Tag: Healthcare records

According to a study on healthcare documentation, precise and timely patient records are essential for continuity of care and safety. Learning how do I document CNA notes effectively is a foundational skill that supports the entire healthcare team, ensures accurate patient information, and protects against liability issues.

According to a 2023 analysis by the Nurses Service Organization (NSO), nursing documentation errors or omissions were the second highest reason for professional liability claims against nurses, highlighting its critical importance in patient care. Understanding **what is proper documentation in nursing** is not just a clinical skill—it is a fundamental professional and legal responsibility that safeguards both patients and healthcare providers.

According to a study published by the National Institutes of Health, proper documentation is a vital defense against malpractice lawsuits and ensures continuity of care. This guide will explain exactly how you document patient care, covering essential methods, key principles, and best practices for healthcare professionals.