Documentation in Nursing

Documentation is involved in all categories of Nursing, including bedside, faculty/ staff, administration. The Interdisciplinary team aligns with accurate documentation and integrates with other information from the inter-professional team resulting in favorable outcome of patient care. Reasons why Documentation is important for communicating with the Health Team Include: - Accreditation - Credentialing - Research - Regulatory - Legislative - Reimbursement - Electronic Health Care Record “If it’s not documented, it’s not done, even if it was done.”