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Products: E-Booklets
UPDATED: 72 (PLUS) Tips for Accurate and Ethical Documentation in the 21st Century (3rd Ed)
Price: $14.95
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Do you find yourself putting off charting and staying late to complete it? Have you been told that your documentation needs some serious attention? If this sounds familiar, there is wonderful tool to get you up to speed, 72 (PLUS) Tips for Accurate, Legal and Ethical Documentation in the 21st Century.
Here is what you’ll get:
- Learn the basics of documentation, such as the meaning of your signature and how to protect its validity.
- Gain a greater understanding of the link between accurate documentation and effective continuity of care.
- Learn which medical abbreviations to use/not to use when charting.
- Understand how to employ your senses when documenting: touch, smell and vision to provide a more accurate picture of the patient’s condition.
- Learn how to consistently keep your documentation legal and ethical (what to record/not to record in a patient’s chart).
- Find out the specific legal and ethical requirements of informed consent.
- Become more informed about the Health Insurance Portability and Accountability Act (HIPPA), including a nurse’s role in compliance with this law.
- Learn more about computerized documentation, including how to avoid making mistakes and protecting patient privacy when charting in public spaces.
- Learn time saving techniques to help you stay on top of your charting during your shift.
Bonus: JCAHO’s do not use list is included … a resource you can’t do without!