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Chart To Save Your Rn License

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Chart to Save Your RN License

Chart to Save Your RN License Book
Author : Lena Empyema
Publisher : Independently Published
Release : 2021-08-11
ISBN : 0987650XXX
File Size : 25,9 Mb
Language : Ennglish


Chart to Save Your RN License Book PDF/Epub Download

You can be an excellent nurse in the clinical setting and still fail to prove that you are an excellent nurse if your documentation is inadequate. Having worked in a variety of inpatient and outpatient settings, I understand the obstacles nurses face. There's just not time, nor do nurses have the mental energy to meticulously document every little thing on top of the rest of their to-do list. That's part of why I became passionate about documentation education. It doesn't have to be an overwhelming, endless challenge to chart exhaustively in hopes that you enter enough data into the chart to defend yourself one day. Rather, leveraging the most critical data, knowing how to format notes and exactly what to say, and when to spend five minutes dumping information into the chart can be learned skills that make documentation faster, easier, and less stressful, while doing a better job of defending your actions. The Importance of Documentation & Overcoming Obstacles Purpose(s) of Documentation Defensive Charting Obstacles Impacting Quality of Medical Record Overcoming Obstacles Legal Responsibilities of the Nurse Duties of the Nurse Nurse Practice Acts Duties of the Hospital Hospital Policy vs. State Board of Nursing Regulations Reasonable Prudence Failure to Fulfill (Document) Responsibilities Fulfilling Responsibilities vs. Documenting Responsibilities What if Responsibilities Aren't Fulfilled? Mistakes Happen Professional Liability Insurance Malpractice Medical Negligence Acting with Malice Fraud What Happens When a Nurse is Charged with Malpractice? What to Do if You Receive Notification of a Claim Common Charting Mistakes & How to Avoid Them The Most Common Errors Charting By Exception & Charting to Capture Minimal Data "But I've Always Charted This Way, and Nothing Bad Has Happened Yet..." What You Should Be Charting How and What to Chart Quick Glance Charting Checklists What is a Timely Manner? Documenting Assessments Sample Focused Assessment Criteria Sharing the Responsibility Modifying Electronic Data Abbreviations Standing Orders Early Warning Systems Scores & Scales Informed Consent Special Circumstances Paper Charting Writing an Incident Report Patient Leaving AMA Patient Threatening to Sue You Identifying Patient Belongings Another Member of the Team is Not Documenting Correctly Restraints Defective Equipment Suspected Abuse Patient Requesting to View Their EMR on Hospital Computer Narrative Notes When & How to Write Notes One Note or Several Notes? Daily Narrative Notes Examples of Common Notes Written As-Needed How to Title Narrative Notes How to Format Notes Using Patient Names in Notes Length of Notes Create a Template Tips for Less Stress When Charting BONUS: How I Chart on a "Typical" Shift ABOUT THE AUTHOR: I'm Andrea, RN-MSN. Perfecting my own documentation and working to find concrete guidelines to share with my fellow nurses has become my passion. As I gained more knowledge and researched the dusty, forgotten corners of the internet for obscure evidence-based practice and case studies, becoming a subject matter expert on nursing documentation lit a spark because sharing this information helps empower nurses to understand exactly what should appear in their patient charts, where, when it should entered, and how it should be phrased.

Nursing Narrative Note Examples to Save Your License

Nursing Narrative Note Examples to Save Your License Book
Author : Lena Empyema
Publisher : Unknown
Release : 2020-01-06
ISBN : 9781656565488
File Size : 38,6 Mb
Language : Ennglish


Nursing Narrative Note Examples to Save Your License Book PDF/Epub Download

Nursing can be nuts. On a twelve-hour shift, the last thing most nurses want to do is sit down and draft a lengthy note describing the craziness that occurred. Written by a nurse, for nurses, this book is chock full of narrative note examples describing hypothetical situations to help you describe the, well, the indescribable. Some shifts are just like that!

Nursing Know how

Nursing Know how Book
Author : Anonim
Publisher : Lippincott Williams & Wilkins
Release : 2009
ISBN : 9780781791946
File Size : 32,6 Mb
Language : Ennglish


Nursing Know how Book PDF/Epub Download

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.

Chart Smart

Chart Smart Book
Author : Anonim
Publisher : Springhouse Corporation
Release : 2011
ISBN : 0987650XXX
File Size : 25,5 Mb
Language : Ennglish


Chart Smart Book PDF/Epub Download

Chart Smart: the A-to-Z Guide to Better Nursing Documentation tells nurses exactly what to document in virtually every type of situation they may encounter on the job, no matter where they practice--hospital, medical office, outpatient, rehabilitation facility, long-term care facility, or home. This portable handbook has nearly 300 entries that cover documentation required for common diseases, major emergencies, complex procedures, and difficult situations involving patients, families, other health care team members, and supervisors. In addition to patient care, this book also covers documenta


DocuNotes Book
Author : Cherie Rebar
Publisher : F.A. Davis
Release : 2009-04-10
ISBN : 0803623364
File Size : 20,5 Mb
Language : Ennglish


DocuNotes Book PDF/Epub Download

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.

150 Tips and Tricks for New Nurses

150 Tips and Tricks for New Nurses Book
Author : Kathy Quan
Publisher : Simon and Schuster
Release : 2009-01-17
ISBN : 1440520453
File Size : 20,7 Mb
Language : Ennglish


150 Tips and Tricks for New Nurses Book PDF/Epub Download

With long hours, huge responsibilities, and average pay, nursing is often as challenging as it is rewarding. By teaching new nurses what to expect, how to get what they want, and how to succeed in today's medical environment, this book is the one-dose treatment to prevent burnout. Written in an easy-to-read, direct, and honest way, this helpful handbook will teach new nurses what they didn't learn in nursing school. Veteran R.N. Kathy Quan offers readers information on how to: balance a hectic new schedule (for work, sleep, and life) deal with doctors avoid illness themselves continue education while working cope with death of patients (the first time, and after) and more With this book, nurses get real-life advice on how to cope, perform, and excel in their field--one shift at a time!

Chart Like A Pro

Chart Like A Pro Book
Author : Merlande Jean,Youseline Baptiste
Publisher : Unknown
Release : 2020-04-04
ISBN : 0987650XXX
File Size : 34,7 Mb
Language : Ennglish


Chart Like A Pro Book PDF/Epub Download

If as a new nurse, you've been having sleepless nights understanding the whole concept of charting and how to do it like the pros, keep reading....You Are About To Learn How To Master The Craft Of Charting Fast, Accurately And Efficiently, Just Like The Pros And Ultimately Become A Valuable Member Of The Healthcare Provider You Work For!As nurses, we're always thinking about all the ways we can apply our wealth of medical knowledge to care for patients in need. But after we complete our program, pass our exams and ace our first interview, we come across some aspects of beginning our career that we didn't anticipate, and that we probably didn't hear in school. One of those is definitely the process of charting information in our new role. The fact that you're here means that you've heard about it before.Maybe you're already trying to come to grips with it but are finding a hard time doing so, or want to improve how you handle it.If that's the case, then I guess you've been asking yourself: What is the best and most efficient way to chart?What kind of information am I supposed to chart and how?Why does it seem like too much work? Is there a way to do it quickly?How do I get started?Lucky for you, this book has all the answers to these and other related questions. It is designed to help you understand the concept of chatting well, cart off the feeling of intimidation by offering you all the facts and details you require and get you started with the process like a pro to make sure you have the easiest time, and become the efficient, stress-free nurse you've always desired to become.Here is what you'll learn from it: -How to manage and handle time, date, signature and error-What you need to know before you chart-How to use objective and subjective data-How to use abbreviation and medical terminology -How to do assessment charting -How to chart admission and discharge information-How to chart refusals-How to chart about medication -How to chart co-workers' names-How to chart for pain and antibiotics...and so much more!The well-being of your patients highly depends on accurate information recorded and passed across different departments or levels of the health institution, including between physicians and pharmacists.Even if charting seems complex at the moment, this book's easy to follow and practical approach to charting will literally dissolve your fears and concerns and hold you by the hand until you start charting like the pros!If you're ready to learn the basics and get a new perspective of this seemingly demanding task, then all you have to do is grab your own copy of this practical, straightforward guide today and get started!Click Buy Now With 1-Click or Buy Now to get started!

Nursing Notes the Easy Way

Nursing Notes the Easy Way Book
Author : Karen Stuart Gelety
Publisher : Unknown
Release : 2010-11-01
ISBN : 9780975999868
File Size : 41,5 Mb
Language : Ennglish


Nursing Notes the Easy Way Book PDF/Epub Download

Ever wonder what to put in a nursing note? This pocket sized guide provides you with over a hundred templates for written and verbal comminication in nursing to help you.

Law and Order for Nurses

Law and Order for Nurses Book
Author : Lorie A. Brown
Publisher : Unknown
Release : 2014-01-20
ISBN : 9781631739316
File Size : 23,7 Mb
Language : Ennglish


Law and Order for Nurses Book PDF/Epub Download

Law and Order for Nurses: The Easy Way to Protect Your License and Your Livelihood teaches nurses how to protect their most valuable asset, their license. The book uses a system called GIFTS which is an acronym for tools which allow nurses to speak their mind, stand in their power and be a change agent to improve patient care. When nurses use their GIFTS, they are able to protect their license. The book discusses numerous case studies of real life situation of nurses who did not use their GIFTS and found themselves before the state Licensing Boards. It shows which GIFTS the nurse was not using so that other nurses do not make the same mistakes.

Oh Sh t I Almost Killed You

Oh Sh t  I Almost Killed You  Book
Author : Sonja Schwartzbach
Publisher : Unknown
Release : 2017-04-01
ISBN : 9780692838693
File Size : 37,6 Mb
Language : Ennglish


Oh Sh t I Almost Killed You Book PDF/Epub Download

Do no harm. Take no sh*t.

Nursing Documentation Made Incredibly Easy

Nursing Documentation Made Incredibly Easy Book
Author : Kate Stout
Publisher : Lippincott Williams & Wilkins
Release : 2018-06-05
ISBN : 1496394747
File Size : 26,8 Mb
Language : Ennglish


Nursing Documentation Made Incredibly Easy Book PDF/Epub Download

Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy!®, 5th Edition. 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 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 format NEWdiscussion of the necessary documentation process outside of charting—informed consent, advanced directives, medication reconciliation Easy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practices Easy-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 charting Outlines 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, evaluation Documenting the patient’s health history and physical examination The Joint Commission standards for assessment Patient rights and safety Care plan guidelines Enhancing documentation Avoiding legal problems Documenting procedures Documentation practices in a variety of settings—acute care, home healthcare, and long-term care Documenting special situations—release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior Special features include: Just the facts – a quick summary of each chapter’s content Advice 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-solving That’s a wrap! – a review of the topics covered in that chapter About the Clinical Editor Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.

Guide to Clinical Documentation

Guide to Clinical Documentation Book
Author : Debra Sullivan
Publisher : F.A. Davis
Release : 2011-12-22
ISBN : 0803629974
File Size : 38,8 Mb
Language : Ennglish


Guide to Clinical Documentation Book PDF/Epub Download

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.

Mosby s Surefire Documentation

Mosby s Surefire Documentation Book
Author : Mosby
Publisher : Mosby
Release : 2006
ISBN : 9780323034340
File Size : 55,8 Mb
Language : Ennglish


Mosby s Surefire Documentation Book PDF/Epub Download

Offering clear, practical guidelines for how, what, and when to document for more than 100 of the most common and most important situations nurses face, this essential resource details exactly what information to consider and document, to ensure quality patient care, continuity of care, and legal protection for the nurse and the institution where the nurse works.

The Future of Nursing

The Future of Nursing Book
Author : Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
Publisher : National Academies Press
Release : 2011-02-08
ISBN : 0309208955
File Size : 24,9 Mb
Language : Ennglish


The Future of Nursing Book PDF/Epub Download

The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles -- including limits on nurses' scope of practice -- should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

First Year Nurse

First Year Nurse Book
Author : Beth Hawkes
Publisher : Simon and Schuster
Release : 2020-05-26
ISBN : 1510755144
File Size : 25,9 Mb
Language : Ennglish


First Year Nurse Book PDF/Epub Download

An Indispensable Guide for First-Time Nurses on Working with Doctors, the Joys of the Night Shift, and Facing Mistakes! You've completed the necessary education, passed the exams, and you're finally ready for your first year as a professional nurse. But there is still trepidation, accompanied by many unanswered questions. A true first year of nursing 101 guide, this book covers topics like managing feedback, working with doctors, working night shift, and recovering from a mistake. Writer and nursing professional Beth Hawkes draws from her own experiences to offer expert tips for first-timers venturing into this important discipline. Writing in a manner that's digestible and including illustrative anecdotes along the way, Hawkes will put readers at ease with her clear advice and directives—many of which can be applied in professional settings outside of nursing. She offers rookie nurses sample questions to help guide them on how they should be communicating with preceptors and colleagues, from morning to night. The perfect gift for nurses just entering the field!

Clinical Case Studies for the Family Nurse Practitioner

Clinical Case Studies for the Family Nurse Practitioner Book
Author : Leslie Neal-Boylan
Publisher : John Wiley & Sons
Release : 2011-11-28
ISBN : 1118277856
File Size : 54,8 Mb
Language : Ennglish


Clinical Case Studies for the Family Nurse Practitioner Book PDF/Epub Download

Clinical Case Studies for the Family Nurse Practitioneris a key resource for advanced practice nurses and graduatestudents seeking to test their skills in assessing, diagnosing, andmanaging cases in family and primary care. Composed of morethan 70 cases ranging from common to unique, the book compilesyears of experience from experts in the field. It is organizedchronologically, presenting cases from neonatal to geriatric carein a standard approach built on the SOAP format. Thisincludes differential diagnosis and a series of critical thinkingquestions ideal for self-assessment or classroom use.

Physical Assessment Check Off Notes

Physical Assessment Check Off Notes Book
Author : Brenda Walter Holloway
Publisher : F.A. Davis
Release : 2013-08-27
ISBN : 0803640447
File Size : 31,8 Mb
Language : Ennglish


Physical Assessment Check Off Notes Book PDF/Epub Download

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.

Health Professions Education

Health Professions Education Book
Author : Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Publisher : National Academies Press
Release : 2003-07-01
ISBN : 9780309133197
File Size : 35,7 Mb
Language : Ennglish


Health Professions Education Book PDF/Epub Download

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

The Future of the Nursing Workforce in the United States

The Future of the Nursing Workforce in the United States Book
Author : Peter Buerhaus,Douglas Staiger,David Auerbach
Publisher : Jones & Bartlett Publishers
Release : 2009-10-06
ISBN : 0763756849
File Size : 29,5 Mb
Language : Ennglish


The Future of the Nursing Workforce in the United States Book PDF/Epub Download

The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.


Charting Book
Author : Lippincott Williams & Wilkins
Publisher : Lippincott Williams & Wilkins
Release : 2006-11-01
ISBN : 9781582555386
File Size : 28,6 Mb
Language : Ennglish


Charting Book PDF/Epub Download

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.

LPN Notes

LPN Notes Book
Author : Ehren Myers
Publisher : F.A. Davis
Release : 2016-03-03
ISBN : 0803658664
File Size : 31,8 Mb
Language : Ennglish


LPN Notes Book PDF/Epub Download

The 4th Edition of this popular, easy-to-use guide delivers the practical, clinically oriented content you need to deliver safe and effective health care in hospital and home settings. Thoroughly revised and updated, you’ll have access to even more of the commonly-used by rarely memorized clinical information that nurses and students need.