WebHigh quality documentation can protect nurses from accusations of malpractice and ensures the best care for patients. Before entering anything, ensure the correct chart is being used Don’t chart a symptom such as “c/o pain,” without also charting how it was treated 1 1 Ensure all documentation reflects the nursing process and the WebDon'ts. Don’t chart a symptom such as “c/o pain,” without also charting how it was treated. Never alter a patient’s record - that is a criminal offense. Don't use shorthand or abbreviations that aren't widely accepted. Don't write imprecise descriptions, such as "bed soaked" or "a large amount". Don't chart excuses, such as "Medication ...
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WebAug 3, 2024 · The best way to begin setting SMART nursing goals is to look at the bigger career picture. Think of where you want to be in 10 years and determine what you need to accomplish to get there. Break those goals down into smaller, five-year goals and then again into one-year goals. You should consider the nursing SMART goals guidelines for each of ... WebJun 16, 2024 · For CNAs in many facilities, this means they have to lug a heavy powered medical cart from patient to patient to do their charting. Since most consumer-grade computers do not have their own power source, power must be supplied by batteries mounted into the cart. Unfortunately, these batteries can make the carts extremely heavy … how to shape glass
10 Secrets to Successful Charting - NurseBuff
WebImprove the quality of care, ensure care staff have access to complete information, and decrease the risks associated with incomplete documentation and copycat charting. … WebNov 30, 2005 · The purpose of this course is to present key topics related to CNA’s documentation for medical records. After successful completion of this course, you will be able to: 1. Explain why documentation is necessary. 2. List the kinds of documentation CNAs complete. 3. Describe how CNAs can document correctly. 4. WebJul 7, 2016 · Jul 8, 2016. As a cna I started with paper charts, filling in vitals, Is and Os, if someone was changed or turned in bed. I received very good advice from the nurses: "Give yourself credit for what you did. If you didn't chart it, it didn't happen, and do NOT chart before you do something." Excellent advice. notifier syracuse ny