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Documentation: A Critical Aspect of Client Care

Online, self-paced CE course

Provide excellent care through accurate nurse charting!

Cost: US$30

CE Credit: 5.4 Contact Hours

Subscription Length: 3 weeks

Enroll Now: Go to NCSBN's Online Campus Now

Audience: This program is for every nurse in every practice setting at every level of practice.

Improve your nursing documentation skills.

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Although documentation might seem less critical than other more client-centered tasks, it plays a significant role in everything from planning the best care to preventing a malpractice case!  

Through this self-paced course, you’ll learn skills that will demonstrate clear writing, critical thinking and the objective communication of key health care facts. By learning to implement these critical nursing documentation skills, you can:

  • Help prevent mistakes throughout the health care process.
  • Support health care providers by giving them accurate information.
  • Demonstrate a high level of patient care, as well as adherence to the nursing standard of care.

For only $30, you will receive three weeks of unlimited, 24-hour access to the course and receive 5.4 contact hours.

Sign up and start learning new nursing documentation systems today!

Analyze correct and incorrect nurse charting.

Improve your charting skills and your confidence, as you master these course objectives:

  • Recognize documentation as a critical aspect of client care.
  • List the multiple purposes for medical record documentation.
  • Identify characteristics of effective documentation methods.
  • Describe the role of the nursing process in client care documentation.
  • Recognize common documentation errors related to patient injury.
  • Describe documentation errors associated with litigation.
  • Identify challenges and advantages of electronic documentation.
  • Identify documentation requirements noted in the Nurse Practice Act.

Study nursing documentation in a self-paced online classroom.

Experience the fun and interactivity of e-learning as you:

  1. Learn by doing — Explore “Links to Knowledge,” visual and graphic aids, and key terms as you navigate the course contents.

  2. Solidify your knowledge — Complete fun and interactive exercises, including drag and drop, multiple-choice, true-false and matching assessments.

  3. Reflect on what you learn — Answer short-answer and essay questions in the downloadable workbook. Note: Completion of the workbook may be necessary to meet board of nursing requirements.

  4. Complete the course at your own pace — Guide yourself through the course and complete assignments at your convenience.


At the end of the course, evaluate your understanding of key concepts by completing the posttest. A score of 75% or above is required to receive your contact hours!

Take the first step to improving your nurse charting skills! Sign up now.

Authors

This course was developed by the National Council of State Boards of Nursing (NCSBN)

Dr. Kathleen Laganá is an Assistant Professor of Nursing and the Ethics and Legal Issues Lecturer at Oregon Health Sciences University School of Nursing (Ashland). She is also a March of Dimes ethicist and author of Ethical Decision Making for Perinatal Nurses.