Clinical Documentation Quick Reference for Long-Term Care
Save time while achieving accurate, comprehensive documentation for every resident in your facility
This resource, designed to be used at the resident's bedside, will help nurses improve their efficiency and quality of documentation by guiding them through 150 of the most common conditions, procedures, and situations encountered in a long-term care facility. With a detailed and comprehensive description of each symptom or condition, nurses will have a thorough list of what to check for and what to document during every shift, based on the specific circumstances of a given resident. Guarantee your residents receive the best quality of care and ensure your facility maintains compliant documentation with the help of Clinical Documentation Quick Reference for Long-Term Care. See a sample chapter here.
Clinical Documentation Quick Reference for Long-Term Care will:
- Help nurses save time while achieving accurate, comprehensive documentation for every resident in their care
- Provide clinicians with documentation procedures for the 150 most common conditions, procedures, and situations encountered in long-term care
- Aid in identifying problems and related interventions through assessment guidelines by system
Table of Contents
Please click here to view the entire table of contents.
About the Author
Barbara Acello, MS, RN, is an independent nurse consultant and educator in Denton, Texas. She is a member of the Texas Nurses™ Association, NANDA International, and the American College of Healthcare Administrators, where she was honored with the Educator of the Year Award for 2007 and the Journalism Award for 2009. Acello has worked as a director of nursing, administrator, and long-term care facility consultant and educator; she has held numerous corporate-level positions in eight states. Presently, she is involved with freelance consulting, lecturing, and writing. She has written many textbooks, journal articles, and other materials related to acute and long-term care nursing, as well as nursing assistant practice and education. Although she has worked in acute care, emergency room, and EMS, long-term care is her preferred practice setting. She is committed to improving working conditions, education, and professionalism for nurses and nursing assistants in long-term care facilities. She may be contacted at firstname.lastname@example.org.
Published: December 2013