We are looking for answers for standardizing nursing documentation throughout our hospital setting. We have patients coming in for blood transfusions for example in both our same day surgery units and our inpatient units, as outpatients and then being discharged that same day. We need to know if you are doing full admission assessments on these "special" patients that are coming for OP nursing care.?
We want the care to be consistent for patients across the continuum, but we don't want the nurses to do extra documentation work if they don't need to.
Can you let us know what you are doing at your facilities?
Looking forward to your reply.