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  • Nursing
  • Advanced Practice Nursing
Hours: 2 Contact Hours
Author(s): Kim Maryniak, RNC, BN, MSN, PhDc
Peer Reviewer(s): Chad A. Sullivan, RN, JD, CHCM
Item#: N1689
Contents: 1 Course Book (46 pages)
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Documentation for Nurses: Specialized Documentation

Price $16.95
Item # N1689
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: December 31, 2015

Expiration Date: December 31, 2018

Nurses use a variety of documentation methods, and some specific care areas require additional or particular kinds of documentation. Regardless of the method used for documentation, the medical record is always a formal, legal document that details a patient’s needs, interventions, evaluations, and progress. Nurses practicing in specialty areas, such as critical care, labor and delivery, and pediatrics to name only a few, utilize special documentation that focuses on the particular assessments, nursing interventions, and evaluations for the population.  This course presents information about these special area documentation requirements in several specific settings.  

In addition, the role of the advance practice registered nurse (APRN) has been rapidly growing in the recent decade.  Advanced practice nurses work in all 50 states in a variety of settings, including hospitals, nursing homes, businesses, private practices, schools, and community centers. Their documentation needs reflect the variety of settings and their vast role in providing care. This course defines the APRN, presents information about the differences between RNs and APRNs, and covers areas of specialization, governance, standards of practice, legal issues, and documentation requirements.


This course is an extraction of, and should not be taken in conjunction with, N1634 Documentation for Nurses, 2nd Edition (15 contact hours).


This course has been submitted to the Commission for Case Manager Certification for approval to provide board certified case managers with 4 clock hours.

Course Objectives

  • Describe documentation methods used in specific settings.
  • Differentiate how advanced practitioners differ from other nurses and how nurse practitioners document management of patient care.

Kim Maryniak, RNC, BN, MSN, PhDc, has over 26 years nursing experience in medical/surgical, psychiatry, pediatrics, and neonatal intensive care nursing. She has been a staff nurse, charge nurse, educator, instructor, manager, and nursing director. Kim graduated with a nursing diploma from Foothills Hospital School of Nursing in 1989. She obtained her Bachelor in Nursing through Athabasca University in 2000 and her Master of Science in Nursing through University of Phoenix in 2005. Kim is certified in Neonatal Intensive Care Nursing and is currently pursuing her PhD in Nursing. She has been active in both the National Association of Neonatal Nurses and American Nurses Association. Kim’s current and previous roles have included professional development and practice, research utilization, nursing peer review and advancement, education, use of simulation, infection control, patient throughput, nursing operations, quality, and process improvement. She has developed educational activities for topics such as assessment, fundamentals of nursing, leadership, evidence-based practice, pain management, and specialty subjects.

Chad A. Sullivan, RN, JD, CHC, is a nurse attorney who received his Juris Doctorate from Louisiana State University in 2001. Prior to entering law school, Chad attended McNeese State University, where he obtained a Bachelor of Science in Nursing. He remains a licensed Registered Nurse in Louisiana. Chad received a certificate in Health Care Compliance from George Washington University in 2010 and is board certified in Health Care Compliance by the Health Care Compliance Association.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.