Nursing Documentation Made Incredibly Easy

Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy!®, 5th Edition. 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 NEWdiscussion 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.

Preceded by Charting made incredibly easy. 4th ed. c2010.

Presenting essential nursing fundamentals in an easy-to-read, fun-to-learn format, this resource provides comprehensive coverage of the theoretical foundations of nursing, the nursing process, basic nursing skills, physiologic patient care, and the latest nursing concepts. Includes illustrations, cartoons, and quizzes.

Ever wonder what to put in a nursing note? This pocket sized guide provides you with over a hundred templates for written and verbal comminication in nursing to help you.

Completely revised and updated, the Second Edition of Fundamentals of Nursing Made Incredibly Easy! presents essential nursing fundamentals in the easy-to-read, fun-to-learn format that is popular with nurses, nursing students, and faculty. The book provides comprehensive coverage of the theoretical foundations of nursing, the nursing process, basic nursing skills, physiologic patient care, and the latest nursing concepts, including evidence-based practice and critical thinking. Specific topics covered include oxygenation, self-care and hygiene, mobility and exercise, comfort from pain, rest and sleep, skin integrity, nutrition, and urinary and bowel elimination. Abundant illustrations, call-outs, end-of-chapter quizzes reinforce reading and highlight age-related considerations, risks and complications, and provide tips for documentation and patient-teaching.

Feeling unsure about your critical care nursing skills? Time to gain some confident know-how, with the freshly updated Critical Care Nursing Made Incredibly Easy!®, 5th Edition. This friendly, fully illustrated guide offers clear, concise direction on treating numerous acute and life-threatening issues. Absorb current best practices on critical care basics and specialized areas such as advanced life support measures, multisystem trauma, and treating specialized needs. This is ideal guidance for students, nurses new to clinical care, and those preparing for the Critical Care (CCRN) certification exam.

Medical-Surgical Nursing Made Incredibly Easy!, Second Edition, is a practical, informative reference in the entertaining, award-winning Incredibly Easy! style. This thoroughly updated edition covers hundreds of disorders and includes new chapters on end-of-life care and obesity, plus sixteen pages of full-color illustrations, sidebars on evidence-based practice pointers, and a patient resources appendix. Chapters feature key points summaries, light-hearted headings, and illustrations and are formatted to help readers find information easily. Quick-scan tables, flow charts, key terms, bullets, checklists, graphic logos, and cartoon characters highlight essential information. A bound-in CD-ROM contains over 300 NCLEX®-style questions, plus concept maps and other tools.

The new edition of Nursing Care Planning Made Incredibly Easy is the resource every student needs to master the art of care planning, including concept mapping. Starting with a review of the nursing process, this comprehensive resource provides the foundations needed to write practical, effective care plans for patients. It takes a step-by-step approach to the care planning process and builds the critical thinking skills needed to individualize care in the clinical setting. Special tips and information sections included throughout the book help students incorporate evidence-based standards and rationales into their nursing interventions.