DocuNotes: Clinical Pocket Guide to Effective Charting / Edition 1

by Cherie Rebar RN, MSN, MBA, FNP

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.

What students are saying:

“This is really a great resource. Has lots of information in a condensed form and breaks out what is important. Must have for all nursing students.”
– Sabrina Johnson, Amazon.com

“Could not have gotten through class without it.”
– Amanda Leitch, Amazon.com

“This series is awesome to use during your clinical experience. The DocuNotes is very helpful in assisting you with becoming familiar with documenting and charting progress notes, DAR style notes and so on. Highly Recommend for anyone entering an RN program.”
– Danielle DeNisco

Product Details

ISBN-13:	9780803620926
Publisher:	F.A. Davis Company
Publication date:	04/10/2009
Edition description:	First Edition
Pages:	208
Sales rank:	673,283
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