000 01599cam a2200181 4500
001 9781905539253
008 201105t2020 xxu||||| |||| 00| 0 eng d
020 _a9781905539253
100 _aAndrews, Amanda
245 0 _aRecord keeping for nurses and midwives : an essential guide
260 _aKeswick :
_bM&K Publishing,
_c2020
300 _avii, 23p.
520 _aFor too long, record-keeping has been considered an add-on to nursing care and records are often hurriedly completed at the end of a shift, almost as an afterthought. Yet, as this helpful guide demonstrates, good record-keeping is a professional obligation and a vital part of nursing care. Records provide a channel of communication between healthcare professionals and evidence of what care was given, and when and how it was given. This evidence can help protect both nurses and patients, especially if complaints are made and an issue goes to court. The authors have over ten years experience of training nurses on the principles of record-keeping and encouraging them to reflect and think critically and professionally about their records. They begin by introducing the general principles of record-keeping, and then explain how to ensure that records are well documented and court-proof (in other words, accepted by the legal profession). They also discuss record-keeping in practice and the increasing use of electronic patient record systems. Finally, there is a quiz to test your record-keeping knowledge.
650 _aMedical records
650 _aNursing records
_97186
700 _aSt Aubyn, Bernie
942 _n0
999 _c81080
_d81080