Nursing Documentation

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Which of the following is NOT an objective of documentation discussed in the text?

Identify ways to maintain confidentiality of patient records according to HIPPA

What is the purpose of patient records according to the text?

To define the purpose of patient records

Which method of documenting care is NOT mentioned in the text?

Focus charting

What is the definition of documentation according to the text?

The written or electronic legal record of all pertinent interactions with the patient

What is the purpose of a change of shift report according to the text?

To provide a handover of patient information between shifts

Test your knowledge on the importance of documentation in nursing care. Learn about the role of nurses in documenting patient care, legal guidelines, ethical accountability, and confidentiality. Identify common legal abbreviations used in healthcare.

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