Explaining WTH Happened: Guide to Documentation on a Med/Surg Ward, Including Examples

Product Description On an inpatient medical-surgical ward, train wrecks happen. Short staffing happens. CRAZY happens. Make sure documentation happens. Lena Empyema returns to help nurses streamline the tedious aspects of their long, hectic shifts. Deciding what to document and how to summarize pertinent information can require a lot of brain power that nurses may run low on towards the end of 12 or 13 hour shifts. This handy guidebook offers summarized, easy-to-read tips for documentation and extensive examples of standard documentation, receiving report on new patients from the emergency department, PACU, and clinics, what information is necessary during patient transfers and transports, and much more! Why work harder... let Lena guide you through appropriate documentation while you multitask everything else on your plate. About the Author Once Upon a Med-Surg Ward, a Registered Nurse dubbed Lena Empyema precepted countless nursing students and new nurses, noticing a common weakness. Although the students and new grads were incredibly smart, passionate, hard-working, and skilled at problem-solving, many of them struggled to connect the dots of their immense knowledge to look at the big picture and treat the whole patient.

Lena had an idea: create the kinds of resources that she wishes she had during nursing school!

See, Lena was not a 4.0 student. She struggled just as much as the majority of nursing students struggle. She faced many hurdles in school, including her spouse's deployment, living hours from her family, a near-complete inability to understand advanced mathematics... the list goes on. Because of her struggles, Lena understands what nursing students go through. Since applying her knowledge to multiple jobs across multiple facilities in two different states (so far...), Lena has become even more intimately familiar with the types of resources that help nursing students learn best! (She just wishes she'd had these books when she was struggling through her ADN classes...)

Check back frequently for more content, because Lena feels like she comes up with a new idea every time she precepts a new student or nurse!

And, in case you were wondering, "Empyema" isn't Lena's real last name... but the time that she and her nursing school battle buddies almost mistook the word "empyema" for a tasty pastry (it sounds like a snack, doesn't it?) cemented the word as her nickname! If the story of her pen name tells you anything about Lena's teaching style, she wants you to learn from her mistakes. Be better than her, struggle less than she did, and stress less over those weekly (biweekly... thrice-weekly sometimes) exams.

Lena gets it, and she's here to help.