Long Term Care Pocket Guide To Nursing Documentation

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Long-Term Care Medicine

Author : Pamela Ann Fenstemacher,Peter Winn
Publisher : Springer Science & Business Media
Page : 351 pages
File Size : 44,7 Mb
Release : 2010-11-23
Category : Medical
ISBN : 9781607611424

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Long-Term Care Medicine by Pamela Ann Fenstemacher,Peter Winn Pdf

Long-Term Care Medicine: A Pocket Guide lessens the uncertainty involved in caring for patients in a long-term care facility. This practical pocket guide is divided into four sections: Introduction, Common Clinical Conditions, Psychosocial Aspects, and Special Issues in Long-Term Care. The chapters address all the varied components of the LTC system as well as how to take care of the patients and residents living within it. The contributors to this easy-to-read guide are passionate about LTC and many have worked within the American Medical Directors Association to create and disseminate a knowledge base for practitioners. Long-Term Care Medicine: A Pocket Guide is an invaluable resource for clinicians, practitioners, and educators who are seeking to optimize the care and living experience of residents in LTC by providing resident-centered care as well as resident choice, well-being, dignity, and an improved quality of life.

Fast Facts for the Long-Term Care Nurse

Author : Charlotte Eliopoulos
Publisher : Springer Publishing Company
Page : 295 pages
File Size : 54,8 Mb
Release : 2015-04
Category : Medical
ISBN : 9780826121981

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Fast Facts for the Long-Term Care Nurse by Charlotte Eliopoulos Pdf

Print+CourseSmart

DocuNotes

Author : Cherie Rebar
Publisher : F.A. Davis
Page : 203 pages
File Size : 48,5 Mb
Release : 2009-04-10
Category : Medical
ISBN : 9780803623361

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DocuNotes by Cherie Rebar Pdf

The perfect guide to charting! The popular Davis’s Notes format makes sure that you always have the information you need close at hand to ensure your documentation is not only complete and thorough, but also meets the highest ethical and legal standards. You’ll even find coverage of the nuances that are relevant to various specialties, including pediatric, OB/GYN, psychiatric, and outpatient nursing.

Clinical Documentation

Author : Barbara Acello
Publisher : Hcpro Incorporated
Page : 333 pages
File Size : 48,8 Mb
Release : 2007-01-01
Category : Medical
ISBN : 1578399505

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Clinical Documentation by Barbara Acello Pdf

Clinical documentation can significantly affect a nursing home's survey results, reimbursement received, and most importantly, resident care. Yet, little formal training is given on how to complete this complicated, and often confusing, process. With so much at stake, it's critical that nurses have a resource they can turn to in order to help achieve accurate, comprehensive documentation for all residents.

Chart Smart

Author : Anonim
Publisher : Springhouse Corporation
Page : 516 pages
File Size : 46,5 Mb
Release : 2011
Category : Medical
ISBN : CHI:089489207

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Chart Smart by Anonim Pdf

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, medical office, 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 documenta

Nursing Documentation Made Incredibly Easy

Author : Kate Stout
Publisher : Lippincott Williams & Wilkins
Page : 312 pages
File Size : 42,7 Mb
Release : 2018-06-05
Category : Medical
ISBN : 9781496394743

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Nursing Documentation Made Incredibly Easy by Kate Stout Pdf

Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy!®, 5th Edition. 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 NEWdiscussion 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.

Post-Acute and Long-Term Medicine

Author : Pamela A. Fenstemacher,Peter Winn
Publisher : Humana Press
Page : 350 pages
File Size : 41,5 Mb
Release : 2015-12-12
Category : Medical
ISBN : 9783319169798

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Post-Acute and Long-Term Medicine by Pamela A. Fenstemacher,Peter Winn Pdf

This book addresses current issues surrounding hospital readmissions and the practice of post-acute and long-term care (LTC). Thoroughly updated, the Second Edition of this practical pocket guide presents new regulations governing these services and lessens the uncertainty involved in caring for patients in a long-term care facility. The book is divided into four sections that cover: types of care, which include community care, nursing facility care, and teamwork; clinical medicine, with suggested approaches to common conditions and wound care; psychosocial aspects of care, which include ethical and legal issues and caring for families; and special issues, with chapters on documentation, coding, and medication management. As community-based care is an area of rapid growth where the elderly are increasingly seeking their medical care, new chapters have also been added that describe these programs. Written by expert contributors, many of whom have worked within the American Medical Directors Association to create and disseminate a knowledge base for post-acute and LTC, this is a valuable resource for clinicians and educators seeking to maximize the care and living experience of residents in post-acute and long-term care settings.

Long-Term Care Documentation

Author : Marilyn Stoner,Dr Marilyn Smith-Stoner, PhD Msn RN
Publisher : Skidmore-Roth Pub.
Page : 0 pages
File Size : 51,8 Mb
Release : 1999
Category : Electronic
ISBN : 1569300798

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Long-Term Care Documentation by Marilyn Stoner,Dr Marilyn Smith-Stoner, PhD Msn RN Pdf

This resource is the first to include documentation guidelines and their applications in long term care complete with the new RUG regulations and the MDS 2. In clear and concise terms a method of documenting nursing care is described using a self-care emphasis on all documentation. The book is organized to allow easy access to information. Sections include those focused on basic bodily processes: breathing, eating, drinking, activity, sleep, etc. The book also includes nursing diagnoses, nursing interventions classification, and nursing outcome terms.

Charting

Author : Lippincott Williams & Wilkins
Publisher : Lippincott Williams & Wilkins
Page : 420 pages
File Size : 41,8 Mb
Release : 2006-11-01
Category : Medical
ISBN : 1582555389

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Charting by Lippincott Williams & Wilkins Pdf

Charting: An Incredibly Easy! Pocket Guide provides time-starved nurses with essential documentation guidelines in a streamlined, bulleted format, with illustrations, logos, and other Incredibly Easy! features. The book is conveniently pocket sized for quick reference anytime and anywhere. The first section reviews the basics of charting, including types of records, dos and dont's, and current HIPAA and JCAHO regulations. The second section, alphabetically organized, presents hundreds of examples and guidelines for accurately charting everyday occurrences. Logos include Help Desk best practices tips; Form Fitting completed forms that exemplify top-notch documentation; Making a Case documentation-related court cases; and Memory Jogger mnemonics.

Complete Guide to Documentation

Author : Lippincott Williams & Wilkins
Publisher : Lippincott Williams & Wilkins
Page : 454 pages
File Size : 41,8 Mb
Release : 2008
Category : Medical
ISBN : 1582555567

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Complete Guide to Documentation by Lippincott Williams & Wilkins Pdf

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.

Director of Nursing, Long Term Care

Author : Debra Collins,LTCS Books
Publisher : Unknown
Page : 0 pages
File Size : 53,7 Mb
Release : 2019-06-23
Category : Electronic
ISBN : 1733247327

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Director of Nursing, Long Term Care by Debra Collins,LTCS Books Pdf

194 pages and CD. Includes FREE 2019 MDS Assessment Scheduling Calendar. Current with all RAI Manual Updates, PDPM updates, Surveyor Guidelines and Federal Regulatory Changes. Comprehensive manual for the new or experienced Director of NursingAll the essential information on Staffing, Resident Care, Quality Assurance, MDS Essentials, Nursing Policy and Procedure, Long Term Care Regulations, Survey Protocols. Forms in the Director of Nursing book and on the CD for Nursing budget, Staffing, Scheduling, Employee records, Staff education, Quality assurance audits, Infection control. Includes 23 Skilled Charting Guidelines. This Director of Nursing book aims to give all of the basic information a long term care Director of Nursing needs today. For the experienced Director of Nursing it provides a good reference for long term care regulations, standards, and laws. The forms included in the Director of Nursing book can greatly expedite job performance. Information is given on organizing the job, managing resident care, staffing, and quality assurance issues.For the new Director of Nursing, or the nurse aspiring to that position, the book outlines all of the major responsibilities of the job. Applicable federal regulations are quoted in each chapter, and forms are throughout the book. Forms and care plans have been updated to ensure compliance with the change to MDS 3.0 and with all of the federal regulations and guidelines updated during the past year.All of the forms and nursing care plans in the Director of Nursing book are included on the CD so they can be saved to a computer whenever needed. By adding or deleting entries, the forms and care plans can be made resident specific.

Fast Facts for the Long-Term Care Nurse

Author : Charlotte Eliopoulos, MPH, PhD, RN
Publisher : Springer Publishing Company
Page : 230 pages
File Size : 53,9 Mb
Release : 2015-04-01
Category : Medical
ISBN : 9780826121998

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Fast Facts for the Long-Term Care Nurse by Charlotte Eliopoulos, MPH, PhD, RN Pdf

Today, more than 10 million people in the United States require some form of long-term care, a number that is rapidly increasing and will continue to do so for years to come. This concise and user-friendly resource contains the fundamental information long-term care nurses need to provide all aspects of safe and effective care to their patients in nursing homes and assisted living facilities. Written by a renowned and highly respected nurse leader in long-term care and gerontology, it presents key facts and core competencies related to the clinical and managerial responsibilities of nurses in these settings. Details on the specific skills required for this challenging specialty, as well as must-know information on regulatory standards, site visits, management and leadership, and dementia care, are presented in a concise format for quick access to information. The book embodies a holistic approach to nursing that recognizes the importance of quality of life in addition to quality of care. It provides an overview of the unique features of long-term care, addressing the operational differences between these settings and those of acute settings, the distinct responsibilities of long-term care nurses, special needs of the residents, and major clinical challenges. The text offers guidance on the use of evidence-based knowledge within the constraints of long-term care settings. Topics such as legal risks, documentation essentials, and the importance of self-care are covered, along with management and leadership issues relevant to the supervision of unlicensed personnel. The Fast Facts in a Nutshell feature assists readers in reinforcing and applying content, and a comprehensive resource list supplements the text. The book will also serve as a useful study tool for long-term nursing care certification. Key Features: Embodies the essential competencies for long-term care nursing practice Presents information in a concise easy-to-access format with bulleted facts and the Fast Facts in a Nutshell feature Addresses management and leadership issues germane to the long-term care setting Includes must-know information on regulatory standards, site visits, legal risks, documentation essentials, and more Guides nurses in using evidence-based knowledge in long-term care settings

Nurse's Pocket Guide

Author : Marilynn E Doenges,Mary Frances Moorhouse,Alice C Murr
Publisher : F.A. Davis
Page : 1186 pages
File Size : 50,5 Mb
Release : 2016-01-13
Category : Medical
ISBN : 9780803644779

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Nurse's Pocket Guide by Marilynn E Doenges,Mary Frances Moorhouse,Alice C Murr Pdf

This quick-reference tool has what you need to select the appropriate diagnosis to plan your patients’ care effectively. The 14th Edition features all the latest nursing diagnoses and updated interventions.

Managing the Long-Term Care Facility

Author : Rebecca Perley
Publisher : John Wiley & Sons
Page : 600 pages
File Size : 53,8 Mb
Release : 2016-02-02
Category : Medical
ISBN : 9781118654743

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Managing the Long-Term Care Facility by Rebecca Perley Pdf

Practical approaches to the operation of long-term care facilities Managing the Long-Term Care Facility provides a comprehensive introduction to the growing field of long-term care. Taking a continuum-of-care approach, the text covers every aspect of long-term care. Readers will develop a robust knowledge of the issues faced by people experiencing physical and or mental changes. Topics covered include the biological and psychosocial implications of ageing, marketing long-term care, facility operations, and information technology for health care, among many others. By integrating all aspects of long-term care, the book is an invaluable resource that will aid students and professionals in preparing for career advancement and licensure exams. The book is also is designed to help students prepare for the National Nursing Home Administrator exam. Pedagogical elements help guide readers through the content, and summaries and discussion questions to drive home lessons learned. Builds expert knowledge of all aspects of long-term care management, including operations, human resources, patient advocacy, and information systems Emphasizes the latest understandings of the long-term care continuum and patient-centered care for diverse populations Delivers practical approaches to providing quality care to individuals and making a positive impact on community wellbeing Prepares readers for and National Nursing Home Administrator's licensure exam Managing the Long-Term Care Facility: Practical Approaches to Providing Quality Care provides real-world guidance for students in healthcare administration, health and human services, gerontology, nursing, business and medical programs, in both domestic and international markets. Nursing home administrators, administrators-in-training and preceptors will find this book an effective training tool in the nursing facility setting.