Chart Smart: the A-to-Z Guide to Better Nursing Documentation tells nurses exactly what to document in virtually every type of situation they may encounter on the job, no matter where they practice--hospital, medical office, outpatient, rehabilitation facility, long-term care facility, or home. This portable handbook has nearly 300 entries that cover documentation required for common diseases, major emergencies, complex procedures, and difficult situations involving patients, families, other health care team members, and supervisors. In addition to patient care, this book also covers documentaRecord ICP digital readings and waveforms and cerebral perfusion pressure hourly in your notes, on a flow sheet, or directly on readout strips, depending on your facilitya#39;s policy. Document any ... Record routine and neurologic vital signs hourly (including temperature, pulse, respirations, blood pressure, level of ... Wife verbalized understanding of procedure and siqned consent form. ... VS. neuro. checks.
|Author||:||Lippincott Williams & Wilkins|
|Publisher||:||Lippincott Williams & Wilkins - 2011|