Nursing RecordsContemporaneous, factual, attributable, complete — a defensible entry.NursingThe record is a clinical tool first and a legal document second.AlwaysWrite as soon as practicable after the eventDate, time and sign every entryRecord facts and direct observationsQuote the patient where the words matterNote what you escalated, to whom, and whenNeverLeave blank lines or gaps between entriesErase, obliterate or overwrite an entryRecord an opinion as though it were a findingUse unapproved abbreviationsDocument care before you have given itEducational reference. Correct an error with a single line through it,initialled and dated. Local record-keeping policy governs.Nursing Recordslearnposters.com
Nursing Records — printable life science wall chart from LearnPosters. Free vector PDF, US Letter and A4.

What’s on the Nursing Records poster

10 entries in 2 groups.

The record is a clinical tool first and a legal document second.

Educational reference. Correct an error with a single line through it, initialled and dated. Local record-keeping policy governs.

Questions about the Nursing Records poster

What’s on the Nursing Records poster?
10 entries in 2 groups. The record is a clinical tool first and a legal document second. Always: Write as soon as practicable after the event, Date, time and sign every entry…; Never: Leave blank lines or gaps between entries, Erase, obliterate or overwrite an e…. Educational reference. Correct an error with a single line through it, initialled and dated. Local record-keeping policy governs.
Who is the Nursing Records poster for?
Nursing Records belongs to the Nursing section rather than to a school year, because life science is not something one grade owns. Anyone learning fundamentals can pin it up — a beginner, a student mid-course, or someone revising years later.
When should you use the Nursing Records poster?
Write it as if it will be read aloud in a coroner's court, because it might be. A wall chart earns its place by being glanceable from where the work is happening, so Nursing Records belongs on the wall where that life science work actually happens, within glancing distance, rather than filed away.
What other posters go with Nursing Records?
The Chain of Infection, Writing a Care Plan and Preventing Falls sit alongside Nursing Records in the Nursing section. Printed together they make a wall rather than a single sheet, which is how a reference set actually gets used.The Chain of InfectionWriting a Care PlanPreventing Falls
Is the Nursing Records poster free to download and print?
Yes. Nursing Records downloads as a free PDF with no account, no email and no watermark, like everything else in the Nursing section. Print as many copies as you like for a home, a classroom, a library or a tutoring group; reselling the file is the only thing the licence rules out.Read the licence
What size does the Nursing Records poster print at?
Nursing Records is a vector PDF laid out for US Letter, and prints on A4 with Fit to page — the same file, no separate download. Because every mark on it is drawn rather than photographed, it stays sharp enlarged to A3, A2 or A1 at a copy shop. Colour carries emphasis only, so a greyscale print of Nursing Records loses nothing.Printing guide

Related posters

Charts that sit alongside Nursing Records on the same wall.

Browse every Nursing poster, or start from the full catalogue.