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Nursing Charting and Documentation

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Why is correct charting and documentation important for nursing students and nurses?

The College of Nurses of Ontario (2019) states that documentation is an important component of a nurses' work.

Proper charting and documentation

•    allow all health care partners access to care information;
•    communicate an entire plan of care, history, and interventions;
•    help nurses provide safe, ethical, and accountable care;
•    show that nurses have followed professional standards;
•    provide data for research; 
•    allow nurses to review, evaluate, and reflect on care; and
•    can be used for the assessment and evaluation of nursing interventions.

Most importantly: It's part of a nurse's job that a nurse is legally obligated to do correctly.

College of Ontario Nurses. (2019). Documentation, revised 2008.