Good Documentation Practices, commonly referred to as GDPs, are the guidelines that one follows in recording information in a legible, traceable and reproducible manner.
The American Nurses Association (ANA) has identified six principles of nursing documentation to provide guidance for producing high quality documentation (ANA, 2021).
The American Nursing Association (2010) states, “Clear, accurate, and accessible documentation is an essential element of safe, quality, evidence-based nursing practice.”
Aug 14, 2024 · Enhance documentation practices through provider education related to documentation best practices, clinical indicators, evidence-based criteria, and coding rules.
Documentation is how we give credit to others for their contributions to our work. We must document the ideas, theories, definitions, data, images, and other information in our writing …
ANA’s Principles for Nursing Documentation identifies six essential principles to guide nurses in this necessary and integral aspect of the work of registered nurses in all roles and settings.
Documentation requirements apply to certain DME items (like hospital beds, glucose monitors, and manual wheelchairs). All claims billed to Medicare require a written order or prescription …