الفهرس 
Forms in patient chartOnly 14 pages are availabe for public view
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Abstract
Currently the nurse not only has a professional responsibility, but is also held accountable to document patient data that accurately reflects nursing assessment, plan, intervention, and evaluation of the patient condition. Auditing of patient charts for nursing documentation of care is critical to show that the set standard of care was met. So that what is written in the patient’s record as the best evidence of what really occurred. For these reasons it is extremely important that nursing documentation to be timely, is study was to Audit quality patient chart documentation and refresh nursing staff knowledge on care documentation principles at Elmahala General Hospital. The study consisted of all (80) nursing staff (40) from each of Medical and Surgical ICU.