This essay aims to focus on record book guardianship. It will briefly hash out the Nursing and tocology Council (2009) guidance for nurses and midwives and the importance of good record keeping in the health fretting sufficeting. This literature will also hash out four of these regulations. The first principle is of detailed assessment and reviews which helps set up a care pattern. It then moves on to the adjacent principle which discusses hand writing and how it should be written legible. The close principle that has been discussed is the one that records should be accurate and recorded in a way that meaning is clear. Finally the last principle that has been discussed is that records should be factual and not include unnecessary abbreviations, jargon, hollow phrases or irrelevant speculation. It then progressively moves on to discuss how these four principles impact on a care plan and how they are maintained.
The Nursing and Midwifery Council (NMC 2009:1) have guidelines for good record keeping, this helps nurses maintain good record keeping skills. Good record keeping skills is an important part of a nurses role in the health care setting. It helps nurses provide the correct and safe care towards a forbearing.
Computer documentation is used in m any a(prenominal) of the health care settings, however hand writing in documentation is still widely used. The guidelines are used for twain written and electronic record keeping.
The process of record keeping is every bit as important as manpower on clinical skills to helping maintain patients safety inside the health care setting. It is not only important for monitor a patients treatment and medical condition, it is also important for any legal issues that may arise when providing care to a patient regarding any care or treatment they have authorized when in a health care setting (Griffith 2007:363 ).
there is a principle in the NMC 2009 for good record keeping that states you should record details of any...If you want to get a beneficial essay, order it on our website: Orderessay
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