DocuNotes: Clinical Pocket Guide to Effective Charting / Edition 1

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Overview

A DAVIS’S NOTES BOOK!

The perfect pocket guide to charting!
The popular Davis’s Notes format makes sure that you always have the information you need close at hand to ensure your documentation is not only complete and thorough, but also meets the highest ethical and legal standards.

You’ll even find coverage of the nuances that are relevant to various specialties,
including pediatric, OB/GYN, psychiatric,
and outpatient nursing. And, the very first
Tab reviews the terminology essential to communicate effectively in writing with doctors, other health care professionals,
and staff.

It also delivers all of the features that
Davis’s Notes users rely on...concise,
well-organized, easy-to-reference content in an easy-to-use spiral binding with waterproof, reusable pages.

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Product Details

  • ISBN-13: 9780803620926
  • Publisher: F. A. Davis Company
  • Publication date: 4/28/2009
  • Format: Spiral Bound
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 208
  • Sales rank: 160,420
  • Product dimensions: 3.16 (w) x 6.06 (h) x 0.81 (d)

Table of Contents

TAB 1 Terminology

TAB 2 Types of Charting

TAB 3 Basic Documentation

TAB 4 Documentation of Standard Assessments/

History and Review of Systems

TAB 5 Documentation of Standard Assessments/Medical, Social & Family Histories

TAB 6 Documentation of Physical Assessment

TAB 7 Documentation of Nursing Skills, Procedures, and Medication Administration

TAB 8 Documentation of Nuances within Specialized Fields

TAB 9 Nuances Associated with Template Charting, Electronic Charting

TAB 10 Legal and Ethical Issues

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