Complete guide to documentation. - Springhouse : Lippincott Williams & Wilkins, c2003. - x, 437 p. : ill. ; 25 cm.

Includes bibliographical references and index.

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 documentation practices -- Computerized patient records -- The future of automated documentation.

158255238X (pbk. : alk. paper)

2003002027


Nursing records.
Nursing care plans.
Nursing Records.
Documentation--Nurses' Instruction.
Forms and Records Control--Nurses' Instruction.

RT50 / .C65 2003

651.5/04261

WY 100.5 / C737 2003

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