The Clinical Care Classification (CCC) System, a national nursing standard, is a respected resource for documenting patient and nursing care plans for the electronic health record. It is the only freely available coding structure for health care providers, hospital IT systems, nursing managers, administrators, and clinicians, and nurse educators and researchers. This new edition has been updated and reformatted to facilitate ease of use in handbook and e-book format. It provides coded terminologies for electronic health record input in nursing diagnoses and outcomes and nursing interventions.

The enhanced E-book format contains a code builder which allows the user to build a diagnosis and intervention following the six steps of the nursing process recommended by the ANA, and a code parser which allows the user to retrieve the textual descriptions and definitions for each part of the code. As a concise pocket guide, this new version explains how to use the CCC system including a description of the CCC model and examples of patient/nursing plans or care templates with their electronic health record (EHR) screens and brief explanations.

*e-book includes code builder and parser

Key Features:

•Provides standardized coded national nursing terminology
•Updates, revises and reformats the first edition for ease of use in handbook and hand-held e-book formats
•In use, or soon to be in use, by 100 hospitals including the VA system
•Includes code builder and parser in e-book Contributors
Foreword
Preface
Acknowledgments

PART I: OVERVIEW

Chapter 1: Background

Chapter 2: Overview, History, & Uses

Chapter 3: Features, Standards, & Policies

PART II: USES

Chapter 4: CCC Systems Collaboration with SNOMED CT and ICNP

Chapter 6: Nursing Education Application of the SabaCare Clinical Care Classification (CCC) Using the personal Computer

PART III: TERMINOLOGIES

Chapter 7: Documentation Strategies

Chapter 8: Terminology Tables

PART IV: APPENDICES

Appendix A: Clinical Care Classification (CCC) System, Version 2.5: Care Components, Nursing Diagnoses, and Nursing Interventions Revisions from Clinical Care Classification, Version 2.0.

Appendix B: Milestone Chart

Appendix C: Bibliography of Major Articles

INDEX
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