Читать книгу The Nursing Associate's Handbook of Clinical Skills - Группа авторов - Страница 209

When the nursing associate fails to document care provision in the correct manner, this can result in serious harm to a patient’s health and well‐being. These failures are attributable to human errors. Harm can occur when there is a wrong or delayed response to care, and this can be a result of failure to capture documented signs and symptoms and laboratory tests and failure to undertake, document and report care findings. Poor documentation, failure to read and understand a patient’s nursing and medical record, can put a patient at serious risk of harm.

Reducing the risk of patient harm during care delivery (and this includes documentation and record‐keeping) must be at the forefront of policy and practice, and the nursing associates have to ensure that all they do are done in the best interest of those they have the privilege to care for.