Page 3 - INTRODUCTION OF NURSING 1.4 The Nursing Process (PART 3)
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LEARNING OUTLINE









             4.      Documentation


                    • Content of documentation

                           ➢Factual

                           ➢Accurate, Concise and precise


                           ➢Complete

                           ➢Timely

                           ➢Type of entries


                                  ✓Admission note

                                  ✓Progress note

                                  ✓Client reaching notes

                                  ✓Observation notes


                                  ✓Medication and treatment notes







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