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Tag Archives: nursing documentation
Nursing documentation: if you didn’t chart it you didn’t do it
“If you didn’t chart it you didn’t do it.” In the medical legal world, this expression engenders more fear in nurses than almost any other phrase as it is used to reiterate the importance of documentation. The phrase is also … Continue reading
Top 4 reasons why there is gold in nurses’ notes
1. Comprehension: Nursing documentation is often the key to understanding the events that spawn a nursing or medical malpractice claim. The medical record can refute or support the plaintiff’s or defendant’s version of events. 2. Screen cases: Careful scrutiny of … Continue reading
