Competency information
Details
Maintain an ongoing, accurate, relevant and legible record of information in the patient record
Considerations
- Requirements for documenting all assessment findings legibly, accurately and appropriately in the patient record, with date and signature
- Requirements for data in a suitable form for clinical reporting and provision of factual assessment of results
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 5 | Outcome Maintain an ongoing accurate, relevant and legible recording of information in the patient record |