What To Chart In Nursing Notes
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The Nursing Student’s Guide to Clinical Success
Author: Lorene Payne
language: en
Publisher: Jones & Bartlett Learning
Release Date: 2010-10-25
The Nursing Student’s Guide to Clinical Success is the perfect resource for undergraduate nursing students entering the clinical side of their education. This text helps students better understand their role as a health care provider by preparing them for what they will encounter on the clinical floor in hospital or other health care setting. The first text of its kind, this shows students how to get the most out of a clinical experience.
Complete Guide to Documentation
Author: Lippincott Williams & Wilkins
language: en
Publisher: Lippincott Williams & Wilkins
Release Date: 2008
Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
Nursing Diagnosis
Author: Lynda Juall Carpenito-Moyet
language: en
Publisher: Lippincott Williams & Wilkins
Release Date: 2006
Revised to incorporate the latest NANDA-approved nursing diagnoses, the Eleventh Edition of this classic text offers definitive guidance on key elements of nursing diagnosis and its application to clinical practice. Section 1 thoroughly explains the role of nursing diagnosis in the nursing process and in care planning. Section 2 is a comprehensive A-to-Z guide to current nursing diagnoses. Section 3 focuses on collaborative problems. This edition lists associated NIC (Nursing Interventions Classifications) and NOC (Nursing Outcomes Classifications) for every NANDA diagnosis. New diagnoses added and modified in accordance with the latest NANDA meeting are in an appendix for easy access.