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NURSING Fundamentals & Skills

Document Smart The A-to-Z Guide to Better Nursing Documentation 4th Edition By Teri Capriotti, DO, MSN, CRNP, RN , Clinical Professor Villanova Univer- sity Villanova, PA DESCRIPTION Feeling unsure about documenting patient care? Learn to document with skill and ease, with the freshly updated Document Smart , 4th Edition. This unique, easy-to-use resource is a must-have for every student and new nurse, offering more than 300 alpha-organized topics that demon- strate the latest nursing, medical and government best practices for docu- menting a wide variety of patient conditions and scenarios. Whether you are assessing data, creating effective patient goals, choosing optimal interventions or evaluating treatment, this is your road map to documentation confidence and clarity.

FEATURES Provide safe, accurate patient care and documentation with this at-your-fingertips resource: ▶ NEW and updated content on charting in electronic health/medical records, abbreviations to avoid, common charting mistakes, how to protect yourself in a malpractice trial, and more ▶ NEW and updated resources that include the CAGE questionnaire for alcohol abuse, the Tinetti Gait and Balance Scale, the Caregiver Role Strain Index, the Depression Scale and more ▶ NEW chapter on the S-B-A-R (Situation, Background, Assessment, Recommendation) clinician communication tool ▶ NEW list of current nursing diagnoses from the North American Nursing Diagnostic Association (NANDA-I) ▶ 300 alphabetically arranged entries that address a broad range of nursing interventions and documentation scenarios, including diseases, emergencies, procedures, legal and ethical issues and challenging patient care situations ▶ Quick-find explanations on numerous conditions with an easily searchable index offers the definition of the condition and explains nursing assessment and actions, followed by examples of nursing documentation ▶ AccuChart boxes offering guidelines and sample documentation, including admission assessments, patient ▶ Guidance on safe medication administration from the Institute of Safe Medication Practices (ISMP) ▶ Information gathered from expert sources , including the Joint Commission on Accreditation of Healthcare Organizations (JACHO) and the Quality and Safety Education (QSEN) Institute Your book purchase includes a complimentary download of the enhanced eBook for iOS™, Android™, PC and Mac. Take advantage of these practical features that will improve your eBook experience: ▶ The ability to download the eBook on multiple devices at one time—providing a seamless reading experience online or offline ▶ Easily convert to audiobook, powering your content with natural language text-to-speech ▶ Powerful search tools and smart navigation cross-links that allow you to search within this book or across your entire library of VitalSource ® eBooks medical records, flow sheets, progress notes and more ▶ Detailed nurses’ notes that depict real-life scenarios

Softbound / ISBN: 978-1-9751-2073-3 / ($59.99(t) / £45.50 / €51.00) World Approx 512 pp / Approx 656 2-Color Illus / Approx 2 Tables / 6 x 9 / October 2019

Note to Booksellers: The previous edition published in December 2009 (ISBN: 978-1-60547-764-0).

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