The #1 charting mistake nurse practitioners make……
OVER CHARTING!
Charting can be a daunting task for many nurse practitioners. Between managing patient care, dealing with administrative responsibilities, and maintaining a work-life balance, charting often becomes a cumbersome and time-consuming activity.
As The Nurse Practitioner Charting Coach, I have witnessed firsthand the struggles nurse practitioners face when it comes to completing their charting on time. From social distractions and unclear boundaries with patients to inefficient EHR systems, the challenges are numerous.
However, the number one charting mistake nurse practitioners make is over charting!
#1 charting mistake nurse practitioners make
Over charting occurs when unnecessary details are included in patient notes, leading to overly lengthy and redundant documentation. This habit not only eats away at valuable time but also contributes to increased stress and burnout among nurse practitioners.
When I first started practicing, I faced similar struggles. Without proper guidance on effective charting, I often found myself over charting, which resulted in staying late at the office and negatively impacted my work-life balance.
So many nurse practitioners think they NEED comprehensive chart notes:
- For billing & coding purposes,
- To show their employer they are capable as a nurse practitioner,
- And to cover their butt in a malpractice case.
But the real answer is, you are wasting your precious time by writing detailed chart notes! This top charting mistake nurse practitioners make can negatively impact their personal and professional life!
Problem focused chart notes
The turning point in my career came when I began to understand the importance of problem-focused charting. This approach centers around documenting only the essential and relevant information related to a patient’s current problem or visit. By focusing on the key elements that are necessary for patient care, nurse practitioners can streamline their charting process and save significant time.
As The Nurse Practitioner Charting Coach, my mission is to help fellow nurse practitioners master the art of problem-focused charting. To facilitate this, I have developed a couple charting resources!
5 Minute Chart Notes
I put together a training that will help you avoid the number one charting mistake nurse practitioners make. 5 Minute Chart Notes teaches you to avoid the note bloat and create problem focused chart notes in less than 5 minutes! This allows nurse practitioners to spend MORE time with their families and LESS time charting!
This instant access, online training covers:
- Problem focused chart notes for less liability. Learn why it is important to create problem-focused chart notes, eliminate errors, and avoid inconsistencies to better protect yourself legally as a nurse practitioner!
- Problem focused chart notes for billing & coding. Learn about the Evaluation and Management code changes in 2021 and 2023 and why creating problem-focused chart notes can still help you choose the correct level of care code (while taking less time to chart!).
- Problem focused chart notes for less time. Learn the actual charting and time management tips to avoid the note bloat and create problem-focused chart notes (so you can spend your time doing more important things!).
This training is for the nurse practitioner who is:
- Over charting, creating “note bloat,” and spends wayyyyy too much time charting.
- Ready to get their charts signed in less than 5 minutes so they can stay caught up during the work day.
- Dreaming of NOT bringing charts home and having open evenings and weekends with their family!
Avoiding the #1 charting mistake nurse practitioners make will help to save time charting! Check out 5 Minute Chart Notes today!
Problem-Focused Charting Templates
If you’re looking for the EXACT information that needs to go in a chart note, check out these Problem Focused Charting Templates.
These Problem Focused Charting Templates are available via PDF so you can simply copy & paste into any EHR system. By copying and pasting these templates, you can immediately start saving time on your charting. The templates include detailed sections for both Acute Visits and Chronic Visits, along with real-world examples to guide you.
This downloadable PDF shares:
- Charting template for acute visit (plus examples of real life chart notes)
- Charting template for chronic visit (plus examples of real life chart notes)
- Bonus: Top tips for creating problem focused chart notes!
By utilizing these templates, nurse practitioners can:
- Save Time: Streamlined templates reduce the time spent on documentation, allowing more time for patient care and personal activities.
- Reduce Burnout: Efficient charting practices alleviate the stress associated with lengthy documentation, contributing to better work-life balance.
- Improve Accuracy: Focused templates ensure that essential information is documented clearly and concisely, reducing the risk of errors.
- Enhance Patient Care: With more time and less stress, nurse practitioners can focus on delivering high-quality patient care.
Don’t wait to get your time back as a nurse practitioner – start using these templates today and experience the benefits of efficient, focused charting.
Check out these Problem Focused Charting Templates, available for only $27!
Save time charting as a nurse practitioner!
In conclusion, efficient charting is crucial for nurse practitioners to manage their workload effectively and maintain a healthy work-life balance. Over charting is the #1 charting mistake nurse practitioners make! Not only wastes time but also contributes to nurse practitioner burnout.
By creating problem-focused chart notes, nurse practitioners can streamline their documentation process, improve accuracy, and enhance patient care. Invest in your professional efficiency and personal well-being by embracing problem-focused chart notes – your future self will thank you.
Check out: 5 Minute Chart Notes online course– Get rid of the note bloat and create problem-focused chart notes that take less than 5 minutes to sign.
And: Problem Focused Charting Templates– Exact framework for creating problem focused chart notes so you can spend LESS time charting and MORE time doing the activities you would rather be doing!