When you want to find charting for nurses, you may need to consider between many choices. Finding the best charting for nurses is not an easy task. In this post, we create a very short list about top 12 the best charting for nurses for you. You can check detail product features, product specifications and also our voting for each product. Let’s start with following top 12 charting for nurses:
Reviews
1. Nursing Documentation: Charting, Recording, and Reporting
Description
This introductory text covers the basics of all forms of nursing documentation, including concepts and application. The focus is on communication as the key to documentation, whether written or oral. This important learning tool contains many examples of actual documentation, practice sessions at the end of each chapter, and "Challenge for Critical Thinking" and "Learning to Document" sections that encourage the reader to analyze, synthesize and apply what they have learned. Also discussed are issues in the documentation of nursing care delivery such as critical pathways, case management and computerized charting.2. Chart Smart: The A-to-Z Guide to Better Nursing Documentation
Feature
Chart Smart The A to Z Guide to Better Nursing DocumentationDescription
Publishers 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.
Thoroughly updated for its Third Edition, this portable handbook shows nurses in all practice settings exactly what to document in any situation. Nearly 300 alphabetically organized entries cover diseases, emergencies, procedures, legal and ethical problems, and difficult situations involving patients, families, and other health care professionals. Legal Casebook sidebars provide real-world examples of court cases. AccuChart sample forms show how to accurately complete various forms.
This edition includes new, difficult, and timely charting situations such as moderate sedation, medication reconciliation, infant identification, faxing medical records, and requests by families for medical advice. Other highlights include expanded information on the electronic medical record, current Joint Commission guidelines on abbreviation use, and the newest NANDA nursing diagnoses.
3. Charting: An Incredibly Easy! Pocket Guide (Incredibly Easy! Series)
Feature
Used Book in Good ConditionDescription
Charting: An Incredibly Easy! Pocket Guide provides time-starved nurses with essential documentation guidelines in a streamlined, bulleted format, with illustrations, logos, and other Incredibly Easy! features. The book is conveniently pocket sized for quick reference anytime and anywhere.
The first section reviews the basics of charting, including types of records, dos and dont's, and current HIPAA and JCAHO regulations. The second section, alphabetically organized, presents hundreds of examples and guidelines for accurately charting everyday occurrences. Logos include Help Desk best practices tips; Form Fitting completed forms that exemplify top-notch documentation; Making a Case documentation-related court cases; and Memory Jogger mnemonics.
4. DocuNotes: Clinical Pocket Guide to Effective Charting
Description
A DAVISS NOTES BOOK!
The perfect pocket guide to charting!
The popular Daviss Notes format makes
sure that you always have the information
you need close at hand to ensure your
documentation is not only complete and
thorough, but also meets the highest ethical
and legal standards.
Youll even find coverage of the nuances
that are relevant to various specialties,
including pediatric, OB/GYN, psychiatric,
and outpatient nursing. And, the very first
Tab reviews the terminology essential to
communicate effectively in writing with
doctors, other health care professionals,
and staff.
It also delivers all of the features that
Daviss Notes users rely on...concise,
well-organized, easy-to-reference content
in an easy-to-use spiral binding with
waterproof, reusable pages.
What students are saying:
This is really a great resource. Has lots of information in a condensed form and breaks out what is important. Must have for all nursing students.
Sabrina Johnson, Amazon.com
Could not have gotten through class without it.
Amanda Leitch, Amazon.com
This series is awesome to use during your clinical experience. The DocuNotes is very helpful in assisting you with becoming familiar with documenting and charting progress notes, DAR style notes and so on. Highly Recommend for anyone entering an RN program.
Danielle DeNisco
5. Nursing Know-How: Charting Patient Care (NurseNotes)
Description
Nursing Know-How: Charting Patient Care offers how-to guidance on the latest techniques and trends in documentation, equipping nurses with the "know-how" to efficiently and accurately document patient care admission to discharge. The book is written in paragraph and bulleted format, with hundreds of sample filled-in forms and narrative notes that demonstrate the best and safest charting techniques.
Know-How icons offer expert advice on how to document. Case Clip icons present clinical scenarios involving specific situations, and identify the role that a rapid response team plays in responding to the situation. Legal Lookout icons present legal advice about documentation and real-world court cases where careful nursing documentation is particularly vital.
6. Nurse to Nurse Wound Care
Description
The latest information on wound care in a comprehensive yet portable resource
Written by the chair of the Education Committee of the Wound, Ostomy and Continence Nursing Association, this is the first text on wound care to be both comprehensive in scope yet small enough to fit into a lab coat pocket. All of the latest information on wound care is now available at your fingertips.
Part of the new Nurse to Nurse series, this title features coverage of the principles behind acute as well as chronic wounds. The authors include assessment and evaluation principles, how to stage or classify any wound, and practical hints on wound measurement and wound care. You will also find documentation and reimbursement tips for many healthcare settings.
Features:
- PDA download of the entire text
- Wound care suggestions along with advantages and disadvanatages so you can make fully informed decisions about wound care
- In abbreviated format, all the considerations that must be made when treating wounds of differing pathophysiology and in multiple healthcare settings
- The most current scientific evidence on wound care
- Coated flex-binding repels stains
The new Nurse to Nurse series is specifically designed to simulate the teaching experience nurses learn best from: trusted mentors carefully explaining what they must do in specific clinical situtions. Written in a consistent, single-author voice, this series brings the wisdom and experience of some of the foremost experts to non-specialist nurses in clinical care.
7. Nursing Notes the Easy Way: 100+ Common Nursing Documentation and Communication Templates
Description
2nd Edition of the popular book published by Nursethings! SUPER PRACTICAL because it is to the point and easy to use! Ever wonder what to put in a nursing note? Not sure what to say when giving report or calling the physician? This pocket sized guide provides you with over a hundred templates for written and verbal communication so you will never be at a loss for words. Knowing what should be documented for a given nursing situation also helps you be sure you are thorough in your care. Templates are helpful for ESL nurses who may struggle with terminology or syntax in communication.8. Charting Made Incredibly Easy! (Incredibly Easy! Series)
Description
In its Third Edition, Charting Made Incredibly Easy! provides up-to-the-minute guidelines on documentation in a comprehensive, clear, concise, practical, and entertaining manner. This edition includes new chapters on computerized documentation and unique professional situations such as contraband, equipment tampering, hostile or sexual advances, media requests for information, and requests to videotape or photograph a patient.
Throughout the text, JCAHO requirements are given special emphasis for easy identification, and "Case in Point" sidebars explain the nursing implications of actual court cases. This edition's expanded Practice Makes Perfect section includes alternate-format NCLEX-style questions.
9. Charting Made Incredibly Easy! (Incredibly Easy! Series)
Feature
Used Book in Good ConditionDescription
In its Fourth Edition, Charting Made Incredibly Easy! provides up-to-the-minute guidelines on documentation in a comprehensive, clear, concise, practical, and entertaining manner. The book reviews the fundamental aspects of charting such as the medical record, the nursing process, and legal and professional requirements, guidelines for developing a solid plan of care, and the variety of charting formats currently being used. It also addresses the specific requirements for charting, whether the setting is acute care, home care, or long-term care and rehabilitation. Special elements found throughout the book make it easy to remember key points. This edition includes new information on cultural needs assessment, HIPAA, National Patient Safety Goals, and electronic health records.
10. Charting Made Incredibly Easy!
Description
11. Charting and Assessment for Charge Nurses (The Long Term Care Manual of)
Feature
Used Book in Good ConditionDescription
Book by Linda Faber-Czingula12. Improving Nursing Documentation and Reducing Risk
Description
In the age of electronic health records (EHR) and value-based purchasing, accurate and complete nursing documentation is crucial. Proper documentation affects not only quality of care, but also facilities' costs and revenues. Redundant documentation wastes time and money, while inadequate documentation negatively affects Joint Commission core measures and can result in license suspensions or legal action against a healthcare facility an expensive and often damaging outcome.
Improving Nursing Documentation and Reducing Risk helps nurse managers create policies, processes, and ongoing auditing practices to ensure that complete and accurate documentation is implemented by their staff, without creating additional time burdens.
Nurse managers, especially new nurse managers, do not clearly understand their legal accountability for poor or inadequate documentation created by nursing staff who report to them. While each state's nurse practice act (NPA) differs, every NPA addresses nursing liability for documentation; however, many nurse managers remain unaware of these and other regulations that hold them accountable for the documentation crafted by their nurses.
This book helps nurse managers protect themselves and their staff by clearly explaining to their employees the impact of documentation practices on reimbursement, educating them on the consequences of failure to document, and training them on how to document properly.
This book will help you:
- Work directly with your staff to ensure accurate documentation
- Train nurses during orientation
- Educate your staff on the consequences of inaccurate documentation
- Create steps to share with your staff that will improve documentation
- Ensure complete comprehension of documentation issues through sample forms, auditing tools, and case studies
Table of Contents
Chapter 1: Contemporary Nursing Practice Includes Good Documentation
Chapter 2: Contemporary Nursing Standards: Why it's Important for Nurses to Document Well
Chapter 3: Reducing Professional Risk Through Documentation
Chapter 4: Barriers to Good Nursing Documentation
Chapter 5: Improving Nursing Documentation
Chapter 6: Electronic Medical Records: Advantages and Challenges to Good Nursing Documentation
Chapter 7: Ways to Engage and Motivate Staff to Document Well
Chapter 8: Improving Documentation and Outcomes