Publisher description for Documentation.

Bibliographic record and links to related information available from the Library of Congress catalog

Information from electronic data provided by the publisher. May be incomplete or contain other coding.

This full-color handbook is a quick-reference guide to all aspects of documentation for every nursing care situation. It covers current documentation systems and formats, including computerized documentation, and features scores of sample filled-in forms and in-text narrative notes illustrating everything from everyday occurrences to emergency situations.

Coverage includes timesaving strategies for admission-to-discharge documentation in acute, outpatient, rehabilitation, long-term, and home care environments and special documentation practices for selected clinical specialties: critical care, emergency, perioperative, maternal-neonatal, and psychiatric. The book includes advice on legal safeguards, dangerous abbreviations, and compliance with HIPAA guidelines and JCAHO requirements.

Library of Congress subject headings for this publication:
Nursing records -- Handbooks, manuals, etc.
Nursing -- Documentation -- Handbooks, manuals, etc.
Nursing Records -- Handbooks.
Documentation -- methods -- Handbooks.
Forms and Records Control -- methods -- Handbooks.
Specialties, Nursing -- organization & administration -- Handbooks.