Explain Why It Is Important To Keep Clear And Accurate Record Keeping

In all health care facilities it is crucial to keep clear and accurate record keeping. This is carried out as a professional duty of care by a registered nurse as it is an integral part of nursing and midwifery practice. Accurate record keeping ensures high standards and improves stability of care. All records should be clearly written to enable any health care professional to know what is wrong with the patient, what treatment and care they may need or be receiving, their progress and their plan of care. Clear record keeping supports effective communication of information between members of the multi-disciplinary team. It is compulsory for all records to have an accurate account of medical decisions relating to the patient, this includes their