Charting by Exception
If you have been a nurse for even one shift, you know this truth: charting takes forever. You finish giving […]
Charting by Exception Read More »
If you have been a nurse for even one shift, you know this truth: charting takes forever. You finish giving […]
Charting by Exception Read More »
As an occupational therapist, you help people do the things they want and need to do every day. But after
Occupational Therapy Documentation (OT Notes): with Examples and Cheat Sheet Read More »
As a clinician with years of experience, I can tell you that the most powerful tool I own is not
Let’s be honest for a moment. When was the last time you finished a patient encounter and felt a deep
Clinical Documentation Improvement (CDI) Read More »
If you are a new nurse or a nursing student, you have probably heard the words “charting” or “documentation” more
As a nurse, your hands do a thousand things in a shift. You start IVs, you hold a patient’s hand,
If you work in mental health, you know that note-taking is part of the job. You see clients, you help them, and
Writing notes during or after a therapy session can feel like a lot of work. We spend our days connecting
GIRP Notes (with Examples) Read More »
Clinical documentation is often the most dreaded part of our work. You finish a meaningful session, and then comes the
How to Write PIRP Notes (with Examples) Read More »
If you work in healthcare, you know that paperwork is a big part of the job. One of the most