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Components of Nursing Documentation

Activities include the concept of documentation:
Communication
Effective documentation skills enable nurses to communicate to other health workers and explain what has been, is, and that will be done by nurses

Documentation of nursing process
Recording nursing process is the appropriate method for systematic decision-making, problem solving, and further research. Documentation of nursing process includes assessment, problem identification, planning and action. The nurse then Observing and evaluating the response to the actions of a given client, and communicate information to other health personnel.

Standard documentation
Nurses need something skills to meet documentation standards. Standard documentation is a statement about quality and quantity of documentation that dipertimnbangklan adequately in a given situation. Standard documentation is useful to strengthen the recording pattern and the instructions or guidelines for documenting practices in providing nursing actions.
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