Documentation made easy (30 Ergebnisse)

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Sprache: Englisch
Verlag: Lippincott Williams and Wilkins, Philadelphia 2018
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Paperback. Zustand: new. Paperback. 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 stud…ent 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 formatNEW discussion of the necessary documentation process outside of chartinginformed consent, advanced directives, medication reconciliationEasy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practicesEasy-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 chartingOutlines the Do's and Donts of charting a common sense approach that addresses a wide range of topics, including: Documentation and the nursing processassessment, nursing diagnosis, planning care/outcomes, implementation, evaluationDocumenting the patients health history and physical examinationThe Joint Commission standards for assessmentPatient rights and safetyCare plan guidelinesEnhancing documentationAvoiding legal problemsDocumenting proceduresDocumentation practices in a variety of settingsacute care, home healthcare, and long-term careDocumenting special situationsrelease of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behaviorSpecial features include:Just the facts a quick summary of each chapters contentAdvice from the experts seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plansNurse Joy and Jake expert insights on the nursing process and problem-solvingThats a wrap! a review of the topics covered in that chapterAbout 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. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.

- Softcover
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Paperback. Zustand: New. 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 ne…w 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 formatNEW discussion of the necessary documentation process outside of charting-informed consent, advanced directives, medication reconciliationEasy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practicesEasy-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 chartingOutlines 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, evaluationDocumenting the patient's health history and physical examinationThe Joint Commission standards for assessmentPatient rights and safetyCare plan guidelinesEnhancing documentationAvoiding legal problemsDocumenting proceduresDocumentation practices in a variety of settings-acute care, home healthcare, and long-term careDocumenting special situations-release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behaviorSpecial features include:Just the facts - a quick summary of each chapter's contentAdvice 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-solvingThat's a wrap! - a review of the topics covered in that chapterAbout the Clinical Editor Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.

- Softcover
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Taschenbuch. Zustand: Gut. 207 Seiten Vieweg 1990 : Eva Philipps - Perfect tb 207s. Gr.18x24cm. Q7-QABM-DOBF Sprache: Deutsch Gewicht in Gramm: 500.

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Paperback. Zustand: Brand New. 5th edition. 290 pages. 9.00x7.00x0.50 inches. In Stock.

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Sprache: Englisch
Verlag: Lippincott Williams and Wilkins, Philadelphia 2018
- Softcover
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Paperback. Zustand: new. Paperback. 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 stud…ent 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 formatNEW discussion of the necessary documentation process outside of chartinginformed consent, advanced directives, medication reconciliationEasy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practicesEasy-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 chartingOutlines the Do's and Donts of charting a common sense approach that addresses a wide range of topics, including: Documentation and the nursing processassessment, nursing diagnosis, planning care/outcomes, implementation, evaluationDocumenting the patients health history and physical examinationThe Joint Commission standards for assessmentPatient rights and safetyCare plan guidelinesEnhancing documentationAvoiding legal problemsDocumenting proceduresDocumentation practices in a variety of settingsacute care, home healthcare, and long-term careDocumenting special situationsrelease of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behaviorSpecial features include:Just the facts a quick summary of each chapters contentAdvice from the experts seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plansNurse Joy and Jake expert insights on the nursing process and problem-solvingThats a wrap! a review of the topics covered in that chapterAbout 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. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.

- Softcover
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Sprache: Englisch
Verlag: Lippincott Williams and Wilkins, Philadelphia 2018
- Softcover
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Paperback. Zustand: new. Paperback. 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 stud…ent 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 formatNEW discussion of the necessary documentation process outside of chartinginformed consent, advanced directives, medication reconciliationEasy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practicesEasy-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 chartingOutlines the Do's and Donts of charting a common sense approach that addresses a wide range of topics, including: Documentation and the nursing processassessment, nursing diagnosis, planning care/outcomes, implementation, evaluationDocumenting the patients health history and physical examinationThe Joint Commission standards for assessmentPatient rights and safetyCare plan guidelinesEnhancing documentationAvoiding legal problemsDocumenting proceduresDocumentation practices in a variety of settingsacute care, home healthcare, and long-term careDocumenting special situationsrelease of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behaviorSpecial features include:Just the facts a quick summary of each chapters contentAdvice from the experts seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plansNurse Joy and Jake expert insights on the nursing process and problem-solvingThats a wrap! a review of the topics covered in that chapterAbout 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. Shipping may be from our Sydney, NSW warehouse or from our UK or US warehouse, depending on stock availability.

- Softcover
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Paperback. Zustand: New. 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 ne…w 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 formatNEW discussion of the necessary documentation process outside of charting-informed consent, advanced directives, medication reconciliationEasy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practicesEasy-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 chartingOutlines 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, evaluationDocumenting the patient's health history and physical examinationThe Joint Commission standards for assessmentPatient rights and safetyCare plan guidelinesEnhancing documentationAvoiding legal problemsDocumenting proceduresDocumentation practices in a variety of settings-acute care, home healthcare, and long-term careDocumenting special situations-release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behaviorSpecial features include:Just the facts - a quick summary of each chapter's contentAdvice 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-solvingThat's a wrap! - a review of the topics covered in that chapterAbout the Clinical Editor Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.

- Softcover
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Taschenbuch. Zustand: Neu. Neuware - 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 stu…dent 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.

- Softcover
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Paperback. Zustand: New. This item is printed on demand. New copy - Usually dispatched within 5-9 working days.

- Softcover
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Paperback / softback. Zustand: New. This item is printed on demand. New copy - Usually dispatched within 5-9 working days.

- Softcover
- Print-on-Demand
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Paperback. Zustand: new. Paperback. Clinical Documentation Improvement (CDI) Made Easy is a great resource and reference that every Clinical Documentation Improvement Specialist/Professional (CDIS/CDIP), coder, physician champion/advisor, and others involved in the CDI must have. The book is a compendium of sound clinical knowle…dge and experience, clinical documentation expertise, and quality, which will help the CDIS/CDIP and others maximize their potentials in performing their core duties. Whether you are a new CDIS trying to learn CDI or an experienced CDIS hoping to stay current with CDI world, or involved in the CDI, this book will be very valuable to you. Remember, accurate and quality documentation is a reflection of great patient care. "If it wasn't documented, and documented accurately, it never happened". This book clearly explained various query opportunities by Major Disease Classifications (MDCs) with some sample queries. It defines and analyses different disease processes, creates CDIS awareness and what to look for under various MDCs, ICD-10-CM/PCS, explained current CMS Pay for Performance (P4P), and the CDI responsibility under P4P, explained some pertinent coding guidelines, 2016 Official Coding Guidelines for Coding and Reporting, AHIMA/ACDIS practice brief for queries and compliance, and much more. I have no doubt in my mind that this book is a concise but a comprehensive tool and reference that anyone involved in CDI should always have at his/her side. The Author Anthony O Nkwuaku, RN, PHN, MSN, CPHQ, CCDS is very knowledgeable and experienced as a clinician, clinical instructor, and Clinical Documentation Improvement Specialist. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.

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Paperback. Zustand: new. Paperback. The book provides clear guides on how to perform the vital duties required in obtaining accurate, quality, complete, and specific documentation from the providers so as to reflect the quality of care, severity of illness and risk of mortality of admitted patients during their encounter to the…hospital or inpatient rehab. The book is a "must have" for every CDIS or anyone involved in clinical documentation. The book has current ICD-10-CM/PCS update with pertinent information on the 2018 Official Coding Guidelines for Coding and Reporting, Coding Clinic advice, Pay for Performance, sample queries, various disease processes by MDCs, CDI strategy for success in inpatient rehab, rehab impairment group codes and categories, list of all the surgical and MS-DRGs, and much more. Remember, if it was not documented and documented accurately, it never happened. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.