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CHARTINGGG! 🤯 It can be so hard to find time to chart but it’s an essential part of your job. You have probably heard it said “if you didn’t chart it, it didn’t happen”. Some shifts, it can feel like you’re barely keeping your head above water…and then, you have to chart it all. But here are some tips to keep you moving efficiently & keep you leaving on-time! (or closer to it! 🙂) Tips for charting: –Chart as you go! – Try to chart patient care and interventions as you do them. You want to avoi
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Good charting isn’t about writing more — it’s about writing better. 🕒 Timely: Document as close to the event as possible. Delays raise questions. If it’s late, say it’s late — transparency matters. 🧠 Objective: Write what you saw, heard, measured, and did. Avoid assumptions, labels, and opinions. Facts don’t get challenged — interpretations do. 📝 Thorough: Tell the full clinical story: – Assessment – Interventions – Patient response – Education provided – Notifications made – Follow-up action
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