Nursing documentation should fulfill which of the following criteria?

Nursing documentation should fulfill which of the following criteria? (Select all that apply.)

1. Accurate
2. Inclusive
3. Well organized
4. Show continuity of care
5. Record nursing opinion
5. Record nursing opinion
6. Identify client outcomes

ANSWER

ANS: 1, 2, 3, 4, 6
Nursing documentation must be accurate, comprehensive, and flexible enough to retrieve critical data, maintain continuity of care, track client outcomes, and reflect current standards of nursing practice. Nursing documentation should include nursing observations, not nursing opinions.