What Should Be Included In Nursing Documentation?
Nurses work demanding shifts and managing documentation can be a phenomenal task. Keeping accurate and timely nursing records is essential for communication among all members of the patient’s healthcare team and to support the delivery of safe, appropriate and continuous care. Good records allow
Good Documentation Practices to Ensure Quality Nursing Care
Accurate and comprehensive nursing documentation is critical to provide superior quality care to patients. Quality care can be ensured with excellent team effort. Nursing charts should be easily accessible to physicians and other clinicians to help them understand the status of the patient’s condition and
Common Nurse Charting Mistakes and the Role of EHR Transcription
Accurate record keeping and careful documentation are an integral part of efficient nursing practice. However, mistakes may happen while attending several cases a day and documenting the details of each patient quickly. Even though electronic health records (EHR) offer an opportunity to document such details