Skip Navigation LinksHome > July 2007 - Volume 107 - Issue 7 > Documentation, Part 2: The Best Evidence of Care
AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000279271.41357.fa
FEATURE: Legal Clinic

Documentation, Part 2: The Best Evidence of Care

Ferrell, Kathy Graves BS, RN, CLNC

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Abstract

Complete and accurate charting can be crucial to exonerating nurses in civil lawsuits.

OVERVIEW: Properly documenting care in a patient's medical records is essential and, in the event of a lawsuit, provides evidence that the care that was provided met professional standards. Even nurses who meet the standards of care must document that care fully and accurately to avoid being vulnerable to accusations of malpractice that may result in costly jury verdicts and court decisions.

© 2007 Lippincott Williams & Wilkins, Inc.

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