Can you write the record the next nurse needs?
Work through a realistic fictional case, write the documentation yourself, then receive focused feedback and try again.
Practice library
Choose a documentation challenge
3 reviewed beta scenarios · one daily allowance
Documenting COPD deterioration
Record a change in condition, objective observations and escalation in a clear chronology without adding assumptions.
Initial review
- The fictional person says their breathlessness has been worse than usual since last night.
- They report a new productive cough with green sputum.
- They are alert, answer appropriately, are sitting upright and speak in short sentences.
Observations
Respiratory rate
28/min
SpO₂
87% on room air
Heart rate
108/min
Temperature
37.8°C
Recheck
- Repeat SpO₂ remains 87% on room air.
Escalation
- You contact the respiratory CNS using SBAR.
- The CNS instructs you to call 999 and remain with the person.
Action and plan
- You call 999. The call handler confirms that an ambulance has been dispatched.
- You explain the plan to the person; they agree.
- You remain with the person. No ambulance arrival, treatment or later outcome has been supplied.
Your task
Write the contemporaneous nursing progress note you would enter after this event. Use only the supplied facts. Do not diagnose, prescribe or invent an outcome.
Your feedback will cover
A safe place to practise
Use only this fictional case. While you draft, an unfinished copy stays only in this browser tab so it can recover from accidental navigation. It is cleared after a successful assessment; saved progress contains score metadata, not note text.
No account required · About 8 minutes