Chart Like A Boss was created to help you rise above the intimidation and pressure of charting. This easy-to-read guide includes different charting style examples (narrative, focused, SBAR, etc.), how to gather and chart clinical history, and communication guidelines between healthcare providers and nurse colleagues. There are numerous relatable nursing tips and pieces of advice throughout, with references provided by the American Nurses Association (ANA), the Joint Commission (JC), and other credible sources.
Inside you'll find the dos and don'ts of charting, head-to-toe assessments, a detailed review of systems, and more than 900 commonly used medical abbreviations from A to Z, along with the Joint Commission's Do Not Use list. It also includes nursing note examples, medical illustrations, personal stories, and much more. A must-read for new grad nurses, with plenty of tips for seasoned nurses too.