Complete guide to documentation.
Contributors: Lippincott Williams & Wilkins.
Publisher: Lippincott Williams & Wilkins
Published: 2003
Place of publication: Springhouse
Language: eng
Number of pages: 437
Subjects: Nursing records.; Nursing care plans.; Nursing Records.; Documentation -- Nurses' Instruction.; Forms and Records Control -- Nurses' Instruction.
Genres: Nurses' Instruction.
Notes: Includes bibliographical references and index.
Table of contents: title: Nursing documentation and the medical record; title: Legal and ethical implications of documentation; title: Performance improvement and reimbursement; title: Documentation systems; title: Documentation of the nursing process; title: Documentation in acute care; title: Documentation in long-term care; title: Documentation in home health care; title: Documentation in ambulatory care; title: Documentation of everyday events; title: Documentation of selected clinical specialties; title: Legally perilous documentation practices; title: Computerized patient records; title: The future of automated documentation.