oa Professional Nursing Today - How important are nursing records? : legal and ethical column

Volume 19, Issue 1
  • ISSN : 1607-6672



Nursing records remain one of the most important communication tools for the multi-professional healthcare team. These records must provide an accurate and comprehensive report of the care planned and decisions made, as well as the treatment and care delivered to the patient. When considering the statistics reported by the SA Nursing Council (SANC), the prevalence of poor nursing care reported is notable, with 410 cases of a total of 899 professional conduct cases involving poor nursing care being reported. This represents 46% of the cases. Total patient care constitutes both the hands-on physical care provided, as well as the recording thereof, followed by monitoring of the response and condition of the patient. Poor recordkeeping plays a role in all of these cases. Let's consider one of them.

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