Docunotes: Clinical Pocket Guide To Effective Charting

Item Information
Item#: 9780803620926
Edition 01
Author Rebar, Cherie
Cover Spiral bound
 


Your handheld clinical companions. The vital clinical information you need! HIPAA-compliant, write on/wipe off pages. Portable, indispensab;e, and pocket sized. Perfect for on the go access! Ensure your documentation is not only complete and thorough, but that it also meets the highest ethical and legal standards.

Table of Contents

TAB 1 Terminology
TAB 2 Types of Charting
TAB 3 Basic Documentation
TAB 4 Documentation of Standard Assessments/
History and Review of Systems
TAB 5 Documentation of Standard Assessments/Medical, Social & Family Histories
TAB 6 Documentation of Physical Assessment
TAB 7 Documentation of Nursing Skills, Procedures, and Medication Administration
TAB 8 Documentation of Nuances within Specialized Fields
TAB 9 Nuances Associated with Template Charting, Electronic Charting
TAB 10 Legal and Ethical Issues