Documentation completed contemporaneously, or a late entry noted per policy.
Signature with credentials applied.
License number / state included, if required by the agency.
Co-signature obtained, if required.
The pre-flight discipline
A visit that clears all six blocks carries its own defense: it proves the visit happened, the patient qualifies, the care was skilled and measured, teaching produced learning, coordination closed the loop, safety was addressed, and the record is validly signed. Run the check before signing, not after a determination comes back.
