In view of the case study, it points out how important to have a clear, concise and accurate documentation. Because, good nursing documentation is a vital part of delivering quality and safe care to the patient (Anderson, 2012). While, poor nursing documentation can place the health care professional, patients and hospital at significant risk of physical and legal harm (Blair & Smith, 2012). As a new graduate nurse, we have learned that patient record is a legal document. Likewise, I have learned in nursing school that if it is not charted, it is not done. Which also apply in the case study, the nurse failed to document her observations and plan of care therefore she amounted to unsatisfactory professional conduct. Therefore, I will observe