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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 : 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 :
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 : 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 : 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 : Lippincott Williams & Wilkins
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9781582555560
Total Pages : 454 pages
Book Rating : 4.5/5 (555 download)
Download or read book Complete Guide to Documentation written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2008 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
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 : 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 : 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 : Marie Morreale
Publisher : Taylor & Francis
ISBN 13 : 1040141935
Total Pages : 354 pages
Book Rating : 4.0/5 (41 download)
Download or read book The OTA’s Guide to Documentation written by Marie Morreale and published by Taylor & Francis. This book was released on 2024-06-01 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: The bestselling, newly updated occupational therapy assistant (OTA) textbook, The OTA’s Guide to Documentation: Writing SOAP Notes, Fifth Edition explains the critical skill of documentation while offering multiple opportunities for OTA students to practice documentation through learning activities, worksheets, and bonus videos. The Fifth Edition contains step-by-step instruction on occupational therapy documentation and the legal, ethical, and professional documentation standards required for clinical practice and reimbursement of services. Students and professors alike can expect the same easy-to-read format from previous editions to aid OTAs in learning the purpose and standards of documentation throughout all stages of the occupational therapy process and different areas of clinical practice. Essentials of documentation, reimbursement, and best practice are reflected in the many examples presented throughout the text. Worksheets and learning activities provide the reader with multiple opportunities to practice observation skills and clinical reasoning, learn documentation methods, create occupation-based goals, and develop a repertoire of professional language. Templates are provided to assist beginning OTA students in formatting occupation-based SOAP notes, and the task of documentation is broken down into smaller units to make learning easier. Other formats and methods of recording client care are also explained, such as the use of electronic health records and narrative notes. This text also presents an overview of the initial evaluation process delineating the roles of the OT and OTA and guidelines for implementing appropriate interventions. New in the Fifth Edition: Incorporation of the Occupational Therapy Practice Framework: Domain and Process, Fourth Edition and other updated American Occupational Therapy Association documents Updated information to meet Medicare Part B and other third-party payer requirements Revised clinical terminology on par with current trends Added examples from emerging practice areas Expanded tables along with new worksheets and learning activities Included with the text are online supplemental materials for faculty use in the classroom, this includes: access to supplemental website worksheets, learning activities, and scenario-based videos to practice the documentation process.
Author : Charles Kennedy
Publisher :
ISBN 13 : 9781441455932
Total Pages : 350 pages
Book Rating : 4.4/5 (559 download)
Download or read book Long Term Care Nurses Guide written by Charles Kennedy and published by . This book was released on 2009-01-27 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: If you look a little further there is a REVISED GUIDE that is updated with even more information and at the same price.--This guide will help Long Term Care nurses everywhere with quick references for documentation, medications, assessments, and much more. Over 300 pages of resources that are needed on a daily basis. A must have for every Long Term Care nurse.
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 : Peter Winn
Publisher : Springer Nature
ISBN 13 : 3031286286
Total Pages : 405 pages
Book Rating : 4.0/5 (312 download)
Download or read book Post-Acute and Long-Term Care Medicine written by Peter Winn and published by Springer Nature. This book was released on 2023-07-12 with total page 405 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses current issues surrounding hospital admissions and readmissions and the practice of post-acute and long-term care (LTC). Now in its fully revised and expanded third edition, it contains the most up-to-date knowledge and regulations pertinent to practice in Post-Acute and Long-Term Care Medicine. Post-Acute and Long-Term Medicine is divided into four main sections. The first section is an introduction to long-term care. It includes chapters on home health care, assisted living and residential care, department of veteran affairs and nursing facilities, among others. The second section focuses on clinical medicine in post-acute and long-term care and contains chapters on common clinical conditions, preventing hospital admissions and readmissions, palliative care, weight and nutrition and wound care. The third section details psychosocial aspects of post-acute and long-term care. Chapters in this section describe dementia, delirium, depression, ethical and legal issues and caring for families. The fourth and final section centers on special issues in post-acute and long-term care. This section focuses on documentation and coding, medication management and rehabilitation and maximizing function. The outbreak of COVID-19 has led to two very important new chapters in this section. One chapter discusses challenges and opportunities in post-acute long-term care that have arisen during the pandemic. Another new chapter talks about the importance of virtual care and telemedicine in post-acute and long-term care amidst the COVID-19 outbreak. Written by experts in the field, many of whom have worked within AMDA – The Society for Post-acute and Long-term Care Medicine - 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 : Barbara Acello
Publisher : Hcpro Incorporated
ISBN 13 : 9781615691593
Total Pages : 14 pages
Book Rating : 4.6/5 (915 download)
Download or read book Long-Term Care Clinical Assessment and Documentation Cheat Sheets written by Barbara Acello and published by Hcpro Incorporated. This book was released on 2014-05-14 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Your shortcut to accurate assessment and compliant documentation The quick and easy way to document quality resident care! The Long-Term Care Clinical Assessment and Documentation Cheat Sheets is the ultimate blueprint for how to provide resident- centered care for any symptom or condition. Available on CD, this electronic-only resource provides nurses with a thorough list of what to check and what to document during every shift, based on the specific circumstances of a given resident. Best of all, the new electronic format of this content enables long-term care clinicians to easily search for the condition they need to treat and access the appropriate checklist within seconds. Each checklist can be downloaded and printed to fit directly into the resident's record to ensure thorough, focused, and regular assessments and documentation. Long-Term Care Clinical Assessment and Documentation Cheat Sheets is the most convenient way to guarantee your residents receive the proper care and your facility maintains compliant documentation. Long-Term Care Clinical Assessment and Documentation Cheat Sheets will help you: * Save time finding the correct guidelines for a resident's condition with the searchable, electronic checklists * Maintain complete and accurate clinical records for each resident to authenticate that physician orders were followed and residents were provided with the highest quality of care * Ensure consistency of care across each nurse's shift by including the relevant checklist in each resident record * Assess and document resident status, including cardiovascular, hematologic, and neurological conditions with more than 190 guidelines, tools, and cheat sheets * Avoid survey citations, lost reimbursement, and legal implications arising from improper documentation * Minimize nurses' stress by providing them with reliable guidance and data for each resident, in an easy-to-use format that fits seamlessly in their everyday work flow
Author : Shelley Cohen
Publisher : HC Pro, Inc.
ISBN 13 : 1601461372
Total Pages : 152 pages
Book Rating : 4.6/5 (14 download)
Download or read book Critical Thinking in Long-term Care Nursing written by Shelley Cohen and published by HC Pro, Inc.. This book was released on 2008 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical Thinking in Long-Term Care Nursing: Skills to Assess, Analyze and Act, is an easy-to-read resource that explains the principles of critical thinking and how to encourage nurses to use critical thinking methods. This essential book covers how to lead classroom sessions for new graduate nurses and experienced nurses to develop critical thinking skills, including successful classroom processes and learning strategies.
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 "
