charting sleep question

Nurses General Nursing

Published

So is it really unacceptable to chart that a patient is sleeping?Even if they are in bed with their eyes closed,you can only state that they are in bed with their eyes closed.Never 'Pt in bed asleep."??

"Pt resting in bed, eyes closed, breathing easily. No acute distress."

i always chart (if appropriate), "no evident distress".

this way, even if they're screaming inside, it still wasn't evident...

leslie

Specializes in Tele, ED/Pediatrics, CCU/MICU.

Well.... if a patient is on a monitor, and their HR is steady in the 70's, they are breathing regularly, their pressures are stable, resp rate in the low teens, and their 02 sats are in the 90's.... and they are not awake or alert.... and are most definitely snoring.....

HOW is this not sleeping?!

I agree- especially if they are snoring!

Yeah, that's the most economical charting: "Pt snoring." Then the reader can conclude what they want. But with monitoring we can chart "asleep" and know they're not dead. And what would be the big deal if they were "faking" sleep or just dozing fitfully?

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