I tell my nurses that their notes should tell the story of what went on with that particular resident on their shift. If nothing happened, there is no need to write a note. But, if something happened, they need to make sure their note is clear enough that someone without any knowledge of the resident could read it and know what went on that shift. I tell them not to waste their time writing 'pleasant, ate well.' Unless they are on a calorie count or were admitted for failure to thrive, eating well is not something to mention every shift. My nurses like to comment on bowel sounds in every note they write. Again...if the person was admitted for pneumonia and is moving their bowels, don't waste your time charting. Certainly they would document an O2 sat of 46%. They would also have called the doc long before that, would have started supplemental O2 and any thing else that needed to be done. And, of course, if the doc ordered a daily O2 sat, that would be documented abnormal or normal.