Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The CLEAR and ACCURATE way to navigate MEDICAL CHARTING Trying to chart a course through the complex task of keeping patient records? Here's your lifeline! Medical Charting Demystified gives you the tools you need to prepare and update both computerized and written charts. You'll learn about chart components, what to write in a chart, and how to correct errors. Medical Charting Demystified covers entering…mehr
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The CLEAR and ACCURATE way to navigate MEDICAL CHARTING Trying to chart a course through the complex task of keeping patient records? Here's your lifeline! Medical Charting Demystified gives you the tools you need to prepare and update both computerized and written charts. You'll learn about chart components, what to write in a chart, and how to correct errors. Medical Charting Demystified covers entering vital signs, assessments, test results, medications, procedures, patient care plans, and more. Details on the legal aspects of medical charting, including confidentiality, HIPAA, malpractice, and informed consent, are also included. Hundreds of examples and illustrations make it easy to understand the material, and end-of-chapter quizzes and a final exam help reinforce learning. This fast and easy guide offers: * Coverage of the five common charting systems--narrative, problem-oriented, problem-intervention-evaluation, FOCUS, and charting by exception * Details on the MAR and the KARDEX * An overview of computer charting software * A time-saving approach to performing better on an exam or at work Simple enough for a beginner, but challenging enough for an advanced student, Medical Charting Demystified is your key to mastering this vital nursing skill.
Joan Richards, RN, MSN, CNE, is a clinical instructor at New York University College of Nursing, and a joint practice clinician at Englewood (N.J.) Hospital and Medical Center. Jim Keogh, RN, is a member of the faculty at both New York University and Saint Peter's College in New Jersey. He is a graduate nurse and is the coauthor of Medical-Surgical Nursing Demystified, Pharmacology Demystified, Medical Billing and Coding Demystified, Nurse Management Demystified, and several other books.
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Chapter 1: Charting Basics Chapter 2: The Legal Aspect of Charting Chapter 3: Charting Medication and Normal Routines Chapter 4: Patient Care Plans Chapter 5: Acute Care Charting Chapter 6: Computer Charting Chapter 7: Charting Software Chapter 8: To-Do List, Vital Signs, and I&O Charting Chapter 9: Entering Patient Assessment in Charting Software Chapter 10: Entering Medication Administration Charting Software Chapter 11. Entering Orders to Charting Software Final Exam Answers to Quizzes Answers to Final Exam Index
