Nurse Notes not required

Nurses Professionalism


Hey everyone- I just wanted some feedback on this topic because it's not sitting right with me. I started working with a new company and they said for my particular case nurse notes aren't required. Is this even legal is this a thing- and company/ agency I've ever worked with required progressive notes every shift. Any feedback/ advice is appreciated! Thank you 

The new company is saying that nurse notes aren't required or aren't necessary? As in you could write a note but you don't have to or you shouldn't write a note?

Nursing notes aren't important until something goes wrong and you get sued two years later and can't remember any circumstances.

Specializes in Primary Care and Remote.

I think we need a lot more information here (where do you work? what duties are you performing?)… but I have never had a position in which documentation wasn't necessary. When in doubt, check with your licensing office/college of nursing. You need to meet your college's professional standards; otherwise, you put your license at risk. It's the nursing college, not the employer, who determines these professional standards (which may well include documentation requirements). 

Specializes in Mental Health, Gerontology, Palliative.

Sounds as dodgy as all hell 

If you arent able to find new employment I would seriously keeping an encrypted password protected file of your patient encounters

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