Planning should begin soon after the initial assessment is carried out, usually by the nurse taking the assessment. All nurses who care for the patient should take part in the ongoing planning, amending if circumstances change. Although accurate documentation is an essential part of the registered nurse and health care assistants role (HCA) (RCN 2009) in many wards HCA provide much of the physical care and may not have not been taught the significance of a care plan and may not report changes, or document correctly. (
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