Record Keeping for Nurses and Midwives: An essential guide - Softcover

Amanda Andrews; Bernie St Aubyn

Softcover

ISBN 10: 1905539258 ISBN 13: 9781905539253

Publisher: M&K Publishing, 2020

Synopsis

For 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. Contents include: Preface Introduction to record-keeping principles Court-proofing your documents Record-keeping in practice Electronic patient record systems Test your record-keeping knowledge References Answers to quiz

About this title

About the Author

Amanda Andrews and Bernie St Aubyn are Senior Lecturers at Birmingham City University, where they work hard to embed record-keeping into every course they teach

Edition details

• Publisher: M&K Publishing
• Publication date: 2020
• Language: English
• ISBN 10: 1905539258
• ISBN 13: 9781905539253
• Binding: Paperback
• Edition number: 1
• Number of pages: 32