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Nursing Documentation and Record Keeping

Accurate documentation is a legal and professional duty. Records must be clear, factual, timely, and confidential to support safe, continuous care.

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Key Points to Know

What you must know about Nursing Documentation

1

Documentation must be accurate, factual, complete, timely, and legible.

2

Record care as soon as possible after it is given — never in advance.

3

Do not erase or use correction fluid; draw a single line through an error, and sign it.

4

Every entry must be dated, timed, and signed by the nurse.

5

Records are legal documents — "if it was not documented, it was not done".

6

Maintain patient confidentiality at all times.

NMCN Exam Tips

How this topic appears in the NMCN exam

Never chart care before it is performed.

Correct errors with a single line and your signature — no correction fluid.

"Not documented = not done" is a classic legal principle.

Every entry is dated, timed, and signed.

Practice Question

Test yourself

A nurse makes an error while writing in a patient's chart. The correct way to correct it is to:

A.Use correction fluid to cover the error
B.Erase the error completely
C.Draw a single line through the error, write "error", and sign it✓ Correct
D.Tear out the page and rewrite it

Explanation

To maintain the legal integrity of the record, an error is corrected by drawing a single line through it (so it remains legible), labelling it as an error, and signing/dating the correction. Correction fluid and erasing are never acceptable.

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