Every nurse must be attentive to documentation in order to prevent mistakes.
Both nurses and the administration should have a role in documenting malpractice and negligence. As defense for any claims that may be made later, the nurses must ensure that paperwork is accurately completed. Also, it is important for nurses to be aware of the relevant regulations that apply to their profession so they are able adhere.
Administrators should promote an environment where documentation is encouraged and provided with the necessary tools, such as training material or software programs. They may need to enforce policies related to documentation, as mistakes can have serious consequences.
It is important that nurses and administrators keep accurate records of all medical services provided. By doing so – healthcare providers are better able protect themselves from any unnecessary legal issues while still providing quality care those who come under their care regardless situation which might arise.