CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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When orienting a new nurse to the neonatal intensive care unit, the charge nurse stresses the importance of accurate documentation. The primary reason for a nurse to document care accurately is to:

Prevent any legal action against the healthcare facility and its staff
Be in compliance with individual regulatory agencies
Demonstrate responsibility and accountability
Facilitate insurance reimbursement

Explanation

Answer - C - The primary reason for a nurse to document care accurately is to demonstrate responsibility and accountability. Effective documentation reflects quality of care and provides evidence of each healthcare team member’s accountability in giving care.

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