Charting Made Incredibly Easy!

by Lippincott Williams & Wilkins

In its Fourth Edition, Charting Made Incredibly Easy! provides up-to-the-minute guidelines on documentation in a comprehensive, clear, concise, practical, and entertaining manner. The book reviews the fundamental aspects of charting such as the medical record, the nursing process, and legal and professional requirements, guidelines for developing a solid plan of care, and the variety of charting formats currently being used. It also addresses the specific requirements for charting, whether the setting is acute care, home care, or long-term care and rehabilitation. Special elements found throughout the book make it easy to remember key points. This edition includes new information on cultural needs assessment, HIPAA, National Patient Safety Goals, and electronic health records.

Genres: Medicine

344 pages, Paperback

Published May 15, 2009

Reviews

[Kate prefers books to people]

Once upon a time I reviewed nursing documentation as a key part of my job. If it isn't charted CORRECTLY, it didn't happen. You can be the world's best nurse and get destroyed in court. Charts are legal documents. Take the extra time and invest in your understanding of nursing as a craft. Every nurse needs to read this for their own practice... anyone wanting to go to leadership or administration is a liability unless they have this mastered.