The perfect guide to charting! The popular Davis’s Notes format makes sure that you always have the information you need close at hand to ensure your documentation is not only complete and thorough, but also meets the highest ethical and legal standards. You’ll even find coverage of the nuances that are relevant to various specialties, including pediatric, OB/GYN, psychiatric, and outpatient nursing.
Reviews the terminology for written communications with physicians and staff. Describe the types of documentation, including SOAP notes and DART charts. Details the documentation of history taking, including medical, social, and family history, physical assessments, and systems. Covers the documentation of nursing skills and procedures as well as medication administration. Addresses the documentation required in specialized fields such as OB/GYN, pediatrics, psychiatric, and outpatient nursing. Includes how-tos for template, electronic, and other forms of charting.
Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.
What if you are born with a termination date? Would you be ready to die at sixteen? In the Super-Dome of the future, Altklugs are born with the super-knowledge and efficiency of 6.25 human years, in their one year. Zinnia is one of the Lamebren, normal humans missing the ace inputs in this world. As she and others like her grapple with their clipped, carefully monitored and suffocating life in the Super-Dome, they face the looming threat of their termination dates. Startling events and unexpected dark secrets reveal the decay, cruel intentions and repercussions of the Altklug world, making Zinnia realise that it is up to her to challenge their pre-decided destiny. Through a vortex of extreme adversities and life-threatening danger as well as painful self-realisation, Zinnia bravely fights the world of the Altklugs for justice and equality. Would she and her friends win the fight for the survival of the Lamebren and beat their termination dates? Revolt of the Lamebren, the first book in the Super-Dome Chronicles saga, is Zinnia’s daring and exciting journey of survival.
Reduce your anxieties and build the knowledge base and experience you need to pass the check-off exam. Based upon actual “check-off” forms that faculty commonly use for grading, this unique guide gives you instant access to the information necessary for conducting and documenting a routine adult well-patient physical assessment. Full-color illustrations detail every assessment technique.
The CLEAR and ACCURATE way to navigate MEDICAL CHARTING Trying to chart a course through the complex task of keeping patient records? Here's your lifeline! Medical Charting Demystified gives you the tools you need to prepare and update both computerized and written charts. You'll learn about chart components, what to write in a chart, and how to correct errors. Medical Charting Demystified covers entering vital signs, assessments, test results, medications, procedures, patient care plans, and more. Details on the legal aspects of medical charting, including confidentiality, HIPAA, malpractice, and informed consent, are also included. Hundreds of examples and illustrations make it easy to understand the material, and end-of-chapter quizzes and a final exam help reinforce learning. This fast and easy guide offers: Coverage of the five common charting systems--narrative, problem-oriented, problem-intervention-evaluation, FOCUS, and charting by exception Details on the MAR and the KARDEX An overview of computer charting software A time-saving approach to performing better on an exam or at work Simple enough for a beginner, but challenging enough for an advanced student, Medical Charting Demystified is your key to mastering this vital nursing skill.
Provides information on documentation issues, including electronic medical records, legal and ethical implications, and documentation in acute cases, along with a variety of charting examples.
Use this set of colorful cards to master concepts in maternity, women's health, and pediatrics! With 65 cartoons covering key topics, Mosby's OB/Peds & Women's Health Memory NoteCards: Visual, Mnemonic, and Memory Aids for Nurses uses humor and illustrations to make studying easier and more fun. These durable, portable cards use mnemonics and other time-tested memory aids to help you prepare for class, clinicals, and the NCLEX® exam. Created by nursing educators JoAnn Zerwekh and Cathy Miller, this one-of-a-kind tool makes studying obstetrics and pediatrics an exceptionally memorable experience! - 65 full-color cartoons offer a humorous and engaging way to learn, including cards on nutrition and diabetes in pregnancy, preeclampsia versus eclampsia, sexually transmitted diseases, respiratory distress syndrome, RSV, and childhood diabetes. - Mnemonics and other time-tested memory aids help you grasp and remember even the most complex concepts. - Colored thumb tabs make it easy to find topics quickly. - What You Need to Know monographs on each card provide more detailed information and specific nursing implications. - Sturdy, spiral-bound cards offer durability as well as portability. - Unique! Color highlights emphasize four central topics: - Serious/Life-Threatening Implications in pink - Common Clinical Findings in blue - Important Nursing Implications in yellow - Patient Teaching in green
