التوثيق – أولاً: التسجيل من صفحة 48
documentation
Intended learning outcomes
After the student has studied this lecture, he/ she should be able to:
 Define what is meant by documentation.
 Identify purpose of documentation.
 Discuss principles of documentation
 Discuss the different responsibilities of nurse
 State the components of documentation.
 Define what is meant by recording.
 Discuss what is meant by patient’s clinical records.
 List importance of recording.
 Enumerate the types of records.
 Differentiate among the different types of records that could be used in nursing unit.
 Distinguish among different types of record used in the nursing office.
Outlines
 Definition of documentation.
 Purpose of documentation.
 Principles of documentation
 Responsibilities of the nurse
 Components of documentation.
 Definition of recording.
 Definition of patient’s clinical records.
 Importance of recording.
 Types of records.
 Types of records used in nursing unit.
 Types of records used in nursing office.
What is documentation and record keeping?
How do you complete accurate records?
Why is reporting and documentation so important?
What does documentation mean?
What is the importance of documentation in nursing?
What are two types of documentation?
What should be included in documentation?

مقرر الإدارة في التمريض
Nursing Administration handbook
https://drive.google.com/file/d/19kY5gJ8-j3U4X8LdLwKVxm1cqd3xb0_m/view?usp=sharing
شعبة التمريض الفرقة الثانية الترم الثاني
Nursing Division, the second year, the second term