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Chart Like a Lawyer: Legal-Proof Documentation for Nurses & NPs
By Jaime Weiland, MSN, AG-ACNP-BC, CLNC — 15+ yrs bedside, certified legal nurse consultant
$46.00
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The phrases that gets nurses sued what you probably write vs what the book teaches
"will continue to monitor"
"reassess q15min; provider notified 2318 for CXR order"
"patient resting comfortably"
"asleep, RR 10, O2 92% RA, no distress"
"patient non-compliant"
"declined medication after education on risks"
The five c's — the book's core framework
Complete
Include the assessment, the action taken, and the follow-up. A note that stops after the assessment leaves a gap a plaintiff's attorney can fill with their own story.
Correct
Accurate data, correct patient, correct spelling. Wrong details anywhere in the chart undermine the credibility of everything else in it.
Chronological
Time-stamped and in order, with any gaps explained. Entries that are out of sequence — or a late entry with no explanation — read as suspicious even when nothing was hidden.
Concise
Facts only, no filler. Padding a note with vague or emotional language dilutes the objective findings that actually protect you.
Consistent
Matches what the rest of the care team documented and what was ordered. Contradictions between notes are one of the easiest things for opposing counsel to exploit.
What's inside - 20 chapters, 4 appendices
✓ when charting becomes evidence
✓ the lawsuit lifecycle
✓ late entries & corrections, done right
✓ surviving a deposition & witness stand
✓ real-world templates & smart phrases
✓ standardized assessment language appendix
What Our Customers Are saying...
Wonderfully useful!
This book is absolutely amazing. Not wordy. Speaks directly to the needs of nurse charting, and honestly EMPOWERING! Thank you for this!
This is a must have for any nurse!
I love everything, it’s so informative and educational. Definitely an easy read, meaning nothing overwhelming, nothing excessive, and extremely helpful. There’s even an appendix with terminology and info on head to toe assessments. Don’t miss out on this book. It will help you become confident with your charting and give you one less thing to worry about during your super busy 12 hour shifts!
Must Read
Excellent review of things that I’ve charted and different ways to say them. Easy read. Well done and should be read by all nurses if they have one year of experience or 20 years.
Good value for starters but could be better
I wish it had more in-depth examples of documentation in critical situations; also assessment-wise grading like “scant”, “moderate” etc it would’ve been nice to see visuals to understand the grading. Price is ok because you would probably pay more for a comparable workshop. Some stuff gets repeated multiple times, and overall the book could be probably half the number of pages. Some typos here and there in terms of formatting
Every nurse needs this!
Great book! So informative, and definitely has helped me. Highly recommended for every nurse.
Have a chart appropriately.
Not exactly what I expected. I wanted something that can help me chart appropriately in my day to day routine before there’s possibility of a court hearing.
Frequently Asked Questions
Find answers to common questions about this Gel.
Is this legal advice?
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no, it's educational; not a substitute for counsel
Is this just common sense?
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Most of it is habits you already have; the book shows exactly which ones read as negligence in court
New grad or experienced nurse?
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Both; Templates and appendix language work at any experience level
How do the bonus cards arrive?
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After your purchase, we will email the documents to your personal email within 24h
Is this just common sense?
+
Most of it is habits you already have; the book shows exactly which ones read as negligence in court
How do the bonus cards arrive?
+
After your purchase, we will email the documents to your personal email within 24h