Nursing documentation includes any and all forms of documentation by a nurse or midwife recorded in a professional capacity and in relation to the provision of nursing care. This video collection explains concisely what nursing documentation is and presents 20 fundamental principles of sound nursing documentation.
Each principle is thoroughly explained and is accompanied by examples and practical hints and tips to ensure that your documentation meets these principles, providing accurate records and effective communication.
The 20 fundamental principles covered are:
These clips are from the Documentation Dos and Don’ts video in a series of eight others on professional nursing topics. Other topics from the series cover: