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Author : Barbara Acello
Publisher :
ISBN 13 : 9781615693566
Total Pages : pages
Book Rating : 4.6/5 (935 download)
Download or read book Clinical Documentation Quick Reference for Long -term Care written by Barbara Acello and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Kate Stout
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1496394747
Total Pages : 487 pages
Book Rating : 4.4/5 (963 download)
Download or read book Nursing Documentation Made Incredibly Easy written by Kate Stout and published by Lippincott Williams & Wilkins. This book was released on 2018-06-05 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy!®, 5th Edition. 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 NEWdiscussion 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, evaluation Documenting the patient’s health history and physical examination The Joint Commission standards for assessment Patient rights and safety Care plan guidelines Enhancing documentation Avoiding legal problems Documenting procedures Documentation practices in a variety of settings—acute care, home healthcare, and long-term care Documenting special situations—release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior Special 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.
Author : Andrew David Weinberg, MD, FACP
Publisher : Springer Publishing Company
ISBN 13 : 0826197957
Total Pages : 129 pages
Book Rating : 4.8/5 (261 download)
Download or read book Risk Management in Long-Term Care written by Andrew David Weinberg, MD, FACP and published by Springer Publishing Company. This book was released on 1997-10-10 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical, effective, and thorough risk management tool, this book helps health professionals address common problem areas in order to avoid litigation. Potential risk topics covered include: injury from physical restraint, resident abuse and neglect, infection control, polypharmacy and medication use, falls, and much more. The volume also features valuable information on how to respond to legal claims. Each chapter concludes with 10 tips for the reader. The appendixes contain case studies with questions for discussion and a useful resource list of organizations. This handy guide is indispensable to administrators, nurses, and physicians, as well as students of health administration. "Risk Management and Long Term Care is full of case examples, specific suggestions and recommended policies and procedures to follow in providing quality care and thereby managing risk." -from the foreword --James L. Wilkes, II, Esq.
Author : Barbara Acello
Publisher :
ISBN 13 : 9781556450907
Total Pages : pages
Book Rating : 4.4/5 (59 download)
Download or read book Nursing Procedure Guide for Long-term Care written by Barbara Acello and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Barbara Acello
Publisher :
ISBN 13 : 9781556454769
Total Pages : 0 pages
Book Rating : 4.4/5 (547 download)
Download or read book Clinical Tools and Forms for Long-Term Care written by Barbara Acello and published by . This book was released on 2015-06-29 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Tools and Forms for Long-Term Care Barbara Acello, MS, RN Is your library of long-term care tools and forms a bit cluttered or a challenge to navigate? Minimize space and save time searching for the clinical, legal, and daily maintenance related forms you need with "Clinical Tools and Forms for Long-Term Care." This valuable book combines an extensive collection of long-term care tools and forms from author Barbara Acello, MS, RN, into an all-in-one comprehensive resource. Including clinical forms such as pain and activities of daily living assessments, as well as regulatory forms such as HIPAA rules and regulations, infection control, and facility-specific policies, the book s content is organized by topic so long-term care providers can instantly reference, download, and implement the forms they need. Table of contents Clinical Admission, Transfer, Discharge Assessment, Nursing Audits & Checklists Code/Medical Emergency Diabetes Monitoring & Medication Enteral, Parenteral Nutrition Falls Infection Control Medicare Medication Miscellaneous Nursing Assistant Nursing (Licensed) Documentation Nutrition (Oral) and Hydration Pain Physician Services Restraints Skin/Pressure Ulcer/Skin Tears Social Services/Behavior/Mental Health Vital Signs, Height/Weight Wandering/Eloping Documentation Audits & Checklists Certificates Code/Medical Emergency Employee Issues/Human Resources Infection Control In-Service/Education Miscellaneous Nursing Assistant Nursing (Licensed) Documentation Report Resident Consents and Releases Social Services/Behavior/Mental Health Wandering/Eloping Legal Advance Directive, DNR (No Code), POLST, Vial of Life Contracts and Agreements Employee Issues/Human Resources Medicare Nursing (Licensed) Documentation Resident Consents and Releases Restorative ADL Bowel and Bladder Restorative Nursing Task Analysis Top 10 Forms Restorative Nursing Care of Plan Form Admission Bladder Assessment Form Physician Orders for Life-Sustaining Treatment Vaccine Consent Elopement Patterning Tool Behavioral Scale for Cognitively Impaired Adults Brink/Yesavage Geriatric Depression Scale Skin Tear Risk Assessment Fall Prevention Assessment Medicare Redetermination Request Form Who should read this book? Administrators Directors of nursing (DON) Nurses Assistant DONs Staff educators Clinical managers Directors Nurse managers QA committee members Quality assurance staff "
Author : Nora J. Wellington
Publisher : AuthorHouse
ISBN 13 : 1452068410
Total Pages : 94 pages
Book Rating : 4.4/5 (52 download)
Download or read book The Fundamentals of Quality for Long Term Care written by Nora J. Wellington and published by AuthorHouse. This book was released on 2010-11-23 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: For all Administrators, Directors of Nursing, and Quality Assurance (QA)/Quality Improvement (QI) Directors or Coordinators, this is not only required reading for your facilities, but more important, it is a practical tool to guide you as you prepare for your survey. As the saying goes, Your facility must be survey-ready 365 days a year. So use this book to help you get readyand stay ready. The Fundamentals of Quality for LTC, Part I gives you the F-Tags, as well as the Centers for Medicare and Medicaid (CMS) Interpretive Guidelines and Guidance to Surveyors. This is a comprehensive monitoring tool for all disciplines to use in an interdisciplinary format. It covers the Federal Long Term Care Regulations 42 CFR 483.10 Resident Rights through 483.20 Resident Assessment. Because this is such a practical tool, it is a book that staff will keep handy at their desks to use for monitoring purposes and for quick reference. It will help the Interdisciplinary Team (IDT)including one of the most important and busiest groups, the Certified Nursing Assistants (CNAs) maintain awareness of the expectations of the Federal and State Surveyors. It will also keep the staffs focus on Quality of Care and Quality of Life.
Author : Pamela A. Fenstemacher
Publisher : Humana Press
ISBN 13 : 3319169793
Total Pages : 353 pages
Book Rating : 4.3/5 (191 download)
Download or read book Post-Acute and Long-Term Medicine written by Pamela A. Fenstemacher and published by Humana Press. This book was released on 2015-12-12 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses current issues surrounding hospital readmissions and the practice of post-acute and long-term care (LTC). Thoroughly updated, the Second Edition of this practical pocket guide presents new regulations governing these services and lessens the uncertainty involved in caring for patients in a long-term care facility. The book is divided into four sections that cover: types of care, which include community care, nursing facility care, and teamwork; clinical medicine, with suggested approaches to common conditions and wound care; psychosocial aspects of care, which include ethical and legal issues and caring for families; and special issues, with chapters on documentation, coding, and medication management. As community-based care is an area of rapid growth where the elderly are increasingly seeking their medical care, new chapters have also been added that describe these programs. Written by expert contributors, many of whom have worked within the American Medical Directors Association to create and disseminate a knowledge base for post-acute and LTC, this is a valuable resource for clinicians and educators seeking to maximize the care and living experience of residents in post-acute and long-term care settings.
Author : AAPC
Publisher : AAPC
ISBN 13 : 1626889791
Total Pages : 13 pages
Book Rating : 4.6/5 (268 download)
Download or read book Clinical Documentation Reference Guide - First Edition written by AAPC and published by AAPC. This book was released on 2020-03-12 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.
Author : HCPro
Publisher : HC Pro, Inc.
ISBN 13 : 1601461399
Total Pages : 108 pages
Book Rating : 4.6/5 (14 download)
Download or read book Pocket Guide to Therapy Documentation written by HCPro and published by HC Pro, Inc.. This book was released on 2008 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Put documentation tips in the palm of your hand with documentation pocket guides made just for therapists! Proper documentation is vital to reimbursement and patient care in the therapy setting. Improper documentation can lead to a host of problems including denials, decreased reimbursement and lawsuits. Unfortunately, therapists don't receive formal training on documentation and are often left to decipher the confusing requirements set forth by Medicare, Medicaid, and managed care companies, alone. A quick, affordable and convenient tool to address therapy documentation The Pocket Guide to Therapy Documentation offers documentation tips and advice in a convenient and handy format. You'll keep this resource close at hand to ensure complete and accurate patient records. Ensure proper documentation and save time with these benefits: Condensed information and easy-to-read bulleted lists, charts, and tabs for quick reference Fast access to reimbursement and coding information Review documentation requirements in less time for all patient encounters including: Initial examination Evaluation Prognosis Diagnosis Reexamination Discharge Tests and measures Therapy managers in Long-Term Care, home health, and hospital settings will want to purchase one for each Occupational Therapist, Speech Language Pathologist, and Physical Therapist in their facility.
Author : Klk Nursing Strategies
Publisher :
ISBN 13 :
Total Pages : 38 pages
Book Rating : 4.7/5 (1 download)
Download or read book Straight to the Point Documentation Guide for LTC/SNF Nurses written by Klk Nursing Strategies and published by . This book was released on 2020-11-23 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tired Of Being Hassled for Documentation as a Nurse in a LTC/SNF?A Straight-To-The-Point Guide From MDS Coordinators: What Exactly It Is We Need From Your Medicare Documentation.An easy to use reference made for Nurses in the long term care setting.We have gathered that in Nursing school we're taught to document or "it didn't happen" and on the job tells you to document but you're never given the specifics of what exactly is needed. This is why this reference guide was created by MDS Coordinators for LTC/SNF Nurses. Who better to hear it from than MDS Nurses themselves?Bridging the knowledge gap 1 Nurse at a time!
Author : J S C, Ink Incorporated
Publisher :
ISBN 13 : 9780970980335
Total Pages : pages
Book Rating : 4.9/5 (83 download)
Download or read book Quick Guide to Documentation for Long-term Care written by J S C, Ink Incorporated and published by . This book was released on 2006 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Charles Kennedy
Publisher : CreateSpace
ISBN 13 : 9781448648894
Total Pages : 376 pages
Book Rating : 4.6/5 (488 download)
Download or read book The Long Term Care Nurses Guide - Revised written by Charles Kennedy and published by CreateSpace. This book was released on 2009-07 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide will help Long Term Care nurses everywhere with quick references for documentation, medications, assessments, lab information, post mortum care, survey preperation and much more. Almost 400 pages of resources that are needed on a daily basis. Resources that you will not find anywhere else. A must have for every Long Term Care nurse.
Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9781582556994
Total Pages : 388 pages
Book Rating : 4.5/5 (569 download)
Download or read book Documentation written by and published by Lippincott Williams & Wilkins. This book was released on 2007 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: This full-color handbook is a quick-reference guide to all aspects of documentation for every nursing care situation. It covers current documentation systems and formats, including computerized documentation, and features scores of sample filled-in forms and in-text narrative notes illustrating everything from everyday occurrences to emergency situations. Coverage includes timesaving strategies for admission-to-discharge documentation in acute, outpatient, rehabilitation, long-term, and home care environments and special documentation practices for selected clinical specialties: critical care, emergency, perioperative, maternal-neonatal, and psychiatric. The book includes advice on legal safeguards, dangerous abbreviations, and compliance with HIPAA guidelines and JCAHO requirements.
Author : Charlotte Eliopoulos
Publisher : Springer Publishing Company
ISBN 13 : 9780826160935
Total Pages : 0 pages
Book Rating : 4.1/5 (69 download)
Download or read book Essentials for the Long-Term Care Nurse written by Charlotte Eliopoulos and published by Springer Publishing Company. This book was released on 2017-11-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contains the fundamental information long-term care nurses need to provide all aspects of safe and effective care to their patients in nursing homes and assisted living facilities. Written by a renowned and highly respected nurse leader in long-term care and gerontology, it presents key facts and core competencies related to the clinical and ......
Author : Barbara Acello
Publisher : HC Pro, Inc.
ISBN 13 : 1601466498
Total Pages : 357 pages
Book Rating : 4.6/5 (14 download)
Download or read book The Long-Term Care Restorative Nursing Desk Reference written by Barbara Acello and published by HC Pro, Inc.. This book was released on 2009-08-18 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Long-Term Care Restorative Nursing Desk Reference is a new all-inclusive desk reference that describes the clinical aspects of restorative nursing in detail and provides a much-needed guide for nurses in a long-term care facility. This book offers the help you need to create or sustain an effective restorative care program that puts your resident's needs first.
Author : Barbara Acello
Publisher :
ISBN 13 : 9781556457173
Total Pages : 0 pages
Book Rating : 4.4/5 (571 download)
Download or read book Home Health Assessment Criteria written by Barbara Acello and published by . This book was released on 2015-05-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ensure that no condition or symptom is overlooked and documentation is as accurate as possible with Home Health Assessment Criteria: 75 Checklists for Skilled Nursing Documentation.
Author : Pamela A. Brown
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763727444
Total Pages : 314 pages
Book Rating : 4.7/5 (274 download)
Download or read book Quick Reference to Wound Care written by Pamela A. Brown and published by Jones & Bartlett Learning. This book was released on 2005 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Quick Look Nursing : Growth and Development Through the Lifespan includes chapters in biological, psychological and social information that includes information on genetics, fetal development, cognition and information processing, roles of families, peers, school and society and many other chapters. The Second Edition includes all the new key learning features such a Closer Look, Warnings, Questions to Ask, key terms, and an updated glossary and references.
