Nursing Notes Template

There's no black-and-white approach when it comes to writing nursing progress notes or charts. However, there are some simple guidelines that you should follow to ensure that you have high-quality notes every time. It's important that whenever you make a mistake you cross it out with a simple line, and you sign with your name and date. It's also best to avoid abbreviations to minimize confusion, and to only include information that is relevant to the patient's health progress. Your notes should be succinct and objective at all times.

You can include pictures if it is absolutely vital to understanding the patient's health condition. Including unnecessary images can clog up the page, and make it difficult to identify and decipher important insights. If you would like to include pictures, feel free to attach them where you deem appropriate.

Yes, the patient can view nursing progress in charting notes if requested, therefore, it is important that you include information that is acceptable for the patient and their friends or family to read. It is fully within the patient's right to edit or move information by request.