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Nursing Documentation: Legal Focus across Practice Settings
     

Nursing Documentation: Legal Focus across Practice Settings

by Sue E. Meiner
 

ISBN-10: 0761910719

ISBN-13: 9780761910718

Pub. Date: 05/06/1999

Publisher: SAGE Publications

This book is intended to meet the needs of students and clinicians in determining how they should be recording their practice and what the legal implications of these records may be.

The authors first examine the realm of nursing documentation, including the legal implications of current methods of recording. In Part II the book presents the basis for liability

Overview

This book is intended to meet the needs of students and clinicians in determining how they should be recording their practice and what the legal implications of these records may be.

The authors first examine the realm of nursing documentation, including the legal implications of current methods of recording. In Part II the book presents the basis for liability in terms of nursing negligence and risk management. The third section explores documentation and its legal implications with respect to the delegation of patient care and across the range of in-patients and outpatient settings.

Product Details

ISBN-13:
9780761910718
Publisher:
SAGE Publications
Publication date:
05/06/1999
Pages:
308
Product dimensions:
7.38(w) x 10.28(h) x 0.93(d)

Table of Contents

PART ONE: COMMUNICATIONS IN NURSING PRACTICE
Introduction to Documentation, Liability and Nursing Practice - Sue E Meiner
Current Approaches in Charting - Sue E Meiner
Computer-Based Patient Records - Elizabeth C Mueth
Common Problems of Recording in the Medical Record - Sue E Meiner
Issues Requiring Reporting and Recording - Sue E Meiner with Linda Steele
Reporting Health and Safety Issues - Sue E Meiner
PART TWO: THE BASIS FOR LIABILITY
Nursing Negligence Issues - Alice G Rini
Risk Management and Claims Prevention - Alice G Rini
PART THREE: DOCUMENTATION IN PRACTICE SETTINGS
Staffing and Delegation of Patient Care - Robyn Levy and Sue E Meiner
Recording Patient Care in the Emergency Department - Sue E Meiner
Recording Patient Care in the Critical Care Unit - Sue E Meiner
Recording Patient Care in the Obstetric Unit - Sue E Meiner
Recording Patient Care in the Pediatric Unit - Sue E Meiner
Recording Patient Care in Perioperative Nursing - Linda L Zinser-Eagle and Sue E Meiner
Recording Patient Care in Psychiatric/Mental Health Nursing - Sue E Meiner
Communications in Community and Home Health Care Nursing - Sue E Meiner with Nancy Kuhrick and Marilee Kuhrick
Documentation in Extended and Long-Term Care Nursing - Sue E Meiner
Advanced Practice Nursing Issues - Linda Steele with Sue E Meiner
Nursing Educators, Administration, and Nursing Education - Alice G Rini
Managed Care - Sue E Meiner
PART FOUR: A NATIONAL HEALTH INFORMATION SYSTEM FOR THE 21ST CENTURY
Dialogue for a National Health Information System - Sue E Meiner and Elizabeth C Mueth

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