10 Commandments of Nurse Documentation

10 Commandments of Nurse Documentation

A nurse messaged me last a while back.

She said,
“I’ve been a nurse for 8 years, but I’m always second-guessing my charting.”
“I’m scared I’ll miss something and it’ll come back to bite me.”

She’s not alone.
Too many nurses feel that way.
And they’re right to worry.

Because in healthcare, bad documentation gets you burned.

❌ Failed audits
❌ Legal exposure
❌ Write-ups or worse

That’s why I made this:
The 10 Commandments of Nurse Documentation.

Straight to the point.
Just hard-earned rules every nurse should follow.

✅ Chart what you see
✅ Use approved abbreviations
✅ Never copy-paste without reviewing
✅ Late entry? Say so, avoid backdating

These aren’t just tips.
They’re how you protect your license and your peace of mind.

If you’re a nurse, save this.
If you manage nurses, share this.

Because your chart is your witness.
Make sure it’s strong enough to stand in court.