WebFeb 3, 2024 · 10 nursing documentation tips. Here are 10 practical tips you can implement to ensure the accuracy of nursing documentation during patient care: 1. Take notes in real time. Due to the various tasks you may be responsible for and the number of patients you may provide care to, it can be challenging to remember everything that's happened in a … WebCerner Tips and Tricks - UPMC Children's Hospital of Pittsburgh
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WebNov 19, 2024 · When doing charts in the Emergency room or clinic setting, use the illness tab to pre-populate your HPI. I have found that using Epic’s custom HPI forms actually take much longer. Way too many clicks and variations. So for that abdominal pain patient, consider using the “Illness” HPI form instead of “abdominal pain”. WebOct 3, 2024 · Charting documents what happened to the patient and can be used in court to outline the individual level of care. In some cases, these medical malpractice cases are … solar light westinghouse
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WebAug 4, 2024 · Know Your EHR. Good EHRs save you time by giving shortcuts, templates, and pre-saved order sets for quick use. Here are four EHR features that can make your workflow move faster: Progress note templates: Have the most common mental status exams ready to paste or include into your notes. You can also create templates for … WebOct 16, 2024 · The temptation to rush nurse charting in such a situation may lead to poor documentation. Nurse charting tips to get the documentation done throughout the shift include charting in the patient's room when possible and using downtime between patient needs to complete charting in small chunks. 3. Chart Areas that Aren't WDL Immediately WebTime Management and Charting Tips Course: Learn the tips and tools to chart accurately and efficiently so you can run on time during your workday, eliminate the overwhelm, leave work on time, and STOP charting at home! Erica D the NP is a family nurse practitioner and nurse practitioner career coach. solar light wavelength