Cover Your A$$~How to Chart Like a Boss 

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My second day on the floor alone (after only 4 days of training in nursing home) one trach patient became decompensated. Transferred to the hospital and later died. Family tried to make an issue with me and the facility . The only thing that saved me from that situation to escalate was that I documented EVERYTHING that was going on after she was admitted on my shift. So the family just left the situation alone. Chart people! Even if it takes you 2 hours after your shift is over!!

And one more tip: look over other nurses notes! You can learn a lot! Great tips

I am returning to LTC/NURSING after a 5 year break of nursing to be with my babies while they were little. My goal is to be a DON now (at the facility I just started at. It's right by my house and paying me well. I'd like to run the place some day 😆) I am using your videos to get back to my career and freshen my skills Thank you pretty lady ❤

Take ur time, keep blessing us with knowledge!

Yes the repetitive part is what kills me !!! I get so mad but I appreciate the part when you said charting is patient care. I never really looked at it that way before always more of a nuisance

"Charting is patient care, honey" YES

Thank you love. I am 53 yrs old and I have been working since 2018. Before that I hadnt worked in 11yrs!!!! I graduated in 1992 . Thank you for your videos. I need them.

I love this video. I am a nursing instructor and I am showing this in class tomorrow.

I like to chart with a difference from other nurses. I love to stand out. I use words that even a non medical person can understand I also use medical terminologies as needed. I have learnt a lot from you. Btw I am a new grad.

I like that you take your time and give us accurate information! Keep up the good work.

Greatt message Honest and very informative. Yes I learnred the hard way When i first started as aCNA I forgiot to document. The nurse suoervisor Yelled at me.I was very embrassed Another issue was there was only two wall pcs. Which was always being Used by other CNAs Quite difficult to gain Access.To do.any doumentation I used paper n pen alot. As a new CNA the older workers would hold the pc wall system for fellow co- workers,; their frends. Great message. Ga

Gurl you look like a boss!! 💕

Thank you. I've been in my first year of clinicals. During my first charting and I am being ripped apart without instruction. This is how this school rolls. This is the reverse. I'm receiving points off from not knowing until I get my grade. So thank you. The vidio provided a lot of great information. Keep you informed. Thanks again!

My fav nurseb! You can also teach very well, you give good tips and I learn alot from you☺

6 years later in this video is much needed today 8/4/2024 brand new PCT and this truly has helped me to understand patient care is part of documentation. Now if I can just get how to document every 2 hours and vital signs every 4 hours working in a hospital setting. Most patients I have had since been in training is 7 patients. On a acute care unit and it ranges from ACHS, stand by assist × 1, 2, or 3, total, fall risk, 1013, 2013, PUREWICK FOLEY'S CATHETER.... The list can go on and on. And what is so amazing the older patience 75 to 90 Plus want to get up and go use the bedside commode or either go to the toilet. Some younger 65 and under they want somebody to clean their behinds.🤯 they don't want to get up and take showers. 🤨 Thanks my favorite nurse 💛🧡🏵️

Nurse B. Of all your videos, I will say this is one of my faves. I learn a lot listening to your videos. Especially, " In all you do, CYA". Real Talk.

Girl, yes! Double and tripping charting is the pits! Very helpful. Thanks, Sis.

Excellent video! You’re very thorough and practical thanks for sharing!

This is why im teased as the clean up nurse you have some lazy nurses that pretend issues just happend when you get there and now you gotta try and fix it and start a paper trail 😑

This is the best video! You are such a great teacher. Thank you for the good information.

I enjoyed this video very much! could you do a video of charting example especially when it comes to showing times. like do you charted down as a timeline for you can continue with your notes?

Whooo-those first few words! I used to work in a psych ward and a juvi jail- I said that all the time *If you didn't document it, it didn't happen!*

thank you for doing research. I clicked on another nurse video and that nurse started off by saying she just whipped this video together in 5 minutes so it might be all over the place so bare with her... I clicked off. I appreciate you taking the take to share some solid nursing tips. you r amazing! I've subscribed. I'm also a mum so cant wait to subscribe to ser your mummu videos too. x Michelle

You are amazing! Good information Keep it up!

I never thought about it that way, but charting is a vital part of patient care. Thank you.. #NewNurse

Thankyou, can you make a video on what vocabulary( words) are more better to charge in progress notes. I’m a MED TECH and I hold b/p meds and give prns and I do let the nurse know but I know they also get busy.

Girl your information is solid and on point… however if you are doing videos in the car, please please keep your hands on the steering wheel! Your a good teacher but safety first 😊 keep up the good work!

Thanks for your honesty! Loved it!

When you said that Doctor will say DO not call me back this issue anymore I was laughing because this happens like everywhere even in hospital lol🤣

You really hit some really great points in this video. I recently graduated have not taken boards yet but I work as Nurse Tech II/ GPN and they facility I work for has me working under someone else's login and when I said I did not feel comfortable doing they looked at me very crazy but I feel like if I make a mistake im getting this person in trouble or doing things under their license

if your chart is subpoena in a court of law your charting needs to be accurate

Hey! This video is so helpful thank you! Do you know of a book that would help new nurse with charting?

"hopefully you not tasting nothing" I died laughing xDDD

I’ve been subscribed for a long tome but just now got to watching your videos soo much information.

Phenomenal advice!

yourfavnurseb, I finish phlebotomy, I had 88 hours in clinical when I should have had 108. I got all my sticks. The leader that's over

Hi Nurse B, do you have more videos in detail for tips & advice on how to chart & document efficiently & properly? Also, do you have skill videos on how to assess properly too? (n_n)

favornurseb Sorry i did finish my comment my computer went out. I didnt realize i should have done a 108 clinical hours. I done one 88 hours. My Instructor said that people at facility said i could not come back to do other 20 hours. I left on good turns with the facility. She said that she will get back in touch with me. I am going to keep On pursing this until i get my paper in mail. Ive been a cna before i know about caring for people. I know I'm not on charting right now just need a friend to talk it out. Like charting advise. Response, Pam

Thank you for this advice... Love your videos/content... Keep'em coming... 🙌🙌💯

Appreciate this video👏 I love how real you are

This has been very informative for me

So much good information! And I love your jacket 💜

I appreciate your help! 🙏

I love your channel you drop so much knowledge

This was very helpful!

Always enjoy your vidz...Keep up the great work.

Hello this is a very nice video! I have a question, what would you do if during the endorsement of patients, the outgoing nurse tells you that, " Doctor said that if the Troponin I is less than .1 do not bother calling him/her about it". Would you call and verify this to the doctor or would you take it from the outgoing nurse? Plus, you are working night shift. Thank you very much.

U have been such a big help

Hey girl! What are your thoughts on LPN-RN excelsior route Ive heard many nurses get RN diplomas fast thru this.

Thanks for this video..."very informative". Do you have a good recommendation for a certain book on documentation for nurses?

Straightforward Gurl!

Very helpful video 👏 thanks!

Any mentors out here? I'm still a cna since 2002. I am ready to get out of my own way! I need help, I need a push. I'm in Jersey.

Great video! Thanks for the info.

I love your video vary informative ,I am a Lpn ,😍😍😍😍😍😍

loved your videos!!

Thank u you are Amazing.

Great video

i'm in a CNA class currently and i'm wondering in your opinion do you think i should also do the med tech class its 60 dollars and 1 day . i want to but i'm nervous

hey. how can i join your nursing group. You are so interesting

Thank you so much!!

Great video!

great video! thank you!!

Thank you

Thanks for sharing

🤗 thank u

Can you make a video of how u passed your Nclex and some study tips......i totally applaud you like Iam trying to get into a LPN program at my tech school in New Orleans. And my reasons for going for LPN are the same reasons as to why you decided to go to school for LPN. Thank you so much sis

please, fellow nurses, watch the movie VAXXED.

Yes, CYA

Yess!!

Thank you for making this video, so informative!

I'm here for these earrings

My instructor would always say Cya, cover ya ass.😯

hahahah i love the title!

Oh my gosh, her driving while recording this video is making me so nervous I can’t focus on anything she’s saying! 😬

Lord the smacking 🤦🏾‍♀️

Don't drive and make youtube videos at the same time, 😳

You are a nurse and should be promoting safety.... You should not be recording a video while driving on a busy highway

Your information be on point. But I don't understand why you talk with your hands😊🙈 which is a distraction for me. I know you probably heard it before. Anyways Thanks!

I don’t chart the patient curse words lol .. I always chart patient verbally aggressive utilizing expletives ...