can some one post a website address, that will explain how to write effective nurses notes? Every job that I have ever worked @ was charting by exxception. It is not like this @ my current place of employment.
Jun 23, '04
We used "SOAPIE" notes.
Sometimes the best training I got on how to do something was watching someone who knew what they were doing, and doing what they did. Read the notes of nurses you respect... ask your new nurse manager for some help. I like the idea of the education and risk management department of the hospital as a resource too.
And thanks for that URL. I'm always looking for ways to hone my skills.... It downloads using Acrobat Reader. I noticed a reference to the book Charting Made Incredibly Easy as well.
Last edit by chris_at_lucas on Jun 23, '04