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I have been a witness in a medical court case in Sydney since 2008 involving a surgeon. The alleged incident occurred in 2002. From this experience, I cannot stress strongly enough the importance of accurate documentation in nursing or midwifery practice. My clinical area was the perioperative environment however documentation in any arena is important.
When giving every statement on each of the six patients to detectives who were gathering evidence, I was presented with the relevant patient's history and shown the specific pages, count sheet and perioperative patient care plan involving my documentation. I was then questioned on these notes, being asked what I had written and if it was...