Complete guide to documentation. - Lippincott Williams & Wilkins; Ovid Technologies, Inc. (Philadelphia : Lippincott Williams & Wilkins, 2008)
Nursing documentation and the medical record -- Legal and ethical implications of documentation -- Performance improvement and reimbursement -- Documentation systems -- Documentation of the nursing process -- Documentation in acute care -- Documentation in long-term care -- Documentation in home health care -- Documentation in ambulatory care -- Documentation of everyday events -- Documentation of selected clinical specialties -- Legally perilous charting practices -- Electronic patient records -- Electronic nursing documentation.
Includes bibliographical references and index.
Electronic reproduction.
Keywords: Nursing Records; Documentation; Forms and Records Control; Nursing records; Nursing care plans