1, nurses need to fill in and write nursing documents, including temperature list, doctor's order list, critically ill and patient care record list and operation inventory record list.

2, nursing documents should be written in blue-black or carbon ink pen.

3, nursing documents written in Arabic numerals date and time, date in years, months, days, time in 24 hours, specific to minutes.

4, nursing records should be objective, true, accurate, timely and standardized.

5, writing should use Chinese, medical terms and commonly used foreign language abbreviations, neat handwriting, clear handwriting, accurate expression, fluent sentences and correct punctuation.

6. When typos appear in the writing process, mark them with double lines, keep the original records clear and easy to read, and indicate the time of revision, with the signature of the reviser. Scraping, gluing, smearing and other methods are not allowed to cover up or remove the original handwriting, and the superior nursing staff has the responsibility to review and modify the records written by the lower nursing staff.

7. Nurses who have not obtained the nurse qualification certificate or registered nurse's writing during the internship and probation period shall be reviewed and signed by nurses with legal practice qualifications in this medical institution, and the signature shall be revised in red ink when necessary.