Posted by : Rey-Ryan P. Mapiles RNTypes of chartingRegardless of the system of charting you use, it must include the nursing process as a guideline.1. Assessment2. Planning3. Implementation4. EvaluationAssessment includes observing the patient for signs and symptoms that may indicate actual or...

Posted by: Rey-Ryan P. Mapiles RN The do not’s of charting are very important also: 1. Don’t chart a symptom such as “c/o Pain” without also writing what you did about it. 2. Don’t alter a chart….this is a criminal offense. 3. Don’t add information at a later date without...