1. CAP/C Service Notes & Time Sheets 3/2/12

2. Service Notes Task Sheet: –Certified Nurse Aide must track the necessary tasks daily in the service notes by checking off the tasks as he or she completes them. –In order for a service note to be considered valid, the individual tasks must be checked. Narrative Notes: – Written by the registered or licensed practical nurse (RN or LPN) providing care –Describe the type of care the nurse provides throughout the shift.

3. Time Sheets A timesheet is used by the aide or the nurse to document time in and time out for each shift worked. Often, if the caregiver is an aide, the timesheet is on the same paper as the service notes. Some providers leave a timesheet in the home each week for nurses and aides to sign in and out. Some agencies use an electronic timesheet that is sent in with the claim.

4. The following slides are of actual CNA task sheets and time sheets within one document.

5. Time Sheet Task Sheet CNA Task Sheet & Time Sheet

6. Time Sheet Task Sheet CNA Task Sheet & Time Sheet

7. The following slide is an actual CNA time sheet, submitted separately from the CNA task sheet.

8. Time Sheet CNA Time Sheet

9. The following slides are of actual RN/LPN narrative notes and time sheets within one document.

10. Time Sheet RN/LPN Narrative Notes & Time Sheet (Page 1 of 2)

11. Narrative Notes RN/LPN Narrative Notes & Time Sheet (Page 2 of 2)

12. Time Sheet RN/LPN Narrative Notes & Time Sheet Narrative Notes