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Document smart : the A-to-Z guide to better nursing documentation / clinical editor, Teri Capriotti.

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Philadelphia : Wolters Kluwer, [2020]

Nursing records -- Handbooks, manuals, etc.

Nursing -- Documentation -- Handbooks, manuals, etc.

Nursing records.

9781975120733 (paperback)

1975120736 (paperback)

xxiv, 475 pages : illustrations ; 23 cm

Fourth edition.

ChartSmart offers you clear-cut guidelines on documenting the significant events associated with: common and uncommon health problems, from asthma and Dressler's syndrome to latex hypersensitivity and transient ischemic attacks; major emergencies, such as drug overdose, GI hemorrhage, acute myocardial infarction, and shock; critical procedures, from blood transfusions and endotracheal tube insertion to pacemaker care and seizure management; potential ethical and legal pitfalls, such as collecting blood as evidence, questioning a doctor's order, using restraints, and more; difficult situations involving patients (such as dealing with hostile threats), families (such as responding to the presence of firearms in the home), and health care team members (such as reporting illegal alterations of medical records). -- Provided by publisher.

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