The nurse meets with nurses or other health care professionals to discuss some aspect of client care. Show Explanation: What should the nurse include in the documentation?Documentation by nurses includes recording patient assessments, writing progress notes, and creating or addressing information included in nursing care plans. Nursing care plans are further discussed in the “Planning” section of the “Nursing Process” chapter.
What are the principles of charting?Ten Chart Design Principles by Mike Alexander. Avoid Fancy Formatting.. Skip the Unnecessary Chart Junk.. Format Large numbers where possible.. Use Data Tables instead of Data Labels.. Make Effective Use of Chart Titles.. Sort your data before Charting.. Limit the use of Pie charts.. Don't be afraid to parse data into separate charts.. What should the nurse be sure to do when documenting in a patient's chart?What should the nurse be sure to do when documenting in a patient's chart? A nurse should not write retaliatory or critical comments about a patient or care by other health care professionals. The nurse should not leave blank spaces in the nurse's notes.
What is the importance of documentation in nursing?Nursing documentation is essential for good clinical communication. Appropriate documentation provides an accurate reflection of nursing assessments, changes in clinical state, care provided and pertinent patient information to support the multidisciplinary team to deliver great care.
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Which of the following principles should guide the nurses documentation of entries on the patients medical record?
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