Part of the Springhouse Incredibly Easy! SeriesO, this Second Edition provides current information about charting in a comprehensible, clear, fun and concise manner. Three sections cover Charting Basics, Charting in Contemporary Health Care, and Special Topics. New features include expanded coverage of computerized documentation and charting specific patient care procedures, plus current JCAHO standards both in the text and appendix, chapter summaries, and a new section with case study questions and answers. Amusing graphics and cartoon characters call special attention to important information. Entertaining logos throughout the text alert the reader to critical information, Thought Pillows identify key features of documentation forms, and the glossary defines difficult or often-misunderstood terms

Table of Contents

Part One - Charting basics Chapter one: Understanding charting Chapter two: The nursing process Chapter three: Plans of care Chapter four: Charting systems Part Two - Charting in contemporary health care Chapter five: Acute care Chapter six: Home health care Chapter seven: Long-term care and rehabilitation Part Three - Special topics Chapter eight: Enhancing your charting Chapter nine: Avoiding legal pitfalls Chapter ten: Documenting procedures Practice makes perfect JACHO Nursing care and documentation standards Glossary Index