Records and record-keeping: a pocket guide for nursing and health care

Effective record-keeping is essential to health care. This book is a handy pocket-sized guide to keeping good health records that treats the process as an integral part of your everyday practice.
Every healthcare practitioner is expected to record their interactions with a patient in the patient's health record, and this pocket guide is full of practical detail about:

• what a health record is and what its purpose is
• how health records are managed
• who has access to health records
• the importance of maintaining a patient's health record
• best practice in keeping records