Nursing and Therapy Documentation in Long-Term Care PDF Download
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Author: Kate Brewer
Publisher: HC Pro, Inc.
ISBN: 1601467990
Category : Nursing
Languages : en
Pages : 131
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Book Description
"This resource will help you: Align with MDS 3.0 documentation requirements. Coordinate documentation between nurses and therapists to improve resident care. Gain the perspective of nursing or therapy to appreciate their specific approach to skilled services. Reduce your audit risk and strengthen reimbursement claims with comprehensive documentation. Prove medical necessity and need for skilled care by practicing accurate documentation"--Page 4 of cover
Author: Kate Brewer
Publisher: HC Pro, Inc.
ISBN: 1601467990
Category : Nursing
Languages : en
Pages : 131
Get Book Here
Book Description
"This resource will help you: Align with MDS 3.0 documentation requirements. Coordinate documentation between nurses and therapists to improve resident care. Gain the perspective of nursing or therapy to appreciate their specific approach to skilled services. Reduce your audit risk and strengthen reimbursement claims with comprehensive documentation. Prove medical necessity and need for skilled care by practicing accurate documentation"--Page 4 of cover
Author: Marilyn J. Rantz
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 492
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Book Description
This manual offers a quality documentation system using nursing diagnosis developed specifically for long-term care. it provides practical quality tools to guide professional nurses and interdisciplinary staff members in meeting documentation requirements under OBRA '87.
Author: LTCS Books
Publisher: LTCS Books
ISBN:
Category : Medical
Languages : en
Pages : 184
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Book Description
2023 Fourth Edition Book and CD, 184 Pages, 75 Comprehensive Nursing Policy and Procedure Forms on Easy to Edit Templates. The policies are operational, organized by department and outline step by step how a task should be completed and by which staff member. Major steps and staff members are bolded for easier location of information. Includes 22 Skilled Charting Guidelines for Medicare Nursing Documentation, Current with all RAI Manual Updates, Surveyor Guidelines and Federal Regulatory Changes, Abuse, Activities of Daily Living, ADLs, Admissions, Advance Directives, Airborne Precautions, Ambulation, Blood Glucose Monitoring, Bowel Movement Protocol, Care Area Assessments, Care Plan Completion, Care Plan Conferences, Contact Precautions, Covid-19 Virus Prevention, Dental Care, Director of Nursing Job Description, Discharges, Droplet Precautions, Fall Prevention Program, Falls, Post-Fall Protocol, Feeding Residents, Feeding Tubes, Glasses, Hearing Aids, Hydration, Incident Reports, Incontinence Care, Infection Control Nurse Job Description, Influenza Immunization, Informed Consent, Intravenous Therapy, Laboratory Services, Linens, MDS Coordinator Job Description, Meals and Dining Room, Medication Administration, Medication Errors, Medication Orders, Medication Storage and Handling, Medications: Adverse Consequences, Narcotics, Pharmacy Consultant, Psychotropics, Self-administration. Needles and Sharps, Nursing Documentation, Nursing Reports, Nursing Staff, Oxygen, Pain Care, Physician Services and Medical Director, Pneumonia Vaccine, Pressure Ulcers, Professional Communication and Sexual Harassment, Quality Assurance Director Job Description, Range of Motion, Resident Assessments, Resident Rights, Restorative Nurse Job Description, Restraints Program, Skin Care, Smoking, Staff Development Director Job Description, Standard Precautions, Suctioning, Therapeutic Environment, Toileting Programs, Tracheostomy Care, Transfers and Lifts, Tuberculosis Testing, Turning and Positioning, Urinary Catheter Care, Urinary Catheter Insertion, Wandering, Weight Loss, Workplace Violence. The seventy-five nursing policies and procedures in this manual are based on current standards of nursing practice and federal regulations and guidelines from the Centers for Medicare and Medicaid Services, the Center for Disease Control, and the Occupational Health and Safety Administration. The Director of Nursing can review and update the manual annually. Some facilities have a policy and procedure committee that meets to review and consider changes to policies. The form at the top of each policy and procedure has spaces for the date the policy and procedure was approved by the DON and the date of any addendums or changes. Updates can be made when applicable due to changes in regulations or nursing standards of practice. Other appropriate additions to the manual would be manufacturer guidelines and instructions for new equipment and devices. Some facilities include with the policy and procedure manual master copies of forms, and this can help to ensure uniform documentation throughout the facility. Each of the policies and procedures in this book are also included on the CD so they may be easily edited on a word processor for desired updates and changes.
Author: Seth B. Goldsmith
Publisher: Jones & Bartlett Learning
ISBN: 9780834203747
Category : Medical
Languages : en
Pages : 594
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Book Description
This handbook is the definitive, comprehensive reference for long-term care administration. It provides new ideas, proven approaches, & practical suggestions for every aspect of long-term care facility management. Each chapter contains a collection of specialized, advanced expertise presented by long-term care administrators, consultants, academics, planners, attorneys, architects, & nurses.
Author: HCPro
Publisher: HC Pro, Inc.
ISBN: 1601461399
Category : Medical records
Languages : en
Pages : 108
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Book Description
Put documentation tips in the palm of your hand with documentation pocket guides made just for therapists! Proper documentation is vital to reimbursement and patient care in the therapy setting. Improper documentation can lead to a host of problems including denials, decreased reimbursement and lawsuits. Unfortunately, therapists don't receive formal training on documentation and are often left to decipher the confusing requirements set forth by Medicare, Medicaid, and managed care companies, alone. A quick, affordable and convenient tool to address therapy documentation The Pocket Guide to Therapy Documentation offers documentation tips and advice in a convenient and handy format. You'll keep this resource close at hand to ensure complete and accurate patient records. Ensure proper documentation and save time with these benefits: Condensed information and easy-to-read bulleted lists, charts, and tabs for quick reference Fast access to reimbursement and coding information Review documentation requirements in less time for all patient encounters including: Initial examination Evaluation Prognosis Diagnosis Reexamination Discharge Tests and measures Therapy managers in Long-Term Care, home health, and hospital settings will want to purchase one for each Occupational Therapist, Speech Language Pathologist, and Physical Therapist in their facility.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132746
Category : Medical
Languages : en
Pages : 344
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Book Description
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Author:
Publisher:
ISBN:
Category : Health surveys
Languages : en
Pages : 690
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Book Description
Author: LTCS Books
Publisher: LTCS Books
ISBN:
Category : Medical
Languages : en
Pages : 162
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Book Description
37 Activities Care Plans with Special Needs in the book and on the CD. 4 Activities Inservices. Current with all RAI Manual Updates, Surveyor Guidelines and Federal Regulatory Changes. Free MDS Assessment Scheduling Calendar and Activities Inservices included. Make Activities Care plans resident and facility specific in one click. Data Collection, MDS Interview for Activity Preferences, Coding Section F of the MDS 3.0, Guidelines and Assessment, CAA Summary, Activities CAA Module, Care Planning, Types of Activities, Abusive, Dependent on Staff, Altered Sensory Perception, Anger, Anxiety, Cognitive Impairment, Conflict with Staff, Depression, Dexterity Impaired, Dietary Needs, Fall Risk, Hearing Impaired, Hoards Objects, Manipulative, Medical Condition, Mobility, New Resident, Short Stay Resident, Pain, Paranoia, Past Roles, Unusual Routine, Spiritual Preferences, Safety Awareness, Sensory Deprivation, Social Isolation, Socially Inappropriate, Speech Impaired, Strengths, Terminally Ill, Vision, Wandering, Withdrawal, Younger Resident, Quality Assurance and Surveys, Care Plan Documentation Audit, Survey Questions, Refused Activity Log, Special Needs List, Dietary Needs List, Cognitive Impairment Inservice, Resident Rights Inservice, Sensory and Communication Inservice, Wandering Inservice, Guidance to Surveyors for Activities, Activities Critical Element Pathway
Author: James E. Allen
Publisher: Springer Publishing Company
ISBN: 0826171249
Category : Law
Languages : en
Pages : 674
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Book Description
Print+CourseSmart
Author: Lippincott Williams & Wilkins
Publisher: Lippincott Williams & Wilkins
ISBN: 9781582555560
Category : Medical
Languages : en
Pages : 454
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Book Description
Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
