In a legal sense, documentation and record keeping is also there for the protection of the nurse or healthcare professional.Ī well-kept record can protect the practitioner in instances where the legal defence of their actions is required. Good record keeping is an important aspect of a health and social care professional’s role, and it is a fundamental part of nursing (NMC 2010).Īn accurate written record detailing all aspects of patient monitoring is important, not only because it forms an integral part of the of the provision of care or nursing management of the patient, but because it also contributes to the circulation of information amongst the different teams involved in the patient’s treatment or care.
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