Need help with writing nursing notes?
I have the solution!
Using pre-written examples makes writing nursing notes easy.
When I first started nursing I found that I enjoyed working with the patients, but hated writing notes. It overwhelmed me. I constantly had to ask others "How do I chart that accurately?" and when the charts were audited I would ask how to improve on my note taking.
I found that most of the experienced nurses had phrases that they used routinely. So I started to write down suggestions that were given to me in a notebook and I realized that I wished I had that notebook before I started. It would have made work less stressful, and I could have focused more of my time on patient care and less on paperwork.
For example, the first time I discontinued an arterial catheter (art-line), I didn’t know what to write to protect myself and simply wrote
I found out later that I should have written:
Discontinue arterial catheter without incident. Catheter intact. Pressure applied.
Educated patient and family on signs and symptoms of hemorrhage.
Here is the D/C art-line example from my book:
Here is another example from my book about Notifying the doctor:
EASY TO USE NOTES FOR THE REGISTERED NURSE — is a must-have reference for EVERY nurse. In an easy-to-read format it outlines how, when and what to chart.
- Notes to use for different situations.
- What type of note taking to use, the pros and cons, and how to use them.
- When to write a note.
- Explanations of why and when to use certain phrases.
- How to avoid the most common and costly mistakes registered nurses make when dealing with note taking.
- How to protect yourself with proper note taking.
The answers to all your questions, including:
- Did I write enough?
- Did my note taking cover what I did?
- What questions to ask when writing a note?
- How in-depth do you have to make your notes?100 word for word notes.
You will get:
- Insider tips for speedy but accurate note taking.
- Tips on where to place your note and how to chart.
- Sample phrases for your note taking, including:
- How to chart MD conversations.
- When a patient returns from a procedure.
- When to use PIE, DAR, SOAP, and narrative notes.
- What does not need to be included in your notes.
- Real life examples of note taking.
Remember it can be downloaded to any device that reads PDF files!
Learn from my experiences and make your job
When you buy Easy Nursing Notes.
You will also get:
All updates for Easy Nursing Notes FREE.
Access to audio interviews FREE.
Instant access to Easy ways to deal with nursing stress.
- Duane Osterlind, LMFT, CSAT co-founder of Novus Mindful Life Institute gives great advice on how to deal with the everyday stress in the nursing job. He gives us some simple but effective tools for dealing with stress.
Don't you wish — the next time you had a question about note taking— you could just open a book and quickly get the answer you need?
ALL FOR $29.95
I am so confident that you will find my book helpful I'm offering a 100% money back guarantee!*
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