Covers the do's and don'ts of documentation providing a basic overview of what needs to be recorded to protect the nurse, patient, and healthcare facility. Documentation guidelines are simply presented explaining what should and should not go on a patient's chart or incident report. Designed to minimize potential legal complications, key concepts in documentation are strongly emphasized. The program uses a variety of presentations to emphasize the importance of thinking defensively. Expert advice from a nurse attorney is included, as well as a vignette.