Mosbys Surefire Documentation

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Mosby's Surefire Documentation

Author : Mosby
Publisher : Mosby
Page : 0 pages
File Size : 50,7 Mb
Release : 2006
Category : Medical
ISBN : 0323034349

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Mosby's Surefire Documentation by Mosby Pdf

Offering clear, practical guidelines for how, what, and when to document for more than 100 of the most common and most important situations nurses face, this essential resource details exactly what information to consider and document, to ensure quality patient care, continuity of care, and legal protection for the nurse and the institution where the nurse works.

Nursing Documentation Handbook

Author : T. M. Marrelli
Publisher : Unknown
Page : 0 pages
File Size : 51,7 Mb
Release : 2000
Category : Nursing records
ISBN : OCLC:1409468370

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Nursing Documentation Handbook by T. M. Marrelli Pdf

Nursing Notes the Easy Way

Author : Karen Stuart Gelety
Publisher : Unknown
Page : 50 pages
File Size : 51,7 Mb
Release : 2010-11-01
Category : Nursing records
ISBN : 0975999869

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Nursing Notes the Easy Way by Karen Stuart Gelety Pdf

Ever wonder what to put in a nursing note? This pocket sized guide provides you with over a hundred templates for written and verbal comminication in nursing to help you.

Managing Documentation Risk

Author : Patricia A. Duclos-Miller
Publisher : HC Pro, Inc.
Page : 166 pages
File Size : 46,5 Mb
Release : 2004
Category : Medical
ISBN : 1578393957

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Managing Documentation Risk by Patricia A. Duclos-Miller Pdf

Nurses are now commonly cited or implicated in medical malpractice cases.

Chart Smart

Author : Anonim
Publisher : Springhouse Corporation
Page : 516 pages
File Size : 50,7 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 : 42,8 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.

AACN Procedure Manual for Critical Care

Author : American Association of Critical-Care Nurses
Publisher : Saunders
Page : 1284 pages
File Size : 48,6 Mb
Release : 2005
Category : Intensive care nursing
ISBN : UOM:39015060990945

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AACN Procedure Manual for Critical Care by American Association of Critical-Care Nurses Pdf

AACN Procedure Manual for Critical Care offers comprehensive coverage of procedures unique to the critical care environment. This edition is thoroughly revised, updated, and expanded to reflect the current state of critical care nursing practice. Information is presented in a highly illustrated step-by-step format with supporting rationales for each step of every procedure. This resource also emphasizes evidence-based practice and provides complete coverage of the latest clinical studies. Each procedure is organized in a consistent, step-by-step format with categories that include: prerequisite nursing knowledge, equipment, patient and family education, patient assessment and preparation, procedure, expected outcomes, unexpected outcomes, patient monitoring and care, and documentation. Each procedure is supported by research-based data. Advanced practice procedures are noted with a special AP icon indicating that these procedures should be done only by qualified personnel. 19 new procedures discuss topics such as combitube insertion and removal, transesophageal echocardiography, and patient controlled analgesia. A new Quick Tips feature - located in the Special Considerations column for quick reference - highlights key words and key concepts for each procedure. A new web-enhanced feature at the beginning and end of each procedure directs readers to online supplement materials such as additional art and photographs. Web links connect users to hundreds of continually updated web sites that contain information relevant to critical care nursing practice. 200 new line drawings clearly illustrate important techniques and bring key procedures to life.

Nurse's Legal Handbook

Author : Kathy Ferrell
Publisher : Lippincott Williams & Wilkins
Page : 459 pages
File Size : 41,8 Mb
Release : 2015-08-31
Category : Medical
ISBN : 9781496302618

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Nurse's Legal Handbook by Kathy Ferrell Pdf

An authoritative guide to the legal and ethical issues faced daily by nurses, this handbook includes real-life examples and information from hundreds of court cases. It covers the full range of contemporary concerns, including computer documentation, workplace violence and harassment, needlesticks, telephone triage, pain management, prescribing, privacy, and confidentiality. An entire chapter explains step-by-step what to expect in a malpractice lawsuit.

Surefire Documentation

Author : Anonim
Publisher : Unknown
Page : 342 pages
File Size : 53,9 Mb
Release : 1999
Category : Communication in nursing
ISBN : UOM:39015046873025

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Surefire Documentation by Anonim Pdf

This informative title provides nurses with specific, practical advice on documenting a wide range of situations from caring for a patient with a myocardial infarction to witnessing a patient sign his will. In clear, concise language, the book gives detailed explanations of how, what, and when to document in nearly 100 of the most common, most important situations nurses face in practice. Each entry tells exactly what to consider and what to document so that the nurse can ensure quality patient care, continuity of care, and legal protection for the nurse and the institution. * Covers nearly 100 important nursing situations. * Provides clinically and legally sound advice. * Explains exactly what to do--and what not to do--for maximum protection for yourself and your institution.

Notes on Nursing

Author : Florence Nightingale
Publisher : Unknown
Page : 248 pages
File Size : 44,5 Mb
Release : 1860
Category : Biography & Autobiography
ISBN : OXFORD:590723114

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Notes on Nursing by Florence Nightingale Pdf

Outspoken writings by the founder of modern nursing record fundamentals in the needs of the sick that must be provided in all nursing. Covers such timeless topics as ventilation, noise, food, more.

Essential Foot and Ankle Surgical Techniques

Author : Christopher F. Hyer,Gregory C. Berlet,Terrence M. Philbin,Patrick E. Bull,Mark A. Prissel
Publisher : Springer
Page : 482 pages
File Size : 45,6 Mb
Release : 2019-07-23
Category : Medical
ISBN : 9783030147785

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Essential Foot and Ankle Surgical Techniques by Christopher F. Hyer,Gregory C. Berlet,Terrence M. Philbin,Patrick E. Bull,Mark A. Prissel Pdf

This comprehensive textbook brings together a unique vision and multidisciplinary approach – embracing and combining MD, DO and DPM foot and ankle training disciplines – into a singular focus on improving and mastering surgical treatment of foot and ankle disorders. It opens with a chapter presenting the specific preoperative considerations and protocols commonly followed by foot and ankle surgeons of all specialties. Divided into three main thematic sections detailing the forefoot, midfoot and hindfoot, each subsequent chapter follows a consistent chapter format presenting case examples, key surgical set-up and equipment needs and step-by-step clinical pearls for surgical excellence. Post-operative care and rehabilitation recommendations are also included for a well-rounded presentation of care from start to finish. Both common and complex pathologies and injuries are discussed, from bunion and hammertoe management to the Charcot foot and ankle, total ankle replacement, arthroscopy and arthroplasty techniques, amputations and biologics. Generous figures and intraoperative photos illustrate the procedures in vivid detail. The subspecialty of foot and ankle surgery is a highly specialized one, which is constantly evolving and improving. This speaks to the complexity of the foot and ankle complex, the multiple levels and articulations of the foot and the variety of pathologies encountered. This textbook leans on the unique experience and training of the OFAC attending surgeons and past fellows to reveal the pearls and keys to the efficient surgical treatment of the full gamut of foot and ankle pathologies. Ideally suited for residents and students whether MD, DO or DPM, Essential Foot and Ankle Surgical Techniques - EFAST for short - is a dynamic, multidisciplinary resource that covers the full range of pathologies and injuries an orthopedic surgeon or podiatrist would encounter in daily practice.

Emergency Care for Children

Author : Institute of Medicine,Board on Health Care Services,Committee on the Future of Emergency Care in the United States Health System
Publisher : National Academies Press
Page : 360 pages
File Size : 42,6 Mb
Release : 2007-05-08
Category : Medical
ISBN : 9780309133760

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Emergency Care for Children by Institute of Medicine,Board on Health Care Services,Committee on the Future of Emergency Care in the United States Health System Pdf

Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems.

Mosby's Expert Physical Exam Handbook - E-Book

Author : Mosby
Publisher : Elsevier Health Sciences
Page : 400 pages
File Size : 44,9 Mb
Release : 2008-10-06
Category : Medical
ISBN : 9780323058292

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Mosby's Expert Physical Exam Handbook - E-Book by Mosby Pdf

With the most up-to-date information on assessment techniques, normal and abnormal findings, and the assessment of patients with specific diseases and disorders, Mosby’s Expert Physical Exam Handbook: Rapid Inpatient and Outpatient Assessments, 3rd Edition is an essential resource for the medical-surgical setting. Detailed instructions and tips help you effectively apply your physical examination skills. From basic examination techniques to step-by-step guides for examining each body region and system, this handbook has everything you need to perform quick and thorough physical examinations. UNIQUE! Action Stats identify immediate actions for critical situations and explain what to do for a patient with a potentially life-threatening condition.UNIQUE! Disorder Close-Ups enable you to identify abnormalities and determine when further analysis or treatment is needed. Normal Findings summarize characteristic findings and acceptable variations based on age, sex, and condition of the patient. UNIQUE! Interpreting Abnormal Findings helps you analyze irregular findings and determine their causes. A chapter on documentation highlights key information to record during the initial assessment, with guidelines for documenting findings for over 20 selected conditions. Examination Tips save you time with practical advice on how to examine patients more efficiently. Lifespan Considerations provide guidelines for assessing patients of all ages to help you individualize exams. Cultural Considerations include valuable information on variations in findings and transcultural considerations for the increasingly multicultural population. Anatomy Reviews with detailed anatomical illustrations refresh your knowledge of anatomy for more accurate physical examinations. A chapter covering health history, equipment, examination techniques, and procedures provides a solid foundation for learning to conduct more effective exams. UNIQUE! The easy-to-follow, step-by-step format covers all aspects of physical examination – inspection, palpation, percussion, and auscultation – promoting an efficient and logical approach to physical exams. Interview questions and guidelines help you hone your interviewing skills to focus your physical assessments. How-to tips on individualizing the physical exam for patients with handicaps, pain, and serious illnesses enable you to effectively and accurately assess patients with special situations. UNIQUE! Expert Exam Checklists available in the book and on the companion Evolve website provide handy reminders for assessing each body region. Thoroughly updated content reflects the latest research findings and evidence-based practice for techniques, normal and abnormal findings, and more. More illustrations and photographs than ever before clearly show normal anatomy, as well as normal and abnormal assessment findings. Dual-function table of contents, with body systems cross-referencing in addition to a body regions organization, helps you quickly find the information you need. Spanish/English assessment terms enable you to accurately communicate with Spanish-speaking patients.

Nursing Narrative Note Examples to Save Your License

Author : Lena Empyema
Publisher : Unknown
Page : 99 pages
File Size : 49,8 Mb
Release : 2020-01-06
Category : Electronic
ISBN : 165656548X

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Nursing Narrative Note Examples to Save Your License by Lena Empyema Pdf

Nursing can be nuts. On a twelve-hour shift, the last thing most nurses want to do is sit down and draft a lengthy note describing the craziness that occurred. Written by a nurse, for nurses, this book is chock full of narrative note examples describing hypothetical situations to help you describe the, well, the indescribable. Some shifts are just like that!

Chart Like A Pro

Author : Merlande Jean,Youseline Baptiste
Publisher : Unknown
Page : 64 pages
File Size : 53,8 Mb
Release : 2020-04-04
Category : Electronic
ISBN : 9798633941418

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Chart Like A Pro by Merlande Jean,Youseline Baptiste Pdf

If as a new nurse, you've been having sleepless nights understanding the whole concept of charting and how to do it like the pros, keep reading....You Are About To Learn How To Master The Craft Of Charting Fast, Accurately And Efficiently, Just Like The Pros And Ultimately Become A Valuable Member Of The Healthcare Provider You Work For!As nurses, we're always thinking about all the ways we can apply our wealth of medical knowledge to care for patients in need. But after we complete our program, pass our exams and ace our first interview, we come across some aspects of beginning our career that we didn't anticipate, and that we probably didn't hear in school. One of those is definitely the process of charting information in our new role. The fact that you're here means that you've heard about it before.Maybe you're already trying to come to grips with it but are finding a hard time doing so, or want to improve how you handle it.If that's the case, then I guess you've been asking yourself: What is the best and most efficient way to chart?What kind of information am I supposed to chart and how?Why does it seem like too much work? Is there a way to do it quickly?How do I get started?Lucky for you, this book has all the answers to these and other related questions. It is designed to help you understand the concept of chatting well, cart off the feeling of intimidation by offering you all the facts and details you require and get you started with the process like a pro to make sure you have the easiest time, and become the efficient, stress-free nurse you've always desired to become.Here is what you'll learn from it: -How to manage and handle time, date, signature and error-What you need to know before you chart-How to use objective and subjective data-How to use abbreviation and medical terminology -How to do assessment charting -How to chart admission and discharge information-How to chart refusals-How to chart about medication -How to chart co-workers' names-How to chart for pain and antibiotics...and so much more!The well-being of your patients highly depends on accurate information recorded and passed across different departments or levels of the health institution, including between physicians and pharmacists.Even if charting seems complex at the moment, this book's easy to follow and practical approach to charting will literally dissolve your fears and concerns and hold you by the hand until you start charting like the pros!If you're ready to learn the basics and get a new perspective of this seemingly demanding task, then all you have to do is grab your own copy of this practical, straightforward guide today and get started!Click Buy Now With 1-Click or Buy Now to get started!