Nursing Care Documentation Course
This course equips nurses with essential skills for accurate and compliant documentation, covering assessment techniques, structured note formats, medication records, care planning, and monitoring protocols to enhance patient safety and care continuity.

4 to 360 hours flexible workload
valid certificate in your country
What will I learn?
Enhance your charting skills with this focused, practical course on accurate assessment and clear, compliant records. Learn precise vital sign and head-to-toe documentation, structured note formats, legal and policy standards, and safe medication and IV entries. Strengthen diagnoses, care plans, goal writing, monitoring, and escalation notes to support safer decisions and stronger continuity of care.
Elevify advantages
Develop skills
- Precise clinical assessment: document head-to-toe findings with legal accuracy.
- Professional charting formats: apply SOAP, DAR, and SBAR in fast-paced care.
- Medication and IV records: capture 5 rights, infusions, and patient response clearly.
- Nursing diagnoses and priorities: link data to NANDA and risk-based care plans.
- Monitoring and escalation notes: track trends, interventions, and provider alerts.
Suggested summary
Before starting, you can change the chapters and the workload. Choose which chapter to start with. Add or remove chapters. Increase or decrease the course workload.What our students say
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