If you didn’t write it down, it didn’t happen
Date, time, and sign every entry
Chart care as soon as possible after you give it
Write legibly every time
Be systematic
Be accurate
You absolutely must be objective
If you notify the nurse of something important, include it in your entry
Use only abbreviations approved by your facility
Never change what you have charted
Don’t chart for someone else or let anyone else chart for you


Christine Taxin
Links2Success
36 Abington Avenue
Ardsley, New York 10502
United States of America