Charting & Documentation Review – 4-Hour Package
This 4-hour consultation focuses on reviewing and strengthening your documentation systems to protect your residents, your staff, and your license.
Includes:
Full audit of current documentation: progress notes, incident reports, logs, and communication records
Hands-on training in charting behaviors, ADL assistance, and care interactions
Clear guidance on how to meet Oregon Administrative Rules (OAR) and HIPAA standards
Education on building a legally sound paper trail that supports coordination of care
Strategies for proper documentation of communication with physicians, RNs, staff, specialists, and families
Tips on defensible writing practices to reduce liability and improve continuity of care
This 4-hour consultation focuses on reviewing and strengthening your documentation systems to protect your residents, your staff, and your license.
Includes:
Full audit of current documentation: progress notes, incident reports, logs, and communication records
Hands-on training in charting behaviors, ADL assistance, and care interactions
Clear guidance on how to meet Oregon Administrative Rules (OAR) and HIPAA standards
Education on building a legally sound paper trail that supports coordination of care
Strategies for proper documentation of communication with physicians, RNs, staff, specialists, and families
Tips on defensible writing practices to reduce liability and improve continuity of care