Record keeping

Chronic wound care: achieving better record-keeping and communication

Learn more about the national wound care strategy at Nursing Live, RCNi’s unique event

Nurses’ experiences of using the NANDA International taxonomy in mental healthcare

Nurses’ experiences of using the NANDA International taxonomy in mental health care

Taxonomy helps make care structured and person-centred but should be synchronised with local...

Electronic health records: what do I do if a patient requests access to their file?

Why being able to check this sensitive information is important for many service users

Record-keeping and documentation: how to get on top of these fundamental nursing tasks

Your guide to writing clear, concise records – plus tips for effective handovers

How to undertake effective record-keeping and documentation

Understand the importance of keeping clear and accurate patient records

record-keeping

Record-keeping guidance: 6 tips to make documenting your work easier

A staff nurse shares her tips for effective record-keeping

Nine month suspension for nurse who falsified end of life patient's notes...

A nurse who admitted deliberately falsifying the notes of an end of life patient who was...

Handover

Evaluating nursing handover: the REED model

This article describes the REED (record, evidence, enquire, discuss) model of handover. The...

Fluid balance

The importance of fluid balance in clinical practice

This article reviews the physiology that underpins normal fluid balance and discusses how...

Documentation

Documentation in nursing practice

Accurate documentation is essential to maintain continuity and inform health professionals...