Record Keeping for Nurses and Midwives: An essential guide

For too long, record-keeping has been considered an ‘add-on’ to nursing care and records are often hurriedly completed at the end of a shift, almost as an afterthought. Yet, as this helpful guide demonstrates, good record-keeping is a professional obligation and a vital part of nursing care. Records provide a channel of communication between healthcare professionals and evidence of what care was given, and when and how it was given. This evidence can help protect both nurses and patients, e...