Transcription of ANA’s Principles for Nursing Documentation
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ANA’s Principles for Nursing Documentation
Silver Spring, Maryland2010 ANA sPrinciples for NursingDocumentation Guidance for Registered NursesSummaryClear, accurate, and accessible Documentation is an essentialelement of safe, quality, evidence-based Nursing practice. Nursespractice across settings at position levels from the bedside to theadministrative office; the registered nurse and the advancedpractice registered nurse are responsible and accountable for thenursing Documentation that is used throughout an s Principles for Nursing Documentationidentifies six essentialprinciples to guide nurses in this necessary and integral aspect ofthe work of registered nurses in all roles and settings. American Nurses Association8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-34921-800-274-4 ANA 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the : 978-1-55810-284-2 eBook publication, November 2010 Published by Publishing Program of s Principles for Nursing Documentation 1 Copyright American Nurses AssociationContents2 Overview of Nursing Documentation4 The Uses of Nursing DocumentationCommunication within the Health Care TeamCommunication with Other Professionals 8 Background Publications and Policy Statements11 Nursing Document
Emergencies(ANA, 2008) provides guidance regarding the ethics and standards that apply to decisions about care made during unusual or extreme circumstances such as those resulting from emergencies, disasters, or pandemics. Part of this guidance is the understanding that documentation may need to delayed or abbreviated to meet the
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