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.”