Record-keeping and documentation
Intended for healthcare professionals
CPD Previous     Next

Record-keeping and documentation

Lucy Ward Staff nurse, Jersey General Hospital in St Helier, Jersey, and is currently based in Northfleet, Kent

A CPD article updated Lucy Ward’s knowledge on the purpose and process of maintaining accurate patient records

A patient’s notes, assessments, care plans and letters are all evidence of the care and treatment they received. This CPD article highlighted how patient records are clinical tools that act as evidence of care, or the lack of it, and are relevant to every nurse’s practice.

Nursing Standard. 29, 15, 61-61. doi: 10.7748/ns.29.15.61.s49

Want to read more?

RCNi-Plus
Already have access? Log in

or

3-month trial offer for £5.25/month

Subscribe today and save 50% on your first three months
RCNi Plus users have full access to the following benefits:
  • Unlimited access to all 10 RCNi Journals
  • RCNi Learning featuring over 175 modules to easily earn CPD time
  • NMC-compliant RCNi Revalidation Portfolio to stay on track with your progress
  • Personalised newsletters tailored to your interests
  • A customisable dashboard with over 200 topics
Subscribe

Alternatively, you can purchase access to this article for the next seven days. Buy now


Are you a student? Our student subscription has content especially for you.
Find out more