You must understand why is documentation important in nursing to provide complete care for patients. Because of this, we are sharing this complete guide.
Why Is Documentation Important in Nursing? Read More »
For centuries nurses have been documenting the day to day activities and interventions of their patients. A well-crafted nurses note is a work of art, not only conveying the important information regarding their patient’s health status and response to treatment but also setting a tone and telling “the patient story.”
Are Nurse’s Notes Becoming a Lost Art? Read More »
What does it take to be a fantastic nurse? Many wonder if they have what it takes to excel in the nursing profession. There are some key differences between an average nurse and a fantastic nurse. If you’re smart enough and dedicated enough, nearly anyone can become an average nurse. But it takes a certain something to elevate yourself to the fantastic level.
6 Characteristics of Fantastic Nurses Read More »
Many people do not realize there are differences between an electronic medical record (EMR), electronic health record (EHR), and a personal health record (PHR). I myself am guilty of often using the terms EHR and EMR interchangeably. There are, however, some defining differences that set these health and medical records apart.
Differences Between EMR, EHR, and PHR Read More »
Continuity of care documents (CCD) are a standard in electronic charting which ensures that relevant protected health information (PHI) can be shared with providers electronically and be received and used in a meaningful way.
Meaningful Use and the Continuity of Care Document Read More »
You expect a nurse to have integrity and use good clinical judgement, but not every one does. It’s even possible that not everyone can. Judgement is subjective, and even though the it is the goal for any prudent nurse to give the same level of care as another, it just doesn’t always happen that way.
Integrity & Clinical Judgement: You Can’t Buy it at Walmart Read More »
I am a registered nurse who worked in the clinical setting for about 10 years. I decided to quit bedside nursing, and now work as clinical analyst consultant. I maintain a blog for entry level candidates seeking to enter the nursing informatics field.
Life of a Consultant Clinical Analyst In the Nursing Informatics Department Read More »
A very real conversation – when nurses chart their medical care, are they depending too much on charting and not enough on connecting with the people they care for? Nurses Chart Too Much & Don’t Think For Themselves Teresa Brown, R.N. wrote an article, featured in the New York Times, recently Caring for the Chart of the Patient, in which she discusses the very real challenge we face as nurses to document our care. She speaks about the mandates, and standards that we are forced to document on in order to satisfy one agency, insurance company, regulation, or another. What she mentions that
Shocking Truth – Nurses Depend Too Much On Charting Read More »
