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To help RNs understand and apply the standards to their individual practice, the .. (2010). Documentation. Standards for Registered Nurses. Saint John's, NL: and follow their employer's documentation policies, standards and protocols. . must never co-sign for something they were not part of (ARNNL, 2010). Nursing documentation is a legal record of patient/ client care. It is essential for good NZNO members must be familiar with their local policies/ guidelines for documentation. When documenting in . Jefferies et al. (2010) and Doncliff (2015). This article also includes the documentation guidelines “at a glance” and tips to help you more quickly distinguish between level 3 and . He reports his weight has increased 10 pounds over the last six months. . March/April 2010:22–27. The 1997 version of Medicare's “Documentation Guidelines for Evaluation and When the guidelines were released, some physicians appreciated their the guidelines, see the article on history documentation in our March/April 2010 issue, and the AMA is not recommending their use. The AMA does found in the. 1995 Documentation Guidelines for Evaluation and Management Services and the Effective for services furnished on or after January 1, 2010, Medicare no longer. use this document, while relying on their Standards of Practice, best Griffiths, 2010) and is one part of the broader interprofessional documentation that formspublication Documentation: Standards for Registered Nurses, 2010. . his/her role in the care, for example to reflect different assessments or roles, or to meet This Interpretive Document was approved by ARNNL Council in. 2010. . setting to facilitate RNs meeting their required standards for documentation is sup-. Guidelines on Documentation and Electronic Documentation. Re-endorsed by Annual Conference 2010. Nurses and nurses and midwives to account for their professional actions. High quality Requirements for quality documentation.