Chart Smart: The A-To-Z Guide To Better Nursing Documentation Download Free (EPUB, PDF)
Armed with this portable handbook, nurses in any practice setting will know exactly what to document in any situation. Featuring an A-to-Z organization that makes finding information easy, this reference offers a new learn-by-example approach to charting and delivers clear examples for documenting more than 270 patient-care situations, from common diseases to legal and ethical issues. "Legal casebook" spotlights real-life court cases to help you avoid perilous charting. Completed "AccuChart" sample forms--such as OASIS, incident reports, and fall prevention reports--give readers the confidence to chart accurately at all times.
Paperback: 512 pages
Publisher: Spring House; 1st edition (November 15, 2001)
Language: English
ISBN-10: 1582550964
ISBN-13: 978-1582550961
Product Dimensions: 9 x 6.3 x 1 inches
Shipping Weight: 12.6 ounces
Average Customer Review: 4.0 out of 5 stars See all reviews (7 customer reviews)
Best Sellers Rank: #524,354 in Books (See Top 100 in Books) #242 in Books > Textbooks > Medicine & Health Sciences > Nursing > Administration & Management #261 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Medical History & Records #312 in Books > Textbooks > Medicine & Health Sciences > Nursing > Reference
If what you need is a detailed book with extensive writing on theory and practice with few practical examples, you may want to invest in a different text. However, if you what you need is book with examples of documentation on several areas, this is your text. Personnally, I just need to flip to the subject and follow the example. I am pleased with this simple, straight to the point text.
I agree this probably wouldn't be the best text for an experienced nurse, however, it includes a lot of the basics which is great for a new nurse like me who is still learning proper documentation.
This is a very good book for an academic setting or for a new RN. It was not however helpful to me, a nurse with more than two decades of experience. This book contains rudimentary information, with examples of excellent charting but as a quick reference for unusual circumstances I felt in was cumbersome at best.
I found the book itself very good with a lot of good suggestions and pointers for assessments. However, as all who are nurses know, it's impossible to please every administration. "You chart too much," will be heard as much as "You chart too little." I think this would be a great refresher for many nurses stuck on making repetitive comments just to write something down, rather than really addressing issues noted during her/his assessment.
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