Virtual Clinical Excursions 2 0 To Accompany Nursing Care Of Children

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Virtual Clinical Excursions 2. 0 to Accompany Wong's Essentials of Pediatric Nursing

Author : Marilyn J. Hockenberry
Publisher :
ISBN 13 :
Total Pages : 204 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Virtual Clinical Excursions 2. 0 to Accompany Wong's Essentials of Pediatric Nursing by : Marilyn J. Hockenberry

Download or read book Virtual Clinical Excursions 2. 0 to Accompany Wong's Essentials of Pediatric Nursing written by Marilyn J. Hockenberry and published by . This book was released on 2002-12 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Virtual Clinical Excursions is a workbook/CD-ROM package that guides you through a multi-floor virtual hospital to provide you with a hands-on learning experience. You'll meet a series of pediatric patients at Canyon View Regional Medical Center. Each patient has their own diverse health problems, medical histories, families, cultural backgrounds, and personalities. Via the workbook exercises, you'll actively interact with and assess these patients ... access and review their charts, lab data, and medication administration records ... monitor daily changes when their nurses take their vital signs and perform a variety of tests ... formulate nursing diagnoses ... and plan interventions. Essentially, you can practice making all of the key clinical nursing decisions ... on your own schedule and at your convenience. The enclosed CD-ROM package gives you access to the virtual hospital. The workbook guides you through the Well-Child Clinic and the Pediatric Floor. You'll learn communication, documentation, assessment, critical thinking, and other essential skills. You'll also be called on to collect information, make decisions, and set priorities. Each lesson has a reading assignment from Wong's Essentials of Pediatric Nursing, as well as activities that call on you to "visit" the pediatric patients in Canyon View Regional Medical Center. The workbook exercises provide a perfect environment in which you can practice what you are learning from the textbook. The result is a uniquely hands-on way to master essential nursing knowledge.

Virtual Clinical Excursions 2. 0 to Accompany Fundamentals of Nursing

Author : Patricia A. Potter
Publisher : Mosby
ISBN 13 : 9780323030014
Total Pages : 228 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Virtual Clinical Excursions 2. 0 to Accompany Fundamentals of Nursing by : Patricia A. Potter

Download or read book Virtual Clinical Excursions 2. 0 to Accompany Fundamentals of Nursing written by Patricia A. Potter and published by Mosby. This book was released on 2004-06 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: A multi-floor, virtual hospital, VCE 2.0: Canyon View Regional Medical Center contains 14 patient rooms with five floors - a Well Child Clinic, a Pediatrics Floor, a Surgery Department, an Intensive Care Unit, and a Medical-Surgical Telemetry Floor. These patients are included in VCE 2.0: Canyon View Regional Medical Center: ?Darlene Martin Ms. Martin, age 49, was admitted with uterine leiomyomata, irregular periods, and endometrial hyperplasia. She opts for a total abdominal hysterectomy. ?James Franklin Mr. Franklin, age 67, admitted after experiencing episodic light-headedness, left arm and left leg numbness, and one episode of expressive aphasia. He undergoes a carotid endarterectomy. ?James Story Mr. Story, age 42, has renal failure and Type 1 Diabetes Mellitus. He arrives complaining of significant weakness, nausea, and an increasingly edematous right arm. ?Paul Jungerson Mr. Jungerson, age 61, complains of persistent left lower quadrant abdominal pain that has lasted for 3 days. Diagnosed with a coloanal anastomosis disruption, he undergoes a colostomy. ?Elizabeth Washington Ms. Washington, age 63, is admitted following an automobile accident which fractures her hip. ?Tom Handy Mr. Handy, age 62, is admitted for a right upper lobectomy with bronchoscopy for moderately differentiated squamous cell carcinoma of the right lung. ?Julia Parker Ms. Parker, age 55, is admitted with indigestion and mid back pain. She suffers a myocardial infarction.

Virtual Clinical Excursions 2. 0 to Accompany Medical-Surgical Nursing

Author : Sharon Mantik Lewis
Publisher : Mosby
ISBN 13 : 9780323026925
Total Pages : 244 pages
Book Rating : 4.0/5 (269 download)

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Book Synopsis Virtual Clinical Excursions 2. 0 to Accompany Medical-Surgical Nursing by : Sharon Mantik Lewis

Download or read book Virtual Clinical Excursions 2. 0 to Accompany Medical-Surgical Nursing written by Sharon Mantik Lewis and published by Mosby. This book was released on 2004-07 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: A multi-floor, virtual hospital, VCE 2.0: Canyon View Regional Medical Center contains 14 patient rooms with five floors - a Well Child Clinic, a Pediatrics Floor, a Surgery Department, an Intensive Care Unit, and a Medical-Surgical Telemetry Floor. These patients are included in VCE 2.0: Canyon View Regional Medical Center: Darlene Martin Ms. Martin, age 49, was admitted with uterine leiomyomata, irregular periods, and endometrial hyperplasia. She opts for a total abdominal hysterectomy. James Franklin Mr. Franklin, age 67, admitted after experiencing episodic light-headedness, left arm and left leg numbness, and one episode of expressive aphasia. He undergoes a carotid endarterectomy. James Story Mr. Story, age 42, has renal failure and Type 1 Diabetes Mellitus. He arrives complaining of significant weakness, nausea, and an increasingly edematous right arm. Paul Jungerson Mr. Jungerson, age 61, complains of persistent left lower quadrant abdominal pain that has lasted for 3 days. Diagnosed with a coloanal anastomosis disruption, he undergoes a colostomy. Elizabeth Washington Ms. Washington, age 63, is admitted following an automobile accident which fractures her hip. Tom Handy Mr. Handy, age 62, is admitted for a right upper lobectomy with bronchoscopy for moderately differentiated squamous cell carcinoma of the right lung. Julia Parker Ms. Parker, age 55, is admitted with indigestion and mid back pain. She suffers a myocardial infarction.

Virtual Clinical Excursions 2. 0 to Accompany Introduction to Medical-Surgical Nursing

Author : Adrianne Dill Linton
Publisher :
ISBN 13 : 9780721602882
Total Pages : 228 pages
Book Rating : 4.6/5 (28 download)

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Book Synopsis Virtual Clinical Excursions 2. 0 to Accompany Introduction to Medical-Surgical Nursing by : Adrianne Dill Linton

Download or read book Virtual Clinical Excursions 2. 0 to Accompany Introduction to Medical-Surgical Nursing written by Adrianne Dill Linton and published by . This book was released on 2003-07 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Virtual Clinical Excursions (Phase 2) is a workbook/CD-ROM package that guides the student through a multi-floor virtual hospital in a hands-on learning experience. The student is actively engaged with the workbook, CD-ROM and parent text throughout each lesson. Each lesson has a core textbook reading assignment and activities based on "visiting" the patients in the hospital. The lessons in the workbook complement the content in the textbook and provide a perfect environment in which students may "practice" what they are learning in the text. The multi-floor virtual hospital also has built-in testing of clinical knowledge with NCLEX type questions. As the student "visits" each patient, they are able to access realistic information resources essential for patient care. Information resources include: charts, medical administration records, electronic patient records, video streaming of patient dialogue with nurses and other related materials. These resources provide an opportunity for the student to assess and analyze information, make a diagnosis, set priorities and implement and evaluate care. Includes a guided tutorial which shows students how to work with a patient in the virtual hospital - collect patient data from various sources (reports, charts, medication administration record, short video clips and audio clips of nurse-patient interactions) - record patient data - listen to a report and itemize a patient's problems and high-priority concerns - and sometimes administer medications. Requires students to use their critical thinking skills to set priorities for care, collect data, analyze and interpret data, and reach conclusions about complex problems within a health-illness transition. Encourages active learning and provides opportunities to identify information to collect and process data for evidence-based patient care; work with data entry and retrieval screens; optimize use of available information resources; understand hospital information systems; manage information for decision-making; and maintain and improve core computing skills.

Virtual Clinical Excursions 2. 0 to Accompany Fundamental Concepts and Skills for Nursing

Author : Susan C. de Wit
Publisher : Saunders
ISBN 13 :
Total Pages : 246 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Virtual Clinical Excursions 2. 0 to Accompany Fundamental Concepts and Skills for Nursing by : Susan C. de Wit

Download or read book Virtual Clinical Excursions 2. 0 to Accompany Fundamental Concepts and Skills for Nursing written by Susan C. de Wit and published by Saunders. This book was released on 2004-10 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: This groundbreaking workbook/CD-ROM package brings learning to life in a "virtual" hospital setting. Each lesson has a textbook reading assignment with corresponding CD-ROM and workbook activities. The workbook acts as a map, guiding students through the CD-ROM as they care for patients in the virtual hospital, and helping them make connections between what they experience through the CD-ROM and what they've learned in their textbook. Each virtual hospital visit allows the student to access realistic information essential to patient care. The result is a true-to-life, hands-on learning experience.

Virtual Clinical Excursions 2. 0 to Accompany Medical-Surgical Nursing

Author : Joyce M. Black
Publisher : Saunders
ISBN 13 : 9781416001997
Total Pages : 270 pages
Book Rating : 4.0/5 (19 download)

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Book Synopsis Virtual Clinical Excursions 2. 0 to Accompany Medical-Surgical Nursing by : Joyce M. Black

Download or read book Virtual Clinical Excursions 2. 0 to Accompany Medical-Surgical Nursing written by Joyce M. Black and published by Saunders. This book was released on 2004-07 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take a guided tour through Canyon View Regional Medical Center with Virtual Clinical Excursions 2.0. This interactive learning aid combines a CD-ROM with a workbook and the parent textbook to provide the perfect learning experience. The student is able to learn and develop patient care skills in a virtual hospital environment. It includes such features as patient medical charts, medical administration records, and video streaming of nurse patient interactions. These resources provide the student the opportunity to assess and analyze patient information, establish a nursing diagnosis, set priorities,implement care, and evaluate the outcomes.

Virtual Clinical Excursions 2. 0 to Accompany Nursing Care of Children

Author : Janet T. Ihlenfeld
Publisher :
ISBN 13 : 9780721697666
Total Pages : 0 pages
Book Rating : 4.6/5 (976 download)

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Book Synopsis Virtual Clinical Excursions 2. 0 to Accompany Nursing Care of Children by : Janet T. Ihlenfeld

Download or read book Virtual Clinical Excursions 2. 0 to Accompany Nursing Care of Children written by Janet T. Ihlenfeld and published by . This book was released on 2003 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dynamic and engaging, this workbook/CD-ROM package for Nursing Care of Children: Principles and Practice, 2nd Edition guides users through a multi-floor virtual hospital in a hands-on learning experience. Complementing core reading assignments and activities presented in the parent text, lessons in the workbook provide a perfect opportunity for users to practice what they are learning in a realistic, virtual environment. To further enhance the lesson, the CD-ROM features built-in testing with NCLEX-RN type questions and immediate feedback of clinical knowledge, priorities, and communication. Meaningful, real-world problems place users in nursing scenarios where they can set priorities for care, collect data, analyze and interpret data, and reach conclusions about complex problems within a health-illness transition. The highly-engaging format encourages active learning and provides opportunities to identify information to collect and process data for evidence-based patient care; work with data entry and retrieval screens; optimize use of available information resources; understand hospital information systems; manage information for decision-making; and maintain and improve core computing skills. Lessons in the workbook complement the content in the textbook and guide the student through the multi-floor virtual hospital. The CD-ROM offers users the opportunity to visit each patient and access realistic information essential for patient care, including: charts, medical administration records, electronic patient records, video streaming of patient dialogue with nurses, and other related materials. The multi-floor virtual hospital has content on Patient Care, Patient Records, Case Conference, and Clinical Review to engage the user in the subject matter and allow for further exploration. The virtual hospital also includes a Pediatric Floor and a Well-Child Clinic with content on Physical Examinations, Parent Interviews, Developmental Surveillance, Anticipatory Guidance, Patient Records: (Admissions Form, Birth & Health History, Allergies, Immunization Record, Well-Child Visits, Sick-Child Visits, Developmental Surveillance, Growth Charts, Hearing & Vision Screening, Laboratory Results, and Referral Forms), and a Clinical Review. SEVEN different pediatric cases are feature with a variety of ages and clinical presentations. Produced in conjunction with the Virtual Clinical Excursions CD-ROM authors: Jay Shiro Tashiro, PhD, RN; Ellen Sullins, PhD; Gina Long, RN, DNSc

Virtual Clinical Excursions 3. 0 for Maternal-Child Nursing

Author : Emily Slone McKinney
Publisher : Saunders
ISBN 13 : 9781416001041
Total Pages : 292 pages
Book Rating : 4.0/5 (1 download)

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Book Synopsis Virtual Clinical Excursions 3. 0 for Maternal-Child Nursing by : Emily Slone McKinney

Download or read book Virtual Clinical Excursions 3. 0 for Maternal-Child Nursing written by Emily Slone McKinney and published by Saunders. This book was released on 2005-10 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely updated for easier use and more control, VCE Pacific View is a groundbreaking workbook/CD-ROM package that brings learning to life in a "virtual" hospital setting. This guided learning experience features textbook reading assignments that correspond with the CD-ROM and workbook activities. The workbook acts as a map, guiding students through the CD-ROM as they care for patients in the virtual hospital to help students make connections between what they experience through the CD-ROM and what they've learned in their textbook. Each virtual hospital visit allows the student to access realistic information resources essential to patient care resulting in a true-to-life, hands-on learning experience. Users will also discover that this edition of VCE is easier to use with the inclusion of flash-based technology and the elimination of previously needed third-party plug-ins.

Nursing Care of Children and Virtual Clinical Excursions 2. 0

Author : Susan R. James, 1st
Publisher : Saunders
ISBN 13 : 9780721600611
Total Pages : 0 pages
Book Rating : 4.6/5 (6 download)

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Book Synopsis Nursing Care of Children and Virtual Clinical Excursions 2. 0 by : Susan R. James, 1st

Download or read book Nursing Care of Children and Virtual Clinical Excursions 2. 0 written by Susan R. James, 1st and published by Saunders. This book was released on 2003-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Virtual Clinical Excursions 2. 0 to Accompany Wong's Nursing Care of Infants and Children

Author : Marilyn J. Hockenberry
Publisher :
ISBN 13 : 9780323019453
Total Pages : 0 pages
Book Rating : 4.0/5 (194 download)

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Book Synopsis Virtual Clinical Excursions 2. 0 to Accompany Wong's Nursing Care of Infants and Children by : Marilyn J. Hockenberry

Download or read book Virtual Clinical Excursions 2. 0 to Accompany Wong's Nursing Care of Infants and Children written by Marilyn J. Hockenberry and published by . This book was released on 2002-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A virtual hospital setting in which the student can work with seven patient simulations and also learn to access and evaluate the health information resources that are essential for high quality patient care. Included are exercises designed to guide the student in how to conduct assessments, to review patient records and to plan patient care.

Clinical Case Studies for the Family Nurse Practitioner

Author : Leslie Neal-Boylan
Publisher : John Wiley & Sons
ISBN 13 : 1118277856
Total Pages : 432 pages
Book Rating : 4.1/5 (182 download)

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Book Synopsis Clinical Case Studies for the Family Nurse Practitioner by : Leslie Neal-Boylan

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Joyce in the Belly of the Big Truck; Workbook

Author : Joyce A. Cascio
Publisher :
ISBN 13 : 9780976237310
Total Pages : 1230 pages
Book Rating : 4.2/5 (373 download)

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Book Synopsis Joyce in the Belly of the Big Truck; Workbook by : Joyce A. Cascio

Download or read book Joyce in the Belly of the Big Truck; Workbook written by Joyce A. Cascio and published by . This book was released on 2005-05 with total page 1230 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Maternal Child Nursing Care - E-Book

Author : Shannon E. Perry
Publisher : Elsevier Health Sciences
ISBN 13 : 0323825877
Total Pages : 1643 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Maternal Child Nursing Care - E-Book by : Shannon E. Perry

Download or read book Maternal Child Nursing Care - E-Book written by Shannon E. Perry and published by Elsevier Health Sciences. This book was released on 2022-03-05 with total page 1643 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master the essentials of maternity and pediatric nursing with this comprehensive, all-in-one text! Maternal Child Nursing Care, 7th Edition covers the issues and concerns of women during their childbearing years and children during their developing years. It uses a family-centered, problem-solving approach to patient care, with guidelines supported by evidence-based practice. New to this edition is an emphasis on clinical judgment skills and a new chapter on children with integumentary dysfunction. Written by a team of experts led by Shannon E. Perry and Marilyn J. Hockenberry, this book provides the accurate information you need to succeed in the classroom, the clinical setting, and on the Next Generation NCLEX-RN® examination. - Focus on the family throughout the text emphasizes the influence of the entire family in health and illness. - Expert authors of the market-leading maternity and pediatric nursing textbooks combine to ensure delivery of the most accurate, up-to-date content. - Information on victims of sexual abuse as parents and human trafficking helps prepare students to handle these delicate issues. - Nursing Alerts highlight critical information that could lead to deteriorating or emergency situations. - Guidelines boxes outline nursing procedures in an easy-to-follow format. - Evidence-Based Practice boxes include findings from recent clinical studies. - Emergency Treatment boxes describe the signs and symptoms of emergency situations and provide step-by-step interventions. - Atraumatic Care boxes teach students how to manage pain and provide competent care to pediatric patients with the least amount of physical or psychological stress. - Community Focus boxes emphasize community issues, provide resources and guidance, and illustrate nursing care in a variety of settings. - Patient Teaching boxes highlight important information nurses need to communicate to patients and families. - Cultural Considerations boxes describe beliefs and practices relating to pregnancy, labor and birth, parenting, and women's health. - Family-Centered Care boxes draw attention to the needs or concerns of families that students should consider to provide family-centered care.

Pediatric Nursing Made Incredibly Easy

Author : Lippincott Williams & Wilkins
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1469888432
Total Pages : 664 pages
Book Rating : 4.4/5 (698 download)

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Book Synopsis Pediatric Nursing Made Incredibly Easy by : Lippincott Williams & Wilkins

Download or read book Pediatric Nursing Made Incredibly Easy written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2014-07-01 with total page 664 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric Nursing Made Incredibly Easy! Second Edition Whether you are prepping for the NCLEX or certification exam, looking for an aid to class materials, or just want to refresh your skills, Pediatric Nursing Made Incredibly Easy!is the answer. Part of the award-winning Made Incredibly Easy! Series, this fun, practical guide addresses pediatric care and childhood disorders in light of each level of child development, with a family-involved care approach. Full of expert insight and MIE’s trademark wit, this lively reference addresses the full range of common pediatric conditions, and illuminates the many roles of the pediatric nurse. Features: · Current data on more than 100 pediatric disorders, including genetic and cognitive disorders · Coverage of topics including: cultural considerations, hospital care, children with disabililties and terminal illness, pain assessment and management, drug metabolism, healthcare team collaboration, ethics and professional boundaries · Full color inserts illuminate complex concepts · “Nurse Joy” and other illustrated characters offer tips and insights · Easy-reference format with concise, bulleted content · Numerous tables, illustrations and flow charts · Special features: · Just the Facts – quick summary at start of each chapter · Quick Quiz – at end of each chapter · Advice from Experts – experienced practitioners’ insights · It’s all relative – teaching tips and checklists for family education · Growing pains – developmental stage descriptions, expectations and risks · Cultured pearls – insights on unique aspects of care by cultural group · Glossary of essential pediatric terms, selected references, and online sources

Study Guide for Wong's Nursing Care of Infants and Children - E-Book

Author : Marilyn J. Hockenberry
Publisher : Elsevier Health Sciences
ISBN 13 : 0323497748
Total Pages : 297 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Study Guide for Wong's Nursing Care of Infants and Children - E-Book by : Marilyn J. Hockenberry

Download or read book Study Guide for Wong's Nursing Care of Infants and Children - E-Book written by Marilyn J. Hockenberry and published by Elsevier Health Sciences. This book was released on 2018-09-03 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Corresponding chapter by chapter to the completely reorganized and revised Wong's Nursing Care of Infants and Children, 11th Edition, this study guide helps you apply pediatric nursing concepts to real-world practice. It assesses, reinforces, and strengthens your understanding of pediatric nursing with learning activities, review questions, and case studies with critical thinking questions. Learning Key Terms — consisting of matching and fill-in-the-blank questions — test your ability to define all key terms highlighted in each textbook chapter. An answer key for the review questions and learning activities is included in the back of the study guide. Pages are perforated, so submitting assignments is easy. - Reviewing Key Concepts and Content includes questions in various formats to provide you ample opportunity to assess your knowledge and comprehension of information covered in the text. Activities include matching, fill-in-the-blank, true/false, short answer, and multiple choice to help you identify the core content of the chapter — and test your understanding upon completion of reading the chapter. - Thinking Critically case-based activities require you to apply the concepts found in the chapters to solve problems, make decisions concerning care management, and provide responses to patient questions and concerns. - Learning Key Terms consists of matching and fill-in-the-blank questions that let you test your ability to define all key terms highlighted in the corresponding textbook chapter. - An answer key is included at the end of the Study Guide. - Perforated pages allow you to submit assignments to your instructor. - NEW! Updated chapter organization and content matches revised and reorganized text.

Skill Checklists for Fundamentals of Nursing

Author : Carol Lillis
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 0781793858
Total Pages : 155 pages
Book Rating : 4.7/5 (817 download)

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Book Synopsis Skill Checklists for Fundamentals of Nursing by : Carol Lillis

Download or read book Skill Checklists for Fundamentals of Nursing written by Carol Lillis and published by Lippincott Williams & Wilkins. This book was released on 2011 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: This workbook allows students to practice and record the mastery of skills found in Taylor's Fundamentals of Nursing, Seventh Edition by providing checklists designed to record every step of each procedure. This set of checklists is valuable as a self-assessment tool for students and a means for faculty to record student performance.

Study Guide for Wong's Essentials of Pediatric Nursing - E-Book

Author : Marilyn J. Hockenberry
Publisher : Elsevier Health Sciences
ISBN 13 : 0323293352
Total Pages : 335 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Study Guide for Wong's Essentials of Pediatric Nursing - E-Book by : Marilyn J. Hockenberry

Download or read book Study Guide for Wong's Essentials of Pediatric Nursing - E-Book written by Marilyn J. Hockenberry and published by Elsevier Health Sciences. This book was released on 2012-10-01 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely updated content matches the textbook and provides a comprehensive review of essential pediatric nursing concepts and skills.