Following Extract From Explained for Students (Easy Guide)

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Original Question

The following is an extract from documentation recorded by a nurse. Date/Time Notes 2 July I checked on the client at about 5 o’clock and he appeared to be asleep. A bit later, one of the other nurses told me there was a problem so I went back to the client’s room. Client had fallen out of bed and hit head – cut above eye. Dr attended and sutured cut – patient stable. Part 1: What are five (5) issues with this documentation? Part 2: write this progress note, using the nursing documentation system P.I.E Part 3: List 3 reasons why it is critical for nursing documentation to be completed and accurate

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