Nursing documentation is a key component of safe, effective and ethical practice, except the context of practice or in case of paper-based or electronic documentation. There are books on http://www.freebookez.com/ that are intended to provide registered nurses with guidelines for professional accuracy in documentation.
The main goal of any document is to assist the registered nurse to meet standards of practice related to documentation. Definition of documentation is following it is any written or electronically generated information that reflects the status of client and the care or service that were given to him. Nursing documentation must to contain accurate and honest data about initial details of all events occur with patients. It also should include the name of person who provides care.
You will learn six main principles that must to be applied to any nursing documentation. They are factual, complete, accurate, timely, and compliant with standards, organized. Remember these core characteristics and apply them to every type of documentation and in every practice setting.
You can be sure about competency of authors who have issued books about nursing documentation. Most of them have big experience in health care administration. They have practiced as independent consultancies, worked in professional schools and organizations, disease management companies and public health departments. You will find some writers presented live workshops, web-based courses related to variety of educational and professional topics.
If you want to be your documentation clear, accurate and complete then learn more information about this subject. Start from downloading sample charting for nurses. Try to understand whether your documentation is satisfactory by asking yourself simple question: do my records provide sufficient information for the safe, competent and ethical care? Do other nurses find my job useful?
