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Book
ISBN: 1496394747 9781496394743 9781496394736 1496394739 Year: 2019 Publisher: Philadelphia
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Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy !® , 5th Editio n.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 NEW discussion 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, evaluationDocumenting the patient's health history and physical examinationThe Joint Commission standards for assessmentPatient rights and safetyCare plan guidelinesEnhancing documentationAvoiding legal problemsDocumenting proceduresDocumentation practices in a variety of settings—acute care, home healthcare, and long-term careDocumenting special situations—release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behaviorSpecial 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.
Nursing records. --- Notes, Nurses' --- Nurses' notes --- Communication in nursing --- Medical records --- Nursing Records. --- Documentation. --- Documentations --- Bibliographies as Topic --- Records, Nursing --- Nursing Record --- Record, Nursing --- Nursing Records --- Documentation
Periodical
ISSN: 02104210 19882890
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Bibliographies on mass media. --- Documentation. --- Information science. --- Documentation --- Sciences de l'information --- Library and Information Sciences --- General and Others --- communication --- audiovisual --- media --- librarian studies --- Communication --- Information literacy --- Library science --- Information science --- Information services --- Information retrieval --- Sciences de l'information. --- documentation (activity) --- information science. --- Documentations --- Bibliographies as Topic
Periodical
ISSN: 05470019 Year: 1967 Publisher: Moskva : Institut,
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Information services --- Documentation --- Information Services --- Information Networks --- Information Specialists --- Services, Information --- Information Network --- Information Service --- Information Specialist --- Network, Information --- Networks, Information --- Service, Information --- Specialist, Information --- Specialists, Information --- Documentations --- Research --- Information Dissemination --- Bibliography as Topic --- Bibliographies as Topic --- Documentation. --- Information Services. --- Information services. --- Data collection services --- Information brokers --- Information centers --- Information science service organizations --- Information service providers --- Providers of information services --- Information retrieval --- Information science
Book
ISBN: 158426375X 9781584263753 9781584262626 1584262621 Year: 2013 Publisher: Chicago, Illinois
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Medical Records. --- Forms and Records Control. --- Documentation. --- Documentations --- Bibliographies as Topic --- Forms Control --- Records Management --- Records Control --- Controls, Records --- Management, Records --- Records Controls --- Hospital Records --- Medical Records --- Nursing Records --- Records, Medical --- Transcription, Medical --- Health Diaries --- Medical Transcription --- Diaries, Health --- Diary, Health --- Health Diary --- Medical Record --- Medical Transcriptions --- Record, Medical --- Transcriptions, Medical
Periodical
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Mathematical linguistics --- Artificial intelligence. Robotics. Simulation. Graphics --- Information systems --- Informatique. --- Théorie de l'information --- Documentation --- Computational linguistics --- Library and Information Sciences --- General and Others --- Computational linguistics. --- Documentation. --- Mathematical linguistics. --- Automatic Data Processing. --- Linguistics. --- Electronic Data Processing. --- Linguistic --- Documentations --- Bibliographies as Topic --- Algebraic linguistics --- Linguistics, Mathematical --- Linguistics --- Applied linguistics --- Information theory --- Information science --- Information services --- Library science --- Automatic language processing --- Language and languages --- Language data processing --- Natural language processing (Linguistics) --- Cross-language information retrieval --- Multilingual computing --- Information Processing --- Automatic Data Processing --- Bar Codes --- Computer Data Processing --- Data Processing, Automatic --- Information Processing, Automatic --- Optical Readers --- Automatic Information Processing --- Bar Code --- Codes, Bar --- Data Processing, Computer --- Data Processing, Electronic --- Optical Reader --- Processing, Automatic Data --- Processing, Automatic Information --- Processing, Computer Data --- Processing, Electronic Data --- Processing, Information --- Computers --- Mathematical models --- Data processing --- Statistical methods
Periodical
ISSN: 15322882 15322890 Year: 2001 Publisher: Washington, D.C.
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JASIST provides an overall forum for new research in information transfer and communication processes, with particular attention paid to the context of recorded knowledge. Areas of concern include the generation, recording, distribution, storage, presentation, retrieval, and dissemination of information.
Documentation and information --- Documentation --- Information science --- Sciences de l'information --- Periodicals --- Périodiques --- Information technology --- Information Science. --- Technologie de l'information --- Information science. --- Information technology. --- Informatiewetenschap. --- Information Science --- Information Technology --- Library and Information Sciences --- General and Others --- Information Science and Systems --- Information Technology. --- Library & Information Science. --- Périodiques --- EBSCOLISTA-E EJCOMMU EPUB-ALPHA-J EPUB-PER-FT WILEY-E --- Information Sciences --- Science, Information --- Sciences, Information --- IT (Information technology) --- Documentation. --- Information Services. --- Library Science. --- Technology --- Telematics --- Information superhighway --- Knowledge management --- Communication --- Information literacy --- Library science --- Librarianship --- Library Sciences --- Science, Library --- Sciences, Library --- Information Networks --- Information Specialists --- Services, Information --- Information Network --- Information Service --- Information Specialist --- Network, Information --- Networks, Information --- Service, Information --- Specialist, Information --- Specialists, Information --- Research --- Information Dissemination --- Documentations --- Bibliography as Topic --- Bibliographies as Topic
Periodical
ISSN: 19366108 Year: 1950 Publisher: Washington, D.C. : American Documentation Institute
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Documentation --- Information science --- Communication. --- Documentation. --- Information Services. --- Information Systems. --- Library Science. --- Sciences de l'information --- Information science. --- Librarianship --- Library Sciences --- Science, Library --- Sciences, Library --- Ancillary Information Systems --- Data Systems --- Emergency Care Information Systems --- Information Retrieval Systems --- Ancillary Information System --- Data System --- Information Retrieval System --- Information System --- Information System, Ancillary --- Information Systems, Ancillary --- System, Ancillary Information --- System, Data --- System, Information --- System, Information Retrieval --- Systems, Ancillary Information --- Systems, Data --- Systems, Information --- Systems, Information Retrieval --- Information Networks --- Information Specialists --- Services, Information --- Information Network --- Information Service --- Information Specialist --- Network, Information --- Networks, Information --- Service, Information --- Specialist, Information --- Specialists, Information --- Documentations --- Communication Programs --- Communications Personnel --- Misinformation --- Personal Communication --- Communication Program --- Communication, Personal --- Personnel, Communications --- Program, Communication --- Programs, Communication --- Research --- Information Dissemination --- Bibliography as Topic --- Communication --- Information literacy --- Library science --- Information services --- Information Services --- Information Systems --- Library Science --- Perinatal Information System --- Information System, Perinatal --- Perinatal Information Systems --- Bibliographies as Topic --- Social Communication --- Communication, Social --- Communications, Social --- Social Communications
Periodical
ISSN: 00028231 10974571 23301643 Year: 1970 Publisher: Washington, D.C.
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Computer. Automation --- Documentation and information --- Documentation --- Information science --- Sciences de l'information --- Periodicals --- Périodiques --- Information Science. --- Systèmes d'information --- Documentation, Services de --- Documentation. --- Information science. --- #TS:WDEP --- Communication --- Information Services --- Information Systems --- Library Science --- Information Technology --- Library and Information Sciences --- Computer Science (Hardware & Networks) --- Information Science and Systems --- General and Others --- Library & Information Science. --- Périodiques --- EBSCOLISTA-E EJCOMMU EPUB-ALPHA-J EPUB-PER-FT --- Information Sciences --- Science, Information --- Sciences, Information --- Information Services. --- Library Science. --- Information literacy --- Library science --- Information services --- Information Networks --- Information Specialists --- Services, Information --- Information Network --- Information Service --- Information Specialist --- Network, Information --- Networks, Information --- Service, Information --- Specialist, Information --- Specialists, Information --- Research --- Information Dissemination --- Documentations --- Bibliography as Topic --- Librarianship --- Library Sciences --- Science, Library --- Sciences, Library --- Bibliographies as Topic --- Information Science --- Services d'information --- Library science. --- Information services. --- Information storage and retrieval systems --- Bibliothéconomie. --- Services d'information. --- library science. --- documentation (activity) --- Data collection services --- Information brokers --- Information centers --- Information science service organizations --- Information service providers --- Providers of information services --- Information retrieval --- Library economy --- Bibliography --- Information storage and retrieval systems. --- Automatic data storage --- Automatic information retrieval --- Automation in documentation --- Computer-based information systems --- Data processing systems --- Data storage and retrieval systems --- Discovery systems, Information --- Information discovery systems --- Information processing systems --- Information retrieval systems --- Machine data storage and retrieval --- Mechanized information storage and retrieval systems --- Computer systems --- Electronic information resources --- Data centers --- Digital libraries --- Information organization
Periodical
ISSN: 21690855 21690863 Year: 2012 Publisher: Washington, DC : Office of Communications of the Library of Congress,
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Library resources --- Documentation --- Archival resources. --- Documentation. --- Employees. --- Library resources. --- Periodicals. --- Library of Congress --- Library of Congress. --- Officials and employees --- United States --- United States. --- Washington (D.C.) --- Archival resources --- Periodicals --- Laborers --- Personnel --- Workers --- Corporation of the City of Washington --- Federal City --- Nation's Capital --- Vashington --- Wash. --- Washington City --- Washinton --- Wāshinṭūn --- Libraries. --- Information resources --- Libraries --- Library materials --- Persons --- Industrial relations --- Personnel management --- Library --- Information Services --- Documentations --- Bibliography as Topic --- Bibliographies as Topic --- City of Washington --- D.C. --- DC --- Amerika Gikai Toshokan --- Beikoku Gikai Toshokan --- Biblioteca del Congreso --- Biblioteca del Congresso --- Biblioteca do Congresso dos Estados Unidos --- Biblioteka Kongressa --- Biblioteka Konhresu SShA --- Bibliothèque du Congrès --- Congressional Library --- Kongressiĭn Nomyn San --- L of C --- LC (Library of Congress) --- Library of the Congress of the United States of America --- Library of the United States --- Mei-kuo kuo hui tʻu shu kuan --- Sifriyat ha-Ḳongres --- U.S. Library of Congress --- United States. Congress. --- United States. Library of Congress --- Конгрессийн Номын Сан --- 國會圖書館 --- Huachengdun --- Vasington --- Library resources - Washington (D.C.) - Periodicals --- United States. Congress. Library
Periodical
ISSN: 00664200 15508382 Year: 1966 Publisher: Hoboken, N.J.
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Informatiewetenschappen --- Information [Sciences de l'] --- Information science --- Sciences de l'information --- Techniek (Technologie) --- Technique (Technologie) --- Technologie --- Technology --- Documentation --- Information Services --- Information Systems --- Information storage and retrieval systems --- Libraries --- Systèmes d'information --- Bibliothèques --- Periodicals. --- Automation --- Périodiques --- Automatisation --- periodicals. --- Information technology --- Informatiewetenschap. --- Informatietechnologie. --- Systèmes d'information --- Bibliothèques --- INFORMATION SCIENCE. --- INFORMATION TECHNOLOGY. --- INFORMATION SERVICES. --- Science de l'information --- Système d'information --- Bibliothèque --- Information science. --- Information storage and retrieval systems. --- Information technology. --- Automatisation. --- #A0206A --- 610 Informatiecentra. Algemeen --- #A0210A --- #A0303A --- #A0402A --- 681.3*A0 --- 681.3*H0 --- 681.3*J1 --- General --- Computerwetenschap--?*H0 --- Administrative data processing (Computer applications) --- Annual reports --- Information Technology --- Library and Information Sciences --- Information Science and Systems --- General and Others --- 681.3*J1 Administrative data processing (Computer applications) --- 681.3*A0 General --- Périodiques --- Computer. Automation --- Documentation and information --- IT (Information technology) --- Ancillary Information Systems --- Data Systems --- Emergency Care Information Systems --- Information Retrieval Systems --- Ancillary Information System --- Data System --- Information Retrieval System --- Information System --- Information System, Ancillary --- Information Systems, Ancillary --- System, Ancillary Information --- System, Data --- System, Information --- System, Information Retrieval --- Systems, Ancillary Information --- Systems, Data --- Systems, Information --- Systems, Information Retrieval --- Information Networks --- Information Specialists --- Services, Information --- Information Network --- Information Service --- Information Specialist --- Network, Information --- Networks, Information --- Service, Information --- Specialist, Information --- Specialists, Information --- Documentations --- Automatic data storage --- Automatic information retrieval --- Automation in documentation --- Computer-based information systems --- Data processing systems --- Data storage and retrieval systems --- Discovery systems, Information --- Information discovery systems --- Information processing systems --- Information retrieval systems --- Machine data storage and retrieval --- Mechanized information storage and retrieval systems --- Telematics --- Information superhighway --- Knowledge management --- Computer systems --- Electronic information resources --- Data libraries --- Digital libraries --- Information organization --- Information retrieval --- Communication --- Information literacy --- Library science --- Research --- Information Dissemination --- Bibliography as Topic --- Perinatal Information System --- Information System, Perinatal --- Perinatal Information Systems --- Bibliographies as Topic --- Data centers --- Information science - Periodicals --- Libraries - Automation - Periodicals --- Information storage and retrieval systems - Periodicals --- Documentation - Periodicals. --- Information Services - Periodicals. --- Information Systems - periodicals. --- Sciences de l'information - Collections. --- Systèmes d'information - Collections. --- Bibliothèques - Automatisation
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