This course has been approved for 4 clock hours by the Commission on Case Manager Certification from January 1, 2008 through December 31, 2009 and January 15, 2010 through December 31, 2012.
The purpose of this program is to provide nurses with information needed to document patient care effectively and appropriately. After studying the information presented here, you will be able to —
- Explain the multiple purposes of documentation and documentation fundamentals.
- Compare and contrast documentation formats.
- Compare and contrast the focus of documentation in acute, long-term and home healthcare settings.
- Describe documentation strategies for challenging situations.
- Explain how to meet legal and professional nursing standards when documenting.
- Discuss the effect of technology on nursing documentation.
- Describe ways to save time when documenting.
