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Touch Point

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There are a number of organisations and individuals that can access nursing and medical records. As nursing associates, it is necessary to ensure that all records that are made are in a format that can be followed and understood by others. The remainder of this chapter is dedicated to making record‐keeping clear and compliant with policies and procedures.

Now that it has been established that a variety of people may access records for an equally varied number of reasons, the remainder of this chapter has been divided into two sections. First, the professional requirements from the NMC will be discussed in depth. The second part of this chapter includes a brief discussion on some legislative background to record‐keeping.

The Nursing Associate's Handbook of Clinical Skills

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