Temporarily paused

Documentation Checklist

This checklist is offline while it gets reworked for consistency, clarity, and better competency evidence prompts.

Under rework

Documentation checklist is down for now

The checklist content is intentionally hidden until the next version is ready.

If it is not documented, it may not count. Your chart needs to prove the assessment or skill was indicated, done correctly, and reassessed when needed.

Call Type

Choose a call type

Respiratory call

Respiratory Documentation

Use this for SOB, cough, asthma/COPD, pneumonia, pulmonary edema, or any respiratory complaint.

Always chart: primary assessment vitals pertinent positives pertinent negatives reassessments

Required Checklist

Competencies This May Support

Narrative Prompt

Sample Documentation

Use this as a structure example only. Change the details to match your actual patient, findings, treatments, times, and reassessments.