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Documentation Do's and Don'ts
Click to specify if each action of documentation below is on the "Do's" or "Don'ts" list.
- Use time and date; be specific, accurate, and complete (Do's)
- Erase, use correction fluid, or scratch out errors (Don'ts)
- Use black ink when using handwritten charts (Do's)
- Follow rules of grammar and punctuation (Do's)
- Chart once at the end of the shift (Do's)
- Use blue ink when using handwritten charts (Don'ts)
- Chart your own care, observations, and teaching (Do's)