Documentation is involved in all categories of Nursing, including bedside, faculty/ staff, administration.

The Interdisciplinary team aligns with accurate documentation and integrates with other information from the inter-professional team resulting in favorable outcome of patient care.

Reasons why Documentation is important for communicating with the Health Team Include:

• Accreditation

• Credentialing

• Research

• Regulatory

• Legislative

• Reimbursement

• Electronic Health Care Record

“If it’s not documented, it’s not done, even if it was done.”