Accurate nursing reports are important to avoid the legal
issues. Some of the legal requirements of nursing reports
include,
- Correct documentation of the information about medication
administration
- Appropriate representation of the patient (i.e. patient name,
identification number, etc.)
- Avoiding medical errors and false documentation
- Timely reporting
- Using the correct terminology appropriate for documentation to
avoid misrepresentation of data
- Documenting the late entries with necessary details such as
“late entry”
- Entering the details about patent education