Published
Thank you, MPKH. I looked in the Thesauruses for another word to use other than "noted" and it came up with words that didn't go well with my assessment. The other words you mentioned, "stated, reported" would be perfect, but my patient can't talk. He's a pediatric patient, non verbal and mentally handicapped. If you come up with anymore words to use, it would be very much appreciated. Thank You.
Thank you, Muno, but the word Noted has a totally different definition from the word Note.
It actually doesn't, it's the verb form of the word "note". If you write "pt has a severe cough" in your note, you "noted" that symptom, in other words you are recording that you recognized that the patient has a severe cough.
The only time I really use "noted" is to highlight when my own observations don't mesh with the patient's report ("Patient complains of "severe red rash to entire body and constant vomiting," no vomiting or rash noted.") Observed works in this context as well.
Otherwise I agree, appending "noted" to an assessment finding isn't really necessary. The act of charting a finding *is* the same as saying you noted it. You don't have to say "noted" any more than you have to say "seen" or "found" or any other verb.
nurse4sale
61 Posts
Dear Nurses, I've been a nurse for 20 years and I still never found a professional way to write my note without using the word, "NOTED". For example: Patient "noted" to have a severe non-productive cough. I DON'T WANT TO USE THE WORD "NOTED". What other word can I use in place of "NOTED"? BTW, I picked this word up from more experienced nurses than I.