I'm a new grad and am working on a med/surg floor which is having difficulty with staff not reading the kardex's and missing orders, data, etc. Where does your unit keep your Kardex? Where I precepted at spring quarter they were kept with the pt MAR, which seems to me like a great idea for where I'm working now. What do you think?
Without a kardex, how is general information passed?
I have worked at only one facility that did not have Kardex, and we received no information during report. Other departments were not happy with the lack of communication, teaching wasn't done because no one knew about it, IV sites without dates, not charted in nn.
The information that I am concerned about is diagnosis, history, orientation, mobility status, teaching needed, diet, dates of IVs and dressings, etc. If it is not passed on in report- no way of knowing.
How do you communicate basic information at the beginning of a shift? There is no way that I would have time to check all charts and review all orders at the beginning of a shift (and sometimes throughout the shift).
What do you use instead?
Last edit by mscsrjhm on Mar 2, '08