I am so sick of joint commission and their ridiculous mandates on charting. They sit in some office somewhere and I am sure they have never worked in ICU and mandate what we need to chart. They say its best for the pt but in reality it actually takes away from pt care. Most nurses do what they is best for the pt and lie about what they chart. All the nurses are so afraid of getting in trouble for not charting hourly rass, starting a drip per protocol,etc that they do what is best for the pt and just lie to make the chart look good per the damn protocol. Most of us have been doing this for years and will do what is best for the pt. But now we have to lie and make it look good. Besides this it takes away from pt care to have to chart all these hourly rass if a pt is on propofol or versed. The charting requirements are taking away from pt care. Its all ********. Joint commission has nothing better to do than sit in some office and write a bunch of crap for us to do that in no way benefits the pt. Its quite obvious that they are completely ignorant when it comes to actual hand on care. More and more time in front of a computer is less time to spend with pt. Besides that we lie on the charting and do what is actually best for the pt. What joint commission requires is completely, total ********. They say its for pt safety but its just to give them something to inspect to protect their jobs. They have nothing better to do.