The quality of the nurse's documentation says much about the kind of care that is given by the nurse. Accurate and complete documentation is important for effective communication and accountability
What are key guidelines that are generally accepted for documentation?
1 . Document what you hear.
2 . Be specific.
3 . Use direct quotes.
4 . Be prompt.
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4
D
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Key guidelines that are generally accepted for documentation include document what you see, be specific, use direct quotes, and be prompt.
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