We double chart a lot in my unit, they are all for CYA.
Aside from hourly vitals, drips, I&O's, lines/tubes/drains (have to be documented hourly as well) and q4 assessments we also have to write the longest
We start with the "overview". This is an easy to access document where we write the date and an overview of our shift. For example yesterday I wrote on my pt: No vent weans, to fluro for upper gi - multiple PRN's for trip/procedure, mom discussed g-tube with doctor.
There is a "blurb" like this for every day the patient is in the ICU with big events (codes, surgeries, procedures) in bold for easy access to those dates. When the document is open we can see everything that has happened to that patient since admission.
Then we write DAR notes on every patient problem which is a huge pain, especially if you have the kid for three shifts in a row and make essentially no changes on one or more of the problems then you are essentially writing the same note over and over. In the peds CICU i work on just about every patient has a minumum of four problems to chart on (cardiac, respiratory, nutrition, and parental knowledge) then add other problems like skin, infection, thermoregulation...it gets out of control