Nursing Documentation

A Nursing Process Approach, Fourth Edition

Patricia Iyer RN MSN LNCC and Nancy Camp RN MSN

(about the authors [pdf])

8.5″ X 11″, soft cover, about 500 pages

2005, Med League
(First three editions published by CV Mosby)

Price: $64.95


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Table of Contents

More comprehensive and detailed than ever before, this fourth edition of Nursing Documentation: A Nursing Process Approach is an essential and valuable tool for your professional practice. This book clearly and concisely presents the guidelines for appropriate and careful documentation of care. Nursing Documentation helps you analyze and interpret nursing charting and medical records.

This Newest Edition Includes:

American Nurses Association 2004 Standards of Practice
Tips for documenting pain assessment
Liability associated with failure to treat pain effectively
Nursing Outcomes Classification and Nursing interventions Classification
Medications used to treat suffering
Evidenced based interventions
Critical thinking
Updated legal cases
The JCAHO “Do Not Use” abbreviations
FACT charting
Statistics on nursing home malpractice suits
Analysis of 254 nursing home malpractice cases

Reviews for the third edition

Nursing Documentation: A Nursing Process Approach is an excellent resource book for nurses who are planning and implementing inservice activities and continuing education offerings on nursing documentation. Throughout the text and in the appendix, the authors have included several examples of documentation forms and tools, such as nursing assessment forms, patient teaching records, and flow sheets.
Mary Jane Ferrell, PhD, RN
Director, Staff Development
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania

Here is a well-written and illustrated overview of nursing documentation. Nursing Documentation will be useful for nursing students and staff nurses. The text is particularly relevant for committees charged with streamlining nursing documentation to improve cost effectiveness and for staff development educators charged with developing inservice programs on documentation systems. The style is readable and interesting. Sample forms are applicable to a wide range of clinical situations and are, therefore, useful as references.
Journal of Nursing Staff Development

Table of contents

Read the Preface (pdf)