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practices\u003c/li\u003e\u003cli\u003e\u003cB\u003eEasy-to-read, easy-to-remember content that provides helpful charting examples\u003c/B\u003e demonstrating what to document in different patient situations, while addressing the different styles of charting\u003c/li\u003e\u003cli\u003e\u003cB\u003eOutlines the Do\u0027s and Don\u0026rsquo;ts of charting\u003c/B\u003e \u0026ndash; a common sense approach that addresses a wide range of topics, including: \u003cul\u003e\u003cli\u003eDocumentation and the nursing process\u0026mdash;assessment, nursing diagnosis, planning care/outcomes, implementation, evaluation\u003c/li\u003e\u003cli\u003eDocumenting the patient\u0026rsquo;s health history and physical examination\u003c/li\u003e\u003cli\u003eThe Joint Commission standards for assessment\u003c/li\u003e\u003cli\u003ePatient rights and safety\u003c/li\u003e\u003cli\u003eCare plan guidelines\u003c/li\u003e\u003cli\u003eEnhancing documentation\u003c/li\u003e\u003cli\u003eAvoiding legal problems\u003c/li\u003e\u003cli\u003eDocumenting procedures\u003c/li\u003e\u003cli\u003eDocumentation practices in a variety of settings\u0026mdash;acute care, home healthcare, and long-term care\u003c/li\u003e\u003cli\u003eDocumenting special situations\u0026mdash;release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior\u003c/li\u003e\u003c/ul\u003e\u003c/li\u003e\u003cli\u003e\u003cB\u003eSpecial features include:\u003c/B\u003e\u003cul\u003e\u003cli\u003e\u003cB\u003e\u003cI\u003eJust the facts\u003c/I\u003e\u003c/B\u003e \u0026ndash; a quick summary of each chapter\u0026rsquo;s content\u003c/li\u003e\u003cli\u003e\u003cB\u003e\u003cI\u003eAdvice from the experts\u003c/I\u003e\u003c/B\u003e \u0026ndash; seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plans\u003c/li\u003e\u003cli\u003e\u003cB\u003e\u003cI\u003e\u0026ldquo;Nurse Joy\u0026rdquo; and \u0026ldquo;Jake\u0026rdquo;\u003c/I\u003e\u003c/B\u003e \u0026ndash; expert insights on the nursing process and problem-solving\u003c/li\u003e\u003cli\u003e\u003cB\u003e\u003cI\u003eThat\u0026rsquo;s a wrap!\u003c/I\u003e\u003c/B\u003e \u0026ndash; a review of the topics covered in that chapter\u003c/li\u003e\u003c/ul\u003e\u003c/li\u003e\u003c/ul\u003e\u003cBR /\u003e\u003cB\u003eAbout the Clinical Editor\u003c/B\u003e\u003cBR /\u003e\u003cBR /\u003e Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.\u003c/DIV\u003e"},"categories":[{"url":"/NursingEducation/c/30851","categoryId":30851,"content":{"categoryImages":[],"name":"Mission College","description":"NursingEducation-MissionCollege-Fall2025","pageTitle":"Nursing Education","metaTagDescription":"false","metaTagKeywords":"Fall 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