Nursing Documentation Made Incredibly Easy! by Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy !® , 5th Editio n. Packed with colorful images and clear-as-day guidance, this friendly reference guides you through meeting documentation requirements, working with electronic medical records systems, complying with legal requirements, following care planning guidelines, and more. Whether you are a nursing student or a new or experienced nurse, this on-the-spot study and clinical guide is your ticket to ensuring your charting is timely, accurate, and watertight. Let the experts walk you through up-to-date best practices for nursing documentation, with: NEW and updated , fully illustrated content in quick-read, bulleted format NEW discussion of the necessary documentation process outside of charting--informed consent, advanced directives, medication reconciliation Easy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practices Easy-to-read, easy-to-remember content that provides helpful charting examples demonstrating what to document in different patient situations, while addressing the different styles of charting Outlines the Do's and Don'ts of charting - a common sense approach that addresses a wide range of topics, including: Documentation and the nursing process--assessment, nursing diagnosis, planning care/outcomes, implementation, evaluation Documenting the patient's health history and physical examination The Joint Commission standards for assessment Patient rights and safety Care plan guidelines Enhancing documentation Avoiding legal problems Documenting procedures Documentation practices in a variety of settings--acute care, home healthcare, and long-term care Documenting special situations--release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior Special features include: Just the facts - a quick summary of each chapter's content Advice from the experts - seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plans "Nurse Joy" and "Jake" - expert insights on the nursing process and problem-solving That's a wrap! - a review of the topics covered in that chapter About the Clinical Editor Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.
Evidence-Based Geriatric Nursing Protocols for Best Practice by AJN Book of the Year 2016 First-Place Winner in Gerontological Nursing! The newest edition of this distinguished reference in geriatric nursing delivers updated guidelines, new illustrative case studies, and the latest evidence-based protocols developed by leading researchers, educators, and practitioners in each topic area. The sixth edition includes new approaches devoted to supporting LGBTQ elders, persons living with dementia and their families, and older adults living with HIV. New operational strategies provide guidance in using the electronic health record, implementing improved person-centered care approaches, and maintaining age-friendly atmospheres.Using evidence derived from all levels of care, this text offers developed guidelines for improving both quality and outcomes when caring for older adults in multiple disciplines, including interprofessional team members, long-term care and other staff educators, social workers, dietitians, and physicians. Chapters provide assessment and management principles, clinical interventions, specialty practice, and models of care. They consistently feature chapter objectives, annotated references, evidence ratings for each protocol, and resources for further investigation. Each protocol is embedded within the chapter content to provide context and detailed evidence. The protocols consistently include an overview, evidence-based assessment, intervention strategies, and a supporting case study with discussion. PowerPoint presentations and a test bank are available as instructor's resources. New Chapters: Informational Technology: Embedding CPGs Organizational Approaches to Promote Person-centered Care Environmental approaches to support aging friendly care HIV and the Older Adult LGBTQ Perspectives Key Features: Evidence-based geriatric protocols for best practices for in-patient, in-home, and long-term care settings Case studies with discussions in each chapter to illustrate application of clinical practice and related Nursing Standard of Practice Protocol Guidelines that are developed by experts on the topics of each chapter and are based on the best available evidence The AGREE systematic method was used to evaluate each protocol and validate this book's content Instructor's resources including PowerPoints and a Test Bank
Pharmacology Success by About 1,200 questions in all with Medication Memory Joggers for select questions and rationales for both correct and incorrect answers. Includes a 100-question comprehensive final exam Most questions written at application and analysis level--just like the exam. An easy-to-follow format, organized by body system. All questions field tested by nursing students. NEW! FREE, 30-day access to Davis Edge NCLEX-RN® included with purchase of new print book. Test yourself with 10,000+ challenging questions; review proven test-taking strategies; and prepare for the biggest test of your career with simulated NCLEX exams.
All-In-One Nursing Care Planning Resource by Introducing a plan for success with the only nursing care planning reference book for all core clinical areas! Swearingen's All-In-One Nursing Care Planning Resource, 5th Edition features over 100 care plans including medical-surgical, maternity/OB, pediatrics, and psychiatric'mental health to help you care for patients in any setting. This new edition is the first in the market to include a unique, interprofessional, "patient problem" focus which teaches you how to speak to patients in conversational terms rather than in nursing-specific language. New non-med-surg care plans and updated content throughout reflects the latest evidence-based treatment guidelines for national and international clinical practice. Plus, with its clear approach, easy-to-use format, and straightforward rationales, you'll be able to use this one book throughout your entire nursing program! Bolded and highlighted Safety Icons corresponds to the safety competency of the Quality and Safety Education for Nurses (QSEN) initiative for easier recognition. Care plans for all four major clinical areas include medical-surgical, OB/maternity, pediatric, and psychiatric-mental health nursing care plans. A consistent format for each care plan enables you to perform faster searches, with headings for Overview/Pathophysiology, Health Care Setting, Assessment, Diagnostic Tests, Patient Problems, Desired Outcomes, Interventions with Rationales, and Patient-Family Teaching and Discharge Planning. Prioritized patient problems are listed in order of importance and physiologic patient needs. Detailed rationales for each nursing intervention help you apply concepts to specific patient situations in clinical practice. Full-color design makes the book more user friendly and includes color-coded tabs and improved cross-referencing and navigation aids for faster information retrieval. NEW! UNIQUE! Interprofessional "patient problems" focus familiarizes you with how to speak to patients and other medical colleagues in the consistent interprofessional language of "patient problems," rather than the'nursing-specific language of nursing diagnosis. NEW! Care plans helps you to support the lesbian, gay, bisexual, transgender, queer/questioning, or intersex patient. NEW! Updated content throughout reflects the latest evidence-based treatment guidelines and national and international clinical practice guidelines.
Critical Care Nursing by Confidently handle the complexities of critical care nursing, with the fully updated Critical Care Nursing Made Incredibly Easy, 4th edition . Part of the award-winning Incredibly Easy series, this fun-to-read text is full of fun humor and illustrations, offering plenty of down-to-earth, expert advice and direction on crucial areas such as assessments, diagnostics, imaging, monitoring, pre- and post-operative care, and more. This comprehensive reference is a must-have for class use and NCLEX or certification exam preparation--and an invaluable on-the-spot clinical guide. Learn the basics of critical care nursing or refresh your skills with brand new content on: o moderate sedation, drug overdose interventions, and pressure ulcer management o specialized areas such as rapid response teams and advanced life support methods o caring for elderly, pediatric, and bariatric patients Critical Care Nurisng Made Incredibly Easy will help you master the basicswith easy-to-follow guidance on . . . * Up-to-date science and step-by-step directions on nursing procedures for basic, holistic, and system-based critical care, including pain assessment and management, drug administration, dealing with cardiac arrest, assessing brain death, equipment preparation and use, diagnostic testing, ongoing monitoring and evaluations, data collection, nonsurgical treatments, and much more * Flow charts and diagrams lead you through determining symptoms, conditions, causes, tests, treatment, emergency situations, and more * Practice pointers provide practical tips for areas such as dealing with patient and family issues, cultural considerations, ethical issues, end-of-life decisions, and more * Numerous illustrations and words of wisdom from "Nurse Joy" throughout each chapter * Illustrated quick guides to moderate sedation, CPR, emergency cardiac care, treating shock, preventing complications in the critically obese patient, and interventions for drug overdoses and poisoning * Includes special features to help accelerate learning comprehension: o Just the facts - An outline of content at start of every chapter o Advice from the experts - Practical tips from experienced practitioners o Take charge! - What to do in potentially lethal situations o Handle with care - Procedures for elderly, pediatric, and bariatric patients o Ages and stages - Issues where the patient's age impacts critical care o Write it down - Tips on critical care documentation o Quick Quiz - NCLEX-style questions (and answers) after every chapter o Memory joggers - Simple tricks for remembering complex concepts
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