Medical Charting Demystified

Medical Charting Demystified book cover

Medical Charting Demystified

Author(s): Joan Richards (Author)

  • Publisher: McGraw-Hill Education
  • Publication Date: 11 Aug. 2008
  • Edition: Illustrated
  • Language: English
  • Print length: 208 pages
  • ISBN-10: 0071498486
  • ISBN-13: 9780071498487

Book Description

Publisher’s Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.


The CLEAR and ACCURATE way to navigate MEDICAL CHARTING

Trying to chart a course through the complex task of keeping patient records? Here’s your lifeline! Medical Charting Demystified gives you the tools you need to prepare and update both computerized and written charts.

You’ll learn about chart components, what to write in a chart, and how to correct errors. Medical Charting Demystified covers entering vital signs, assessments, test results, medications, procedures, patient care plans, and more. Details on the legal aspects of medical charting, including confidentiality, HIPAA, malpractice, and informed consent, are also included. Hundreds of examples and illustrations make it easy to understand the material, and end-of-chapter quizzes and a final exam help reinforce learning.

This fast and easy guide offers:

  • Coverage of the five common charting systems–narrative, problem-oriented, problem-intervention-evaluation, FOCUS, and charting by exception
  • Details on the MAR and the KARDEX
  • An overview of computer charting software
  • A time-saving approach to performing better on an exam or at work

Simple enough for a beginner, but challenging enough for an advanced student, Medical Charting Demystified is your key to mastering this vital nursing skill.

Editorial Reviews

About the Author

Jim Keogh is on the faculty of Columbia University teaching courses in its technology certification program. He has spent 15 years developing computer systems for major Wall Street firms such as Salomen, Inc. and Bear Stearns and has written several best-selling books for Prentice Hall and IDG.

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