When should a CNA document care provided?

Documenting care immediately after it is given is critical for several reasons. First, it ensures accuracy in the records, as details tend to be fresh in memory right after the care is provided. This immediacy reduces the risk of forgetting important aspects of the care given or any specific observations made during the interaction with the patient.

Furthermore, timely documentation contributes to continuity of care. When care is recorded promptly, it allows other healthcare team members to access up-to-date information about the patient's condition and the care they receive. This is essential for making informed decisions regarding the patient’s ongoing care.

In contrast, documenting at the end of the shift can lead to inaccuracies, as the CNA may forget some nuances of the care provided. Waiting until a patient asks does not align with the proactive responsibilities of a healthcare provider to maintain thorough and comprehensive records. Documenting before care can lead to confusion as it does not capture actual events or changes occurring during the care process.