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Nursing Documentation:
A Nursing Process Approach, Fourth Edition
Patricia Iyer RN MSN LNCC and Nancy
Camp RN MSN
(about the authors [pdf])
8.5"
X 11", soft cover, about 500 pages
2005, Med League
(First three editions
published by CV Mosby)
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Special offer: Buy Nursing Documentation
and either Medication Errors DVD/Videotape or Nursing
Home Liability DVD/Videotape and save $20.00. Click on Special offer for details.
Table of Contents
More comprehensive and detailed than ever
before, this fourth edition of Nursing Documentation: A Nursing
Process Approach is an essential and valuable tool for your
professional practice. This book clearly and concisely presents
the guidelines for appropriate and careful documentation of care.
Nursing Documentation helps you analyze and interpret
nursing charting and medical records.
This
Newest Edition Includes:
- American
Nurses Association 2004 Standards of Practice
- Tips for
documenting pain assessment
- Liability
associated with failure to treat pain effectively
- Nursing
Outcomes Classification and Nursing interventions Classification
- Medications
used to treat suffering
- Evidenced
based interventions
- Critical
thinking
- Updated
legal cases
- The JCAHO
“Do Not Use” abbreviations
- FACT charting
- Statistics
on nursing home malpractice suits
- Analysis
of 254 nursing home malpractice cases
Reviews for the third edition
Nursing Documentation: A Nursing Process
Approach is an excellent resource book for nurses who are
planning and implementing inservice activities and continuing
education offerings on nursing documentation. Throughout the text
and in the appendix, the authors have included several examples
of documentation forms and tools, such as nursing assessment forms,
patient teaching records, and flow sheets.
Mary Jane Ferrell, PhD, RN
Director, Staff Development
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
Here is a well-written and illustrated overview
of nursing documentation. Nursing Documentation will be
useful for nursing students and staff nurses. The text is particularly
relevant for committees charged with streamlining nursing documentation
to improve cost effectiveness and for staff development educators
charged with developing inservice programs on documentation systems.
The style is readable and interesting. Sample forms are applicable
to a wide range of clinical situations and are, therefore, useful
as references.
Journal of Nursing Staff Development
Table
of contents
Read
the Preface (pdf)
Related books:
Hospital
Liability
Marketing for the LNC
Medical Abbreviations
Nursing
Home Litigation: Investigation and Case Preparation
Nursing Malpractice
Preparation
and Trial of Medical Malpractice Cases
Telemedicine
and E-Health Law
Table
of Contents
Detailed table of contents (pdf)
Overview of Documentation
Documenting Assessment
Documenting Nursing Diagnosis and
Planning
Documenting Implementation
Documenting Evaluation
Legal Aspects of Charting Techniques
Charting Systems
Computerization of Nursing Information
Implementing Changes in Nursing Documentation
Systems
Maternal-Child Documentation:
Obstetrical Documentation,
Neonatal Documentation, Pediatric Documentation
Critical Care Documentation:
Emergency Documentation,
Intensive Care Documentation
Perioperative Documentation:
Operating Room
Documentation, Postanesthesia Care Unit Documentation
Psychiatric Documentation
Home Care Documentation
Long Term Care Documentation
Contributing Authors
Barbara Ashley RN BSN MSN, Donna Cairone RN BS BSN CNOR
RNFA, Rita Cavallaro RN,C LNHA MS, Gail Coplein BA JD, Joyce Hamlin
MSN RN,C CS, Ann Marie Santarelli-Kretrovics RN BSN MS, Jo Anne
Kuc RN BSN, Joanne McDermott RN BSN MA, Patrica Meadows RN BSN
CEN, Pamela Meyer-Tulledge RN BSN MA, Joyce R. Newman RN,C CLNC
C-GN, Rosie Oldham RN BS, Donna Ambler Peters RN PhD FAAN, Mary
Kathryn Sadler RN BSN MBA CEN
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