You chart your assessment, interventions, and response to anything abnormal or anything you intervened on. Pain, wounds, etc. I have been told also by other nurses not to chart so much, but when the Texas Board of Health came to investigate a blood reaction on a pt. they said my charting saved that hospital, and no you don't chart that a patient was sleeping because how do you know that pt. was really asleep..YOU DONT! I chart pt. resting in bed with eyes closed, respirations are even and unlabored, side rails up x2, call light in reach, bed low.