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Charting Defensively - Defines the how to's, when to's and what to's of medical charting. Includes a list of rules for each.
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Charting Tips - Consider some helpful tips on how to use
abbreviations properly and expedite the nurse chart taking process.
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Documenting an Adverse Incident - Provides guidelines on how to
properly fill out the necessary documentation in the event of accidental
mismanagement of nurse patient care.
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Documenting I.V. Therapy - Describes how to review
nurse charting documentation basics, including how to chart complications. Offers examples
of some patient treatments.
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How to Use Focus Charting - Outlines the resourcefulness of this type
of nurse charting and discusses the three keys to the proper production of a focus
chart. Includes examples.
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Safe Computer Charting - Details some of the concerns when documenting
patient care and how to protect oneself and the patient when nurse charting on the
computer.
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Writing a Narrative Discharge Summary - Provides a checklist of what
to include in a proper summary and offers an example for consideration.
