What a Nurse Looks For in the First Hour of a Record Review
The first things I check when new records arrive: completeness, dates, and the story the nursing notes tell.
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I'm Joel Sahulka, a BSN-prepared registered nurse in Lincoln, Nebraska. My background is hospital bedside nursing, including oncology, and healthcare quality data. I read medical records closely, build clear chronologies, and point out the gaps, delays, and contradictions worth a closer look.
Send me the records. I'll read them as a nurse and give you organized, page-cited work you can check against the source.
I read the full record, not just the highlights. You get a summary of what happened, what's missing, and where the documentation doesn't line up.
A date-by-date timeline of care with page citations back to the source records. Quick to scan, and easy to check when you're preparing for a deposition.
A focused first read of the key records, with a short memo on what the chart shows, where it's strong or thin medically, and what's still unclear. $350 flat (up to 3 hours, then hourly).
I compare the care in the record against accepted nursing and clinical practice, cite my sources, and tell you plainly where it looks sound and where it raises questions.
Injuries, treatment, ongoing care, restrictions, and related medical costs, pulled from scattered records into one clear document.
The clinical guidelines and articles that bear on your case, summarized in plain language so the medicine is easier to follow.
I'm a nurse, not a lawyer, and I don't give legal advice. I work under your direction on the medical side of your case. Record review and chronologies are $115/hr, billed in quarter-hour increments, with a 3-hour retainer ($345) before work begins. Standard turnaround is 7 business days (often sooner). A 72-hour rush, when available, is about 25% more. I don't offer expert witness testimony.
I work with plaintiff personal-injury and workers' comp firms. Pick a practice area to see where I fit.
Every case is screened for conflicts before I start. If I'm not the right fit, I'll tell you up front.
Physician experts give opinions on diagnosis and causation, and many cases need one. A nurse adds something different.
Nursing notes, vitals, medications, therapy notes, and the day-to-day course of care often run to hundreds of pages. I organize all of it into a timeline and point out what stands out, so your time with a physician expert goes to the right questions, and you have an early sense of what kind of expert the case may need.
I've written nursing notes, medication records, and care plans myself. I know where to look, and what it means when something isn't there.
My years at the bedside, including floating to other units, taught me how assessment, treatment, and recovery usually unfold for patients, and what it looks like in the chart when they don't.
My current work is in healthcare quality data, building reports where the details have to be right. I bring the same care to every chronology and summary.
You get plain-English findings, the page numbers behind them, and honest notes on what the record can't tell us.
Tap a step for details. Turnaround: standard 7 business days, often sooner. 72-hour rush when available, at about 25% more.
A free 15-minute case-fit call. Tell me about the case and what you need, we check for conflicts, and we agree on scope.
You get a written estimate and engagement letter before any work starts.
Share them through your firm's secure portal or upload link, never by email.
I read and organize the records, and send you questions as they come up instead of saving them for the end.
A cited report or chronology in Word, PDF, or Excel, then a short call to walk through what I found.
Practical notes on reading medical records, for attorneys and their teams.
The first things I check when new records arrive: completeness, dates, and the story the nursing notes tell.
Read the post →What a good chronology includes, from source citations to flagged gaps, using a fictional sample case.
Read the post →Five details, like work-status notes and gaps between visits, that often matter more than they first appear.
Coming soonSend a short note about the case: the type of claim, roughly how many pages of records, and your deadline. I'll reply within 1 business day.
Joel.Sahulka@gmail.com
(402) 297-0529
Lincoln, Nebraska · Serving Nebraska and Iowa plaintiff personal-injury and workers' comp firms
A quick note on timing: new reviews pause after Nov 6, and I'm booking again starting in early December. Messages sent between Nov 15 and Dec 3 will get a reply by Dec 4.