Page 11 - INTRODUCTION OF NURSING 1.4 The Nursing Process (PART 3)
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Timing
• Charting as your shift progresses will help keep your documentation
accurate
➢Professionals in other disciplines and nurses who provide temporary coverage need
to have up-to-date information available in the record
➢Other professionals who access the record need to have up-to-date data to guide
care
• Computer entries are automatically date-and-time stamped
➢When your entry refers to earlier events, note the time to which you are referring
NEVER document in advance. This practice is illegal falsification of the record
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