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Record Keeping for Nurses and Midwives: An essential guide
For too long, record-keeping has been considered an ‘add-on’ to nursing care and records are often hurriedly completed at the end of a shift, almost as an afterthought. Yet, as this helpful guide demonstrates, good record-keeping is a professional obligation and a vital part of nursing care. Records provide a channel of communication between healthcare professionals and evidence of what care was given, and when and how it was given. This evidence can help protect both nurses and patients, especially if complaints are made and an issue goes to court. The authors have over ten years’ experience of training nurses on the principles of record-keeping and encouraging them to reflect and thi...
Record Keeping
Aimed at the registered nurse, this handbook addresses the important but oft-neglected subject of record keeping and provides concise, relevant information on ways to improve and maintain standards within the health care institution.
Complete Guide to Documentation
Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
Nursing Care Plans & Documentation
The Fifth Edition of Nursing Care Plans and Documentation provides nurses with a comprehensive guide to creating care plans and effectively documenting care. This user-friendly resource presents the most likely diagnoses and collaborative problems with step-by-step guidance on nursing action, and rationales for interventions. New chapters cover moral distress in nursing, improving hospitalized patient outcomes, and nursing diagnosis risk for compromised human dignity. The book includes over 70 care plans that translate theory into clinical practice.Online Tutoring powered by Smarthinking--Free online tutoring, powered by Smarthinking, gives students access to expert nursing and allied health science educators whose mission, like yours, is to achieve success. Students can access live tutoring support, critiques of written work, and other valuable tools.
Juta's manual of nursing
Completely updated to include the latest developments in the field of Nursing Science, this second edition covers the topics required for both Fundamental and General Nursing Science; this makes it suitable for the categories of Nursing Auxiliary, Staff Nurse and for the fundamentals of nursing for Professional Nurses. The manual has a strong community-based focus. It introduces the nurse to the fundamentals of nursing and is extremely practical, encouraging problem solving both in the clinic and in the community. Each chapter has tutorial-type questions to stimulate discussion and personal research. Key Features: This updated edition includes a chapter on the important topic of Informatics;...
Nurse's Legal Handbook
The newly revised Fifth Edition of this handbook is an up-to-the-minute, authoritative guide to the legal and ethical issues faced daily by nurses. Replete with real-life examples and information from hundreds of court cases, the book covers the full range of contemporary concerns, including computer documentation, cloning, stem cell research, pain management, euthanasia, prescribing, privacy, and confidentiality as well as the nursing shortage. New topics include workplace violence and harassment, needlesticks, telephone triage, and quality assurance. A new Legal Tip logo highlights proactive, protective actions nurses can take, and an entire chapter explains step-by-step what to expect in a malpractice lawsuit.
Juta's Manual of Nursing
The basics of fundamental and general nursing science are presented in this health resource for auxiliary, enrolled, and registered general nurses. A strong community nursing focus infuses the outcome-based teachings and questions to stimulate further discussion. Practical information on nursing in South Africa is provided, including working in the legal framework, managing the challenges of nursing in a culturally diverse society, and dealing with patients suffering from HIV and AIDS. Medical teachings on the use of oxygen, temperature regulation, mobility, and skin integrity complement the ethical discussions.
