Sentence examples for nurse documentation from inspiring English sources

Conclusion: The results of the study suggest that the current version of the NIC was a useful but not a sufficient classification system for flight nurse documentation.

The ED adopted a comprehensive EDIS in 2004 (Picis, ED Pulsecheck, Wakefield, MA, formerly IBEX) that provides triage, patient tracking, physician and nurse documentation, retrieval of charts from prior ED encounters and inpatient data, computerized provider order entry, results review, discharge instructions and prescription writing.

Nurse documentation and discussions around the observed PNs were also recorded, including shift handovers and multidisciplinary meetings.

There were many cases where patients purchased the drug with no nurse documentation, i.e. there is a more drug purchase than nurse intake documentation.

Second, months preceded by no nurse documentation, were omitted from calculation in order to avoid non-adherence designation due to ignorance of doctors' orders.

In Figure  1D, patient # 74 purchased a higher dose of the drug compared to the nurse documentation (colored tan) for a long consecutive period of time.

For example, 'Elimination' was documented either in the nursing documentation or on the fever chart.

We did not restrict this question to nursing documentation systems but included all other types of nursing-related software which we then called nursing information system.

Shortcomings are identified in nursing documentation in several clinical specialties, but very little is known about the quality of how nurses document in the field of psychiatry.

The change from paper-based nursing documentation to EHRs has increased the demand for a more standardised language when documenting nursing care [ 1].

High-quality nursing documentation is frequently lacking; the implementation of computerized decision support systems is expected to improve clinical practice and nursing documentation.