Topic > Importance of Nursing Documentation - 1544

The article Computerized versus handwritten documents addressed a case study on the tragic death of Victoria Climbie and how illegible handwritten documents in the Pediatric Intensive Care Unit (PICU ) led to his death ( Whyte, 2005 ). It seems crucial for nurses to have legible handwriting, yet in the fast-paced culture of healthcare this is often overlooked. When nurses cannot easily decipher a healthcare provider's order or patient's medical record, they are required to contact the person who placed the order or report for clarification (Perry, 2014). Nurses should avoid fatigue where their writing has become sloppy or spelling is impaired. The use of appropriate abbreviations relieves writing fatigue but should be used with caution to ensure that the meaning is clearly understood. Handwritten entries in the patient's medical record should always begin with the time and end with the nurse's signature and title: “This guideline ensures that the correct sequence of events is recorded; signing documents that he is responsible for the care provided. (Perry, 2014, p. 51). Additionally, many healthcare facilities are incorporating electronic record keeping which will replace some handwritten documentation and improve safety (Procter,