\/li\u003e\n\u003cli\u003ePatient rights and safety\u003c\/li\u003e\n\u003cli\u003eCare plan guidelines\u003c\/li\u003e\n\u003cli\u003eEnhancing documentation\u003c\/li\u003e\n\u003cli\u003eAvoiding legal problems\u003c\/li\u003e\n\u003cli\u003eDocumenting procedures\u003c\/li\u003e\n\u003cli\u003eDocumentation practices in a variety of settings--acute care, home healthcare, and long-term care\u003c\/li\u003e\n\u003cli\u003eDocumenting special situations--release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cb\u003eSpecial features include: \u003c\/b\u003e\u003cul\u003e\n\u003cli\u003e\n\u003cb\u003e\u003ci\u003eJust the facts\u003c\/i\u003e\u003c\/b\u003e - a quick summary of each chapter's content\u003c\/li\u003e\n\u003cli\u003e\n\u003cb\u003e\u003ci\u003eAdvice from the experts\u003c\/i\u003e\u003c\/b\u003e - seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plans\u003c\/li\u003e\n\u003cli\u003e\n\u003cb\u003e\u003ci\u003e\"Nurse Joy\" and \"Jake\"\u003c\/i\u003e\u003c\/b\u003e - expert insights on the nursing process and problem-solving\u003c\/li\u003e\n\u003cli\u003e\n\u003cb\u003e\u003ci\u003eThat's a wrap!\u003c\/i\u003e\u003c\/b\u003e - a review of the topics covered in that chapter\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e \u003cbr\u003e\u003cb\u003eAbout the Clinical Editor\u003c\/b\u003e \u003cp\u003e\u003c\/p\u003e Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.\u003cbr\u003e","brand":"LWW","offers":[{"title":"Default Title","offer_id":51415300571410,"sku":"9781496394736","price":51.99,"currency_code":"USD","in_stock":true}],"url":"https:\/\/surprise-castle.myshopify.com\/products\/nursing-documentation-made-incredibly-easy-9781496394736","provider":"Surprise Castle","version":"1.0","type":"link"}