Save hours of time on documentation while also ensuring you chart defensively with less effort than ever.
Easy-to-edit Templates
Customizable for each unique client. Save directly to your computer to copy and paste into your EMR.
Expedited Data Collection
Present professional intake forms to your clients that improve communication and speed up your documentation process.
Real-world tips to document more efficiently.
Because your job isn't supposed to be administrative -- apply my tips and focus more of your time on clients who need you.
Charting your work as an RN is labor-intensive and confusing.
I know not only from firsthand experience working in a variety of roles as an RN, but also from writing a detailed thesis on the legalities of patient documentation for my MSN degree.
With nurses reporting higher levels of stress, burnout, and exhaustion than ever before, I created tools to help ease the burden of charting, to help nurses ensure they chart defensively, and to save as much time as possible during your shift.
Your documentation tasks might feel endless during any given shift, but they also tend to become repetitive. There's no need to free-text dozens of narrative notes to ensure that your charting requirements are met -- rather, using a working template can help you fulfill those requirements with less effort and time.
Check all the necessary boxes to defend your nursing actions.
Copy and paste pertinent lines and phrases into your narrative notes in just seconds.
Modify the document over time to completely customize it to your own place of employment.
Make your planned interventions clear.
Start clocking out on time rather than staying late to make sure your charting is complete.
Fast, effective, thorough, and timely charting shouldn't take time away from patients or your family.
Learn the tools and strategies that kept me sane for years of inpatient nursing care shifts!
Borrow the nurse brains and shift organizers I created to help me manage hectic 12-hour shifts.
Copy and paste directly from my working template to finish your charting in less time than ever before.
I bundled all of these resources into a single platform that you can access from any device with internet access, forever.
I formatted my downloadable templates as an e-course so you can access them anywhere.
Navigate straight to the resource that you need anywhere you have internet access.
Don't worry about forgetting a paperback manual at home, or an electronic file on the wrong computer.
Below is a sample of what's included both in this course and as an instant download so the forms you need to organize your documentation are always at your fingertips!
Are you an RN student?
My guides can help facilitate learning to write effective notes for class and set you up for success after graduation in the field.
Learn the components of effective documentation.
Build time management habits you can apply as soon as you're licensed.
Lock in lifetime access to my database of shift organization forms and documentation templates that you can start using in your clinicals.
Access on mobile.
The reviews keep coming!
RN-MSN, Entrepreneur, Writer, Documentation Expert.
It's true, I have a passion for documentation in nursing. When I worked bedside, mastering my documentation gave me a sense of control over chaotic shifts. I quickly became the go-to resource amongst my team of nurses for documentation-related questions. I completed my MSN degree in Forensic Nursing with a thesis centered around the legalities of nursing documentation with the goal of making the gray part of medical records as clear as possible for my fellow nurses.
Since that time, I've published multiple resources on nursing documentation with best-sellers in the categories of Medical Records, Medical-Surgical Nursing, and Nursing References. I have a desire to empower every PMHNP with the knowledge and resources they need to charge effectively without letting documentation take over their lives.
I am confident this resource will save you time and frustration, answer questions you didn't even know you had, and empower you to take charge of your documentation rather than allowing medical records requirements to dictate your schedule.
"What happens after I checkout?"
You will receive access to BOTH a .zip files of the documents, AND access to a course which contains additional videos, examples, and the working templates and nurse brains to download.
I am giving you access to everything via two different formats so that you never lose them!
The e-course format allows you to access this from any computer, even if you float to a new unit or work with an agency that sends you to different facilities every shift!
The button below links to more information about your steps after you checkout.
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