Packed with colorful images and clear-as-day guidance, this friendly reference guides you through meeting documentation
1,161 239 20MB
English Year 2018
Table of contents :
1 Understanding documentation Laura Gartner, RN-BC, MSN 1
2 The nursing process Laura Gartner, RN-BC, MSN 13
3 Care plans Louise Colwill, RN, MSN 37
4 Documentation systems Cheryl L. Brady, RN, MSN 59
5 Enhancing your documentation Donna Schultice, RN, MSN, FN P-BC, CEN 99
6 Avoiding legal pitfalls Antoinette Pretto-Sparkuhl, RN, MSN 120
7 Documenting procedures Antoinette Pretto-Sparkuhl, RN, MSN 155
8 Documenting special situations Antoinette Pretto-Sparkuhl, RN, MSN 193
9 Acute care documentation Louise Colwill, RN, MSN 208
10 Home health care documentation Marilyn D. Sellers, RN-BC, MS, FNP-BC 236
11 Long-term care documentation Leigh Ann Trujillo, RN, BSN 258
Appendices 281
Glossary 282
Index 285