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Thoroughly updated for its third edition, this portable handbook shows nurses in all practice settings exactly what to document in any situation. Nearly 300 alphabetically organized entries cover diseases, emergencies, procedures, legal and ethical problems, and difficult situations involving patients, families, and other health care professionals. Legal Casebook sidebars provide real-world examples of court cases. AccuChart sample forms show how to accurately complete various forms. This edition includes new, difficult, and timely charting situations such as moderate sedation, medication reconciliation, infant identification, faxing medical records, and requests by families for medical advice. Other highlights include expanded information on the electronic medical record, current Joint Commission guidelines on abbreviation use, and the newest NANDA nursing diagnoses. - Publisher.
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Previews available in: English
Subjects
Nursing records, Handbooks, manualsShowing 1 featured edition. View all 1 editions?
Edition | Availability |
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1
ChartSmart: the A-to-Z guide to better nursing documentation
2011, Wolters Klumer Health/Lippincott Williams & Wilkins, Wolters Kluwer/Lippincott Williams & Wilkins
in English
- 3rd ed.
1605477648 9781605477640
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Edition Notes
Includes bibliographical references (p. 485) and index.
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- Created October 25, 2010
- 10 revisions
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December 20, 2023 | Edited by ImportBot | import existing book |
March 7, 2023 | Edited by MARC Bot | import existing book |
December 7, 2022 | Edited by ImportBot | import existing book |
March 17, 2022 | Edited by ImportBot | import existing book |
October 25, 2010 | Created by ImportBot | Imported from Library of Congress MARC record. |