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COVID-19 (Coronavirus info)

Information and guidance for public, NHSGGC staff, and community-based services.  Hospital visiting restrictions now in place.

Record Keeping and Documentation

This element of the induction process outlines the minimum requirements of a Registered Nurse to support safe, effective, person centred record keeping and documentation within NHSGGC.

In your clinical environment with many demands on your time, keeping documentation records is a challenging but essential part of your role. All documentation records are part of the nursing process; assessment, planning, implementation and evaluation of care.

 

Essential Learning

Record Keeping and Documentation- Good Practice Points (a quick guide)

 

Professional and Organisational Policy and Guidance

NMC Code

NHSGGC Professional Standards for Record Keeping Policy

 

Last Updated: 22 September 2021