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Revista Saúde.Com 2011
Analysis of nursing records in accordance with resolution 191/96 of the Federal Council of NursingKeywords: Records of nursing , Qualities of the notes , Nursing team Abstract: This study was developed aiming to analyze the quality of nursing notes according to resolution 191/96 of the Federal Council of Nursing, and the variables of the study team notes, as the letter of professionals, misspellings, wrong technical term used use of inappropriate abbreviations, deletions and detect improper application of corrective, errors corrected properly and if the professionals leave blank spaces along the form. A retrospective study was conducted with descriptive approach, and analyzed 59 record held by the nursing staff, randomly selected, the period of 03 to 07 November 2008 in a hospital which meets the Unified Health System (SUS), and conventions of particular average port city of The results show that the annotations of the nursing team are not only vulnerable to legal issues, and may compromise the care provided to the client. From these results, does suggest more intensive continuing education on nursing records, emphasizing the resolutions governing the profession, whether in academic life, in schools at the technical level, as well as in institutions also recycling professionals seeking greater surveillance of the professional audit in nursing.
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