Charting

Staying organized at work

A longtime nurse’s step-by-step advice for creating a good worksheet. “I like to think of it as a ‘work in progress’. Once you start a ‘template’ you always seem to find or discover other things you want to add and eliminate useless information.”

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Creating an effective nurse’s “brain”

A new nurse shares how her patient notecards are “the most important, and most personalized, material aspect of my day.” Called the “brain,” they act as a mini patient chart, a bitesize day scheduler, or even tiny to-do list.

How to get organized for clinical

A student nurse’s formula for a pretty basic sheet that has all the components she needs. “That way I’m not spending my time looking for where I need to write down what information, I can just go with the flow during report.”

Documentation – what were you thinking?!

Over the years I have seen some hilarious notes made by nurses and physicians. Some of them I can understand that it rushing though their notes or interruptions, but some just leave me a scratching my head in disbelief.

Document it

We all know how important documentation is, but I really found it out yesterday.

Oh, organization!

Her first few months as a GN on the unit she was “incredibly scattered.” Then she got some experience, and some tips from a seasoned nurse.

Charting

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