Complete record of nursing care provided, including assessments, identification of health issues, a plan of care, implementation and evaluation Complete record of nursing care provided, including assessments, identification of health issues, a plan of care, implementation and evaluation Legible and non-erasable Legible and non-erasable Permanent Permanent Retrievable Retrievable Confidential; Confidential; Client-focused; Client-focused; Using forms, methods, systems provided Using forms, methods, systems provided 10
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