Nurses who work in care homes or nursing homes write nursing progress notes to record each patient’s recovery and care. These notes include important information about the patient, such as the patient’s medical history, current symptoms and response to treatment. Nursing progress notes also serve as a record of the patient’s time spent in the…
Digital medical records are becoming increasingly important in healthcare settings. They provide a complete and up-to-date record of a patient’s medical history including medications prescribed, allergies and test results at the point of care. This information is essential for making informed decisions about a patient’s care. In addition, digital medical records can be accessed from…
Accurate patient charting is an important part of a nurse’s job. Through nursing charts, nurses communicate important information to the entire healthcare team. A patient chart is also a legal document that includes details about medications administered, treatment provided and procedures performed. If you are a nurse, you should take the time to accurately fill…
In care homes, Medication Administration Record (MAR) charts are used for documenting medications prescribed to residents. MAR charts include important information such as: Name of the resident Time and dates the medication is to be taken Names of the medications prescribed Dosage of the medication Initials of the person administering the medication As a new…