Table of contents for Complete guide to documentation.


Bibliographic record and links to related information available from the Library of Congress catalog. Note: Electronic data is machine generated. May be incomplete or contain other coding.


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           Contributors and consultants
           Foreword

PART I   FUNDAMENTALS
        1 Nursing documentation and the medical record
        2 Legal and ethical implications of documentation
        3 Performance improvement and reimbursement
        4 Documentation systems
        5 Documentation of the nursing process

PART II    DOCUMENTATION FOR EVERY PRACTICE SETTING
        6 Documentation in acute care
        7 Documentation in long-term care
        8 Documentation in home health care
        9 Documentation in ambulatory care

PART III DOCUMENTATION IN ACTION
       10 Documentation of everyday events
       11 Documentation of selected clinical specialties
       12 Legally perilous charting practices

PART IV COMPUTERIZED DOCUMENTATION
       13 Computerized patient records
       14 The future of automated documentation

           Commonly accepted abbreviations
           Commonly accepted symbols
           NANDA Taxonomy II codes
           JCAHO nursing care and documentation standards
           Outcomes and interventions for common nursing diagnoses
           Index





Library of Congress Subject Headings for this publication: Nursing records, Nursing care plans, Nursing Records, Documentation Nurses' Instruction, Forms and Records Control Nurses' Instruction