Welcome to the Documentation Guidelines Course.
This course is aimed to help healthcare professionals understand the guidelines for proper documentation
Documentation is any written or electronically generated information about a client that describes the status, care or services provided to the client. Nursing documentation is essential for good clinical communication. Appropriate documentation provides an accurate reflection of nursing assessments, changes in clinical state, care provided and pertinent patient information to support the multidisciplinary team to deliver great care.
Documentation provides evidence of care and is an important professional and medico-legal requirement of nursing practice. This Includes standard documentation guidelines and practices to ensure accurate documentation that would meet the professional and legally acceptable form of nursing documentation.
