Chart Like a Lawyer: Nurses Documentation
Who it's for
- See your documentation through an attorney's eyes
- Write notes that clearly reflect the care you provided
- Spot the habits and gaps that can be used against you
- Chart with confidence, even on your busiest shifts
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Don’t Let One Bad Note Cost You Your License
- See your notes the way plaintiff attorneys do: Learn what they actually look for, so you can spot gaps.
- Document your critical thinking, not just your tasks: Replace vague phrases like “will continue to monitor” with specific, legally protective language.
- Avoid mistakes that put you at risk: Real-world examples and case breakdowns show you what puts nurses and NPs in jeopardy and how to fix it.
- Write objective, defensible notes: Gain the legal clarity and confidence to protect your career.
Customer Reviews
Great for a new nurse like me
As a new nurse, I found the tips practical, easy to understand and immediately useful in my charting. Jaime does a great job explaining how to document thoroughly and professionally while protecting yourself legally. I highly recommend for any nurse who wants to improve their charting skills and
confidence!
Great Resource!
I think every nurse should read this book! Especially as a new grad nurse trying
to figure out my style of charting and what to chart/what not to chart, this
book is so helpful and helps explains charting from a legal perspective. Will
def be keeping this in my work bag to refer back to!! Highly recommend.
Helped me as a relatively new nurse.
I really enjoyed this book! I will most definitely be adapting my charting and language used for notes. One thing I had a question about is the late entry/note. How late is considered ‘late’? One hour? Two hours? I graduated during Covid so perhaps I wasn’t taught the best verbiage by my preceptor😉
Informative and useful
Very informative and eye opening. I also loved how it provided examples of what TO chart instead of saying what NOT to chart. Some parts were repetitive, but overall I feel like it leveled me up when it comes to charting