Administration & Medicine Economics - Nursing Narrative Note Examples to Save Your License: Charting and Documentation Suggestions for RNs & LPNs Who Have to Describe the Indescribable in a Medical Record

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Nursing Narrative Note Examples to Save Your License: Charting and Documentation Suggestions for RNs & LPNs Who Have to Describe the Indescribable in a Medical Record

Name: Nursing Narrative Note Examples to Save Your License: Charting and Documentation Suggestions for RNs & LPNs Who Have to Describe the Indescribable in a Medical Record
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Description

Book Synopsis: Within electronic medical records, drop-down boxes and fill-in-the-blanks replace some free-texted notes. To supplement the flowsheets in EMRs, nurse narrative notes tell the rest of the story. In this book, I bring life to an otherwise mundane topic, provide clarity for nurses about what to say in narrative notes and how to say it, and empower nurses to feel confident that their charting tells the whole story in enough detail to defend their actions. I'm an RN-MSN myself, not an attorney, so I understand nurse documentation from a relatable perspective. The information in this book is the product of more than a decade working in health care and hours of research over the course of more than two years, condensed into an easy-to-read format that can be skimmed for nurses short on time, or read more in-depth for nurses who want to truly master writing narrative notes. CONTENT:

When to use a narrative note
Components of an effective narrative note
How to refer to yourself and others
How to phrase your notes
The best practice for referring to time
Common phrases to avoid
About double documentation
HIPAA specific to narrative notes
Abbreviations
Tips to streamline your narrative note writing process
The notes to write for every patient on every shift

44 specific examples for situations commonly encountered in medical/surgical or lower acuity units

44 Complete Examples Inside!

Assumption of care
Provider at bedside
End of shift handoff
New admission
Admit from emergency department
Admit from PACU
Admit from clinic
Inventory of belongings on admission
General surgery pre-op
General surgery post op

... and more examples listed

Template for ease of writing narrative notes

Details

Are you a nurse looking to enhance your charting skills and protect your license? Look no further! Our Nursing Narrative Note Examples book provides RNs & LPNs with crucial charting and documentation suggestions to ensure your narrative notes accurately tell the whole story. With over a decade of healthcare experience, this book offers practical advice and 44 specific examples to guide you through writing effective and comprehensive notes. Don't risk your license - invest in your career with our essential guide!

Empower yourself as a nurse with the knowledge and confidence to master the art of writing narrative notes. Our comprehensive book covers everything you need to know, from when to use a narrative note to common phrases to avoid. Written by an RN-MSN, this resource offers expert insights and tips to streamline your note-writing process. Take control of your charting and ensure your documentation is detailed enough to defend your actions with our invaluable guide!

Ready to elevate your charting game and excel in documenting patient care? Our Nursing Narrative Note Examples book is a must-have for all healthcare professionals. Gain access to a multitude of examples, tips, and best practices in narrative note writing to enhance your skills and efficiency. Don't miss out on this opportunity to level up your documentation game - grab your copy now!

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