Nursing Documentation
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- A 57-page study guide to teach or learn the skills of high-quality documentation so that high-quality patient care can be delivered.
The Basics of Nursing Documentation
Looking for a concise tool to help teach students the important task of documentation? Looking for a tool to remind your staff or yourself the important points of documentation? Have you ever wanted a quick reference to help you in your documentation tasks?
The Basics of Nursing Documentation is just such a tool. This 57 page study guide gives the reader a brief overview of the importance of documentation then quickly gets into the techniques of documentation. This study guide is more than a listing of do this or that. Throughout The Basics of Nursing Documentation the reader is given the reasoning for the techniques.
Readers are given many documentation time management tips to help ensure that this important function can be completed in a timely manner. Review the pitfalls of documentation to make sure that the writer, you, stay out of legal trouble and keeps the patient safe clinically.
After explaining the how and the why of documentation The Basics of Nursing Documentation goes on to explain what needs to be documented. Organized as an alphabetic list, The Basics of Nursing Documentation tells you what to include in an admission note, what to record about adverse reactions, and how to document a patient assessment. And those topics are just from the A’s! With over 40 topics from abdominal pain to wound drainage. The Basics of Nursing Documentation is an excellent reminder of exactly what information must be documented.
This document replaces Chapter 4, Understanding the Basics of Documentation.
(2007) $10.00
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Documentation Skills for Quality Patient Care
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