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Complete guide to documentation.

Contributor(s): Publication details: Philadelphia : Lippincott Williams & Wilkins, c2008.Edition: 2nd edDescription: p. ; cmISBN:
  • 9781582555560 (alk. paper)
  • 1582555567 (alk. paper)
Other title:
  • Documentation
Subject(s): LOC classification:
  • RT50 .C65 2008
NLM classification:
  • WY 100.5
Online resources:
Contents:
Nursing documentation and the medical record -- Legal and ethical implications of documentation -- Performance improvement and reimbursement -- Documentation systems -- Documentation of the nursing process -- Documentation in acute care -- Documentation in long-term care -- Documentation in home health care -- Documentation in ambulatory care -- Documentation of everyday events -- Documentation of selected clinical specialties -- Legally perilous charting practices -- Electronic patient records -- Electronic nursing documentation.
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Includes bibliographical references and index.

Nursing documentation and the medical record -- Legal and ethical implications of documentation -- Performance improvement and reimbursement -- Documentation systems -- Documentation of the nursing process -- Documentation in acute care -- Documentation in long-term care -- Documentation in home health care -- Documentation in ambulatory care -- Documentation of everyday events -- Documentation of selected clinical specialties -- Legally perilous charting practices -- Electronic patient records -- Electronic nursing documentation.

Electronic reproduction. New York, N.Y. : Ovid Technologies, Inc. Available via World Wide Web.

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