Our facility is currently revamping a lot of things. Charting is one of them. I've been selected to review the negative aspect of charting by exception. I've used it in other facilities and have to admit I'm pretty opposed. I've seen nurses simply check Within Determined Limits without comparing to care plans
or even really looking at the patient in depth. I understand this is due to high patient loads, etc. But it seems staff gets desensitized by using a form rather than having to think about what they're assessing. I've checked threads and haven't seen a lot of postings on this subject.
One of my other concerns is that while I can look at the chart and recall the patient for a while, what happens in a civil suit 7 or 10 years later, when nursing is called in to testify in court.