Question 2 • Introduction to Health Science - EL3601 B
Good documentation is factual, clear, accurate, and legible, and it should be recorded as soon as possible after care. Any additional or late information should be dated (and identified according to facility policy). Nurses should use only approved abbreviations and symbols. Information should generally be documented in chronological order, not emphatic order, and notebook paper is not an appropriate substitute for the approved health record.
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