This chapter is based on the chapter ‘Record Keeping’, which first appeared in Monitoring the Critically Ill Patient by Jevon & Ewens (2007).
Chapter 12. Record Keeping†
- Philip Jevon RGN, BSc (Hons), PGCE, DiPSiN Resuscitation Officer Honorary Clinical Lecturer
Published Online: 19 OCT 2009
DOI: 10.1002/9781444315271.ch12
Copyright © 2010 Blackwell Publishing Ltd
Book Title
Care of the Dying and Deceased Patient: A Practical Guide for Nurses
Additional Information
How to Cite
Jevon, P. (2009) Record Keeping, in Care of the Dying and Deceased Patient: A Practical Guide for Nurses (ed P. Jevon), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315271.ch12
Editor Information
Manor Hospital, Walsall, UK
- †
Publication History
- Published Online: 19 OCT 2009
- Published Print: 13 NOV 2009
ISBN Information
Print ISBN: 9781405183390
Online ISBN: 9781444315271
- Summary
- Chapter
- References
Keywords:
- record keeping - integral part of nursing, midwifery and health visiting practice;
- understanding good record keeping;
- principles of good record keeping;
- legal issues associated with record keeping;
- NMC statement on record keeping;
- common deficiencies in record keeping;
- comprehensive nursing assessment of patient;
- Access to Health Records Act 1990 - patients right of access to their manually maintained health records;
- The Code, Standards of Conduct, Performance and Ethics for Nurses and Midwives;
- record keeping - kept confidential and secure
Summary
This chapter contains sections titled:
Introduction
Learning Outcomes
Importance of Good Record Keeping
Common Deficiencies in Record Keeping
Principles of Good Record Keeping
Legal Issues Associated with Record Keeping
NMC Statement on Record Keeping
Conclusion
References