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
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.
This was a great book fir me. I have bern an LVN for 30 yrs and wish I would have had this when I started nursing. I just graduated from RN school and will be using it.
Nurse of 8 years still learned something from this book! Reinforced some other personal ideas I had about charting and gave me a few extra vertebrae for my next rebuttals if management wants to disagree with how I'm charting. Definitely a must for nursing students and new nurses!