Page 22 - INTRODUCTION OF NURSING 1.4 The Nursing Process (PART 3)
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High quality documentation is:
1. Accessible
2. Accurate, relevant, and consistent
3. Auditable
4. Authenticated/Author identified
5. Clear, concise, and complete
6. Date and time stamped
7. Legible/readable
8. Thoughtful
9. Timely, contemporaneous, and sequential
10. Reflective of the nursing process
11. Retrievable on a permanent basis in a nursing-specific manner
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