Does anyone really read all this charting?

Nurses General Nursing

Published

So I know I have to do it, and I know it gets crunched through a spreadsheet somewhere and some bean counter bills for it, but does anyone anywhere read all this charting I do? These hours of drop down menus that pull me away from my patients? Disclosure- new nurse.

PeakRN

547 Posts

Specializes in Adult and pediatric emergency and critical care.

If everything goes well...probably not. If things go poorly everyone gets to read them in court.

gypsierose

81 Posts

Wow- Yep!

kataraang, BSN

129 Posts

Specializes in critical care ICU.
If everything goes well...probably not. If things go poorly everyone gets to read them in court.

Yep, this!

BBP42

106 Posts

I have seen that good charting can save the facility a tag when the state comes in. If we are watching someone for signs of dehydration, or monitoring post fall, those are events that the state seems to love looking for the documentation that we were really on top of the follow up according to policy. I have felt the same way though, especially when we have to duplicate the same charting in three different places.

Specializes in ICU.

Oh, yes, we have people in our hospital that read every word we chart. Sometimes even while you are still charting! They notify us if we leave off something like pupil sizes for neuro checks, forgot to chart a daily weight, etc. I know not every place does this, but mine sure does. They go over every single thing and you will get a note to correct it, if need be. I don't mean falsify anything.

Specializes in ED, psych.

I've had docs quote my charting from the night before directly into their own notes i.e. "staff report that ... "

So, yeah.

kiszi, RN

1 Article; 604 Posts

Yep, I've known doctors to look at it. One would even check to make sure nurses were titrating drips when the bps were outside parameters.

Specializes in NICU, ICU, PICU, Academia.

If no one in the hospital does, eventually an attorney will.

Crush

462 Posts

Specializes in Case manager, float pool, and more.

I for sure read what day shift charted and the physician note from that day. I know our doctors for sure do read our documentation.

KatieMI, BSN, MSN, RN

1 Article; 2,675 Posts

Specializes in ICU, LTACH, Internal Medicine.

Some professionally looking guys in well-made suites and with the letters J and D after their last names.

Davey Do

10,476 Posts

Specializes in Psych (25 years), Medical (15 years).
So I know I have to do it, and I know it gets crunched through a spreadsheet somewhere and some bean counter bills for it, but does anyone anywhere read all this charting I do? These hours of drop down menus that pull me away from my patients?

Well, I think we other Professional Button-Clickers read all the charting you do, gypsierose.

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