The importance of documentation cannot be overemphasized. In this post, I wanted to share some questions and tips to improve your documentation. As nurse case managers, we learned about documentation during our training, but with technology taking over healthcare, our documentation is more important than ever.
Take some time to think about how you document. Is it clear? Does it help the healthcare team coordinate care and ensure streamlined communication? Could a colleague pick up your cases if you had to take time off? Here are some points to review and see how you can improve your documentation.