The wrong description about the writing of nursing documents is that it should be signed by the attending physician.

The basic requirements for writing nursing documents are as follows:

1. Nursing documents should be objective, true, accurate, timely, complete and signed in full name. Write in blue ink for the day shift and red ink for the night shift (see the requirements of each sheet for details).

2. Medical terms should be used when writing nursing documents, and common abbreviations in foreign languages and names of symptoms, signs and diseases without official Chinese translation can be used in foreign languages.

3. The writing of nursing documents should be neat, clear, accurate, fluent and punctuated correctly. When there is a typo in the writing process of nurses on duty, they should use double lines with the same color on the typo and correct it with the same color pen above the underlined typo. Scraping, gluing, smearing and other methods shall not be used to cover up or remove the original handwriting, and no more than two changes shall be made on each page. Any numerical error shall not be corrected by the above methods.

Writing contents:

1. Temperature list.

2. Medical orders (long-term, temporary).

3. Nursing record sheet (critical care record sheet, general care record sheet), surgical care record sheet and surgical patient handover record sheet.

4. Handover record book for patients changing major.

5. nursing evaluation form, patient admission notice and risk evaluation form.

6. Nurse's shift book.

7. Health education implementation list.

8. infusion card, turn-over card and oxygen inhalation card.

9. labor observation record sheet, labor chart, newborn record (1), (2) and delivery record sheet.