Documentation books

Published

Does anyone know of a good guide for documentation. I feel like my documentation is lacking. I usually start at the head and go to the feet. It can be rather lengthy. How much is too much and how much is not enough? Thanks in advance.

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Specializes in Med/Surge, Private Duty Peds.

Try the following;

The Complete Guide to Documentation ,LWW

Charting Made Incredibly Easy ,Springhouse

Chart Smart, The A-Z Guide for Better Documentation, Springhouse

The third listed is my favorite because it covers areas that don't happen everyday and it is wonderful to have.

Hope this helps you.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

i realize you are already a licensed nurse, but may i suggest you check out the links in these two sticky threads on the student forums. there's a lot of good information there that i think you'll like:

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