Capriotti, T: Document Smart

NEW and updated content, including charting in electronic health/medical records, abbreviations to avoid, common charting mistakes and moreNEW and updated resources - the CAGE questionnaire for alcohol abuse, the Tinetti Gait and Balance Scale, the Caregiver Role Strain Index, the Mini-Cog Assessment, the Depression Scale, Burn Assessment Scale and PAIN ScaleNEW chapter on the S-B-A-R (Situation, Background, Assessment, Recommendation) techniqueNEW list of current nursing diagnoses from the North American Nursing Diagnostic Association (NANDA-I)300 alphabetically arranged entries that address diseases, emergencies, procedures, legal and ethical issues and challenging nursing scenariosQuick-find explanations on numerous conditions, with the easily searchable index that offers the definition of each condition and explains nursing assessment and actions, followed by examples of nursing documentationLegal casebook sidebars that provide real-world examples of court cases and demonstrate how to document to protect yourself against lawsuitsAccuChart boxes that offer guidelines and sample documentation, including admission assessments, patient medical records, flow sheets, progress notes and moreDetailed nurses' notes that depict real-life scenariosGuidance on safe medication administration from the Institute of Safe Medication Practices (ISMP)Quick-find alphabetized topics that include areas such as allergy testing, arrhythmias, initial assessment, bone marrow aspiration and biopsy, blood transfusion, burns assessment and care, cardiac monitoring, chest pain, death of patient, dementia, dyspnea, emergency treatment, end-of-life care, infection control, IV catheter care, language difficulties, lumbar puncture, mechanical ventilation, misuse of equipment, pneumothorax, pre- and post-operative care, parenteral nutrition, patient transfers, stroke, tracheostomy care, acute renal failure, restraints, seizure management, shock, violent patient, wound care, and moreYour book