Has anyone had any trouble with Kardexes and Care Plans used in the workplace? I'm currently trying to come up with a solution to continuity in care. I had an incident at work in which I recieved a horrible report from the previous shift. When I went to assess the patient and received abnormal labs on the patient at the same time the on-call doc happened to be walking by. He jumped in on the situation but I was left scrambling trying to figure out what had happened in the last four days that the patient had been there and giving the on-call doc sketchy at best details of the patients history and current situation. What is the solution? Does anyone work in a hospital that utilizes really great care plans that are passed between shifts or have great Kardexes that really keep everyone in the know? Let me know what your experiences have been.
Does anyone really use care plans?
have to agree with above. the kardexes and info are only as good as the person(s) passing it along.
i like to do my own review of chart, etc.
when i was in ICU, we had a clipboard for each patient that had columns for various info such as lung sounds, heart sounds, labs, VS, etc. it was just a worksheet that each nurse used. and we left at least past two days of info on clipboard. these did not go in the chart, were pitched when appropriate.
Last edit by psalm_55 on May 6, '06