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Charting: An Incredibly Easy! Pocket Guide (Incredibly Easy! Series®)
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Charting: An Incredibly Easy! Pocket Guide provides time-starved nurses with essential documentation guidelines in a streamlined, bulleted format, with illustrations, logos, and other Incredibly Easy! features. The book is conveniently pocket sized for quick reference anytime and anywhere. The first section reviews the basics of charting, including types of records, dos and dont's, and current HIPAA and JCAHO regulations. The second section, alphabetically organized, presents hundreds of examples and guidelines for accurately charting everyday occurrences. Logos include Help Desk best practices tips; Form Fitting completed forms that exemplify top-notch documentation; Making a Case documentation-related court cases; and Memory Jogger mnemonics.

Series: Incredibly Easy! Series®

Paperback: 416 pages

Publisher: LWW; 1 edition (November 3, 2006)

Language: English

ISBN-10: 1582555389

ISBN-13: 978-1582555386

Product Dimensions: 1 x 4.5 x 6.8 inches

Shipping Weight: 12.6 ounces (View shipping rates and policies)

Average Customer Review: 4.3 out of 5 stars  See all reviews (29 customer reviews)

Best Sellers Rank: #49,444 in Books (See Top 100 in Books) #24 in Books > Medical Books > Nursing > Issues, Trends & Roles #48 in Books > Textbooks > Medicine & Health Sciences > Nursing > Reference #56 in Books > Medical Books > Nursing > Reference

In today's checkbox "chart-by exception" healthcare environment, nurses are missing much of the objective details that are critical to legal documentation. As nursing faculty and a self-employed Legal Nurse Consultant, I find that narrative charting is an essential basic that should be introduced in nursing school and regularly used in the nursing profession. If done correctly (not too much and not too little), narrative charting can document the details of safe and effective nursing care that may otherwise leave nurses open to allegations of negligence."Charting: An Incredibly Easy! Pocket Guide" gives all levels of nursing an easy resource for this purpose. The book alphabetically lists the common procedures and situations that require narrative charting and gives examples of objective charting of what is standard and necessary to document in each situation. For nursing students and new graduates, the documentation steps guide them through the standard practices for each procedure or situation, which ensures that they don't miss an essential step!The straight-forward descriptions and examples can be easily altered to include specific details of the situation, whether it be a procedure such as administering a blood transfusion, an adverse event such as hypotensive episode, or a situation such as the patient asking to see their chart or an Against Medical Advice (AMA) discharge.

This product is very helpful in the clinical setting. My instructor came to me one day and asked to borrow it to show the examples to the other students. It is very easy to read and understand.

This is a good little guide to get you started on general charting and documentation. I am a nursing student and we did not have to buy a text that was about documentation, but we were certainly graded on it. I got this book to supplement my texts and have been very pleased with all the different information there. I would definitely recommend this book to others.

As a new grad new hire at a hospital that is still stuck in paper charting, I really needed to figure out how to document. We are required to write out our narrative and explain this and that that had happened. As a new nurse I didn't know where tO start. So I purchased about 3 books both kindle version and paperback and I read through them picking up some documentation skills here and there. This book helped me out alot. I recommend you purchase more than one book on charting as you can see different technique to create your own

Helps with charting on anything you can imagine, except a head to toe charting reference. The charting is in alphabetical order and does not come with a concise table of contents. This makes it difficult to quickly find the charting reference you are looking for.

I ordered this as a new grad nurse and this has been somewhat helpful. I'd say it's very basic, if your looking for something geared more towards legal aspects of charting buy something else. Good for beginners though or maybe nursing students.

I love this Book! I am a new nurse and charting was a little difficult for me. It seem like I was repeating myself over and over again. I felt like I wasn't saying enough but after purschasing this book, it gave me a new way of wording my nursing notes. Now I feel better about myself and the information that I chart in my notes. Thanks!

I am glad that I purchased this book. It is alphabetically guides you what charting be look like. If you are a nurse who are not sure what is the proper way of charting or documenting. This is the best book that I will recommend.

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