record management

What are the Legal Aspects of Record Management?

Nurses must be aware of the legal aspects of record management:
1. Confidentiality: Adhere to laws and regulations like HIPAA to protect patient privacy.
2. Retention Periods: Understand the required duration for retaining medical records, which can vary by jurisdiction.
3. Documentation Standards: Follow established standards and guidelines for documentation to avoid legal issues.
4. Access Controls: Implement proper controls to ensure that only authorized personnel can access patient records.

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