title: Developing a documentation system that works.
abstract: A documentation system that facilitates accurate and complete recording is needed by every obstetric/neonatal nursing service. Developing an individualized system is a major undertaking. However, specific steps can be taken to ease the process. These steps are described, beginning with the assessment phase and concluding with evaluation.
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009732:Nursing Care; D009737:Nursing Records / Q000592:standards; D009773:Obstetric Nursing; D049590:Postpartum Period; D011247:Pregnancy; D011785:Quality Assurance, Health Care