CAP/CService Notes &

Time Sheets

3/2/12

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.

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.

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

Time Sheet

Task Sheet

CNA Task Sheet & Time Sheet

Time Sheet

Task Sheet

CNA Task Sheet & Time Sheet

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

Time Sheet

CNA Time Sheet

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

Time Sheet

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

Narrative Notes

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

Time Sheet

RN/LPN Narrative Notes & Time Sheet

Narrative Notes