Originally Posted by alange75
Hi all- I am new to the forum and desperately seeking assistance. I am an active duty RN serving in the Navy, and currently stationed overseas. I am working in an ER with pen and paper documentation. It takes too much long hand, especially with trauma victims. I am also currently working on my masters degree online and my major project right now that I chose to undertake is the revision of the documentation tool. I would like to develop a multisystem trauma checklist style format. If anyone has great documents such as these at their facility and would be willing to share them PLEASE feel free to email me
Thank you so much and I look forward to this forum experience with all of you.
Amy
Hi Amy,
Advanced Trauma Life Support book has a very good example of a checklist for documentation. In addition, I would be happy to fax or mail you a copy of ours from where I work. It's great!!! A guided checklist of your primary and secondary assessment. The only charting left to do would be transfer out and report given to yadayada...and the meds, fluids. Easy tool.
NDN_RN