Nursing Catalogue 2016

127

Chart Smart: The A-to-Z Guide to Better Nursing Documentation, Third Edition Lippincott Williams &Wilkins 978-1-60547-764-0 • December 2009 • Softbound • 6” x 9” • 512 pp. • 41 Illus. • 48Tables

Reference

Thoroughly updated for its Third Edition, this portable handbook shows nurses in all practice settings exactly what to document in any situation. Nearly 300 alphabetically organized entries cover diseases, emergencies, procedures, legal and ethical problems, and difficult situations involving patients, families, and other health care professionals. Legal Casebook sidebars provide real-world examples of court cases. AccuChart sample forms show how to accurately complete various forms. Other highlights include expanded information on the electronic medical record, current Joint Commission guidelines on abbreviation use, and the newest NANDA nursing diagnoses. Features • NEW! Addition of new, difficult, or timely charting situations including moderate sedation, medication reconciliation, infant identification, faxing medical records, and requests by families for medical advice. • NEW! Current abbreviation use guidelines fromThe Joint Commission. • NEW! Expanded information on accurately charting in the electronic medical record. • NEW! Newest NANDA nursing diagnoses including definitions and classifications. • NEW! Update of all entries to comply with current guidelines and standards. • A-to-Z format helps the nurse find topics in seconds. • All popular documentation systems covered. • Nearly 300 documentation situations — more than any competitor — presented in a consistent format, each including a written example or completed form. • AccuChart Icons . Accurately completed documentation forms and directions. • Legal Casebook . Sidebars provide real-world examples of court cases.

Table of Contents Advisory Board Contributors and Consultants Foreword Documentation (in alphabetical order) Appendices: 1: Computerized charting 2: Abbreviations to avoid 3: Common charting mistakes to avoid 4: Charting Checkup: You’re on trial — How to protect yourself 5: NANDA-I nursing diagnoses: Definitions and Classifications 6: Selected References Index