Complete Guide to Documentation

Un libro in lingua di Lippincott Williams & Wilkins (COR) edito da Lippincott Williams & Wilkins, 2007

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The clinical settings and specialties may vary, but the need for accurate and consistent documentation that meets standards for use remains the same. Written primarily for nurses, this book gives students and practitioners practical advice and plenty of practice in nursing documentation and medical records. Along with most obvious reason for excellent documentation, that being better care of patients, this also gives the legal, ethical, performance and reimbursement implications of documentation, the types of documentation systems currently in use, and documentation in care settings such as acute, long-term, home health and ambulatory practice. It also gives documentation methods particular to certain specialties and legally perilous charting practices. The array of sample formats and completed examples is extensive, and the authors include relevant standards and lists of outcomes and interventions for common nursing diagnoses. Annotation ©2007 Book News, Inc., Portland, OR (booknews.com)

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