Documentation Guidelines for Nurses

We developed the Documentation Guidelines for Nurses to help LPNs, RNs, and NPs meet their standards of practice related to documentation. Nursing documentation is a vital component of safe, ethical, and effective nursing practice. This document describes nurses’ accountability and the expectations for documentation in all practice settings, regardless of the documentation method or storage.

If you have any questions about the Documentation Guidelines for Nurses, please reach out to us at

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