Chapter 13. Record Keeping

  1. Philip Jevon RGN, BSc (Hon), PGCE Resuscitation Officer Clinical Skills Lead Honorary Clinical Lecturer

Published Online: 4 SEP 2009

DOI: 10.1002/9781444318388.ch13

ECGs for Nurses, Second Edition

ECGs for Nurses, Second Edition

How to Cite

Jevon, P. (2009) Record Keeping, in ECGs for Nurses, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444318388.ch13

Author Information

  1. Manor Hospital, Walsall, UK

Publication History

  1. Published Online: 4 SEP 2009
  2. Published Print: 11 SEP 2009

ISBN Information

Print ISBN: 9781405181624

Online ISBN: 9781444318388

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Keywords:

  • good record keeping - fundamental part of nursing (NMC);
  • Clinical Negligence Scheme for Trusts (CNST);
  • understanding principles of good record keeping;
  • common deficiencies in record keeping;
  • good record keeping principles;
  • best practice – record keeping;
  • auditing records;
  • legal issues associated and record keeping;
  • Access to Health Records Act, 1990;
  • good record keeping in ECG monitoring and recording 12 lead ECG

Summary

This chapter contains sections titled:

  • Introduction

  • Learning Outcomes

  • Importance of Good Record Keeping

  • Common Deficiencies in Record Keeping

  • Principles of Good Record Keeping

  • What Should be Documented on a 12 Lead ECG and on an ECG Rhythm Strip

  • Importance of Auditing Records

  • Legal Issues Associated with Record Keeping

  • Conclusion

  • References