Need some advice about charting (RN) - page 2

by SJE RN 3,549 Views | 15 Comments

My pt calls me into the room and requests a nebulizer treatment. I call Respiratory Therapy and the guy screams at me at the top of his lungs saying he will come when he can. My pt is getting really anxious. Pt complained saying... Read More


  1. 0
    If you have concerns about your charting, speak to someone like an educator or supervisor at your facility. Every facility has different policies regarding charting. In the facility where I work, I can not use any of my co-workers names, only their job title and unit. So ask someone at your facility how you should have handled this situation.
  2. 0
    Quote from SJE RN
    This RT does this all the time. He charts pt refused (when he didn't even go into the room). It's funny cause nurses are the only ones that have to wear tracking devices at my facility. This particular RT hates waiting for pts if they have to use the bathroom or if he has to go the extra mile to make the pt comfortable. He gave the wrong patient tx once who was tachycardic & went into SVT. Many incident reports have been filed. Medication errors happen more often then we like...we're human but this guy is something else. I have never written him up because nothing serious has happened to anyone of my patients that he said refused treatment but never did. I'm trying to be a good nurse but feel like a terrible one. Work is stressful as it is. All this charting and legal crap is becoming way too much. I really stress about documentation. I tried my best with this patient to explain that the RT was busy, I gave him the tx but pt accused me of trying to cover for the RT. It was just a mess. I'm really nervous because I just started this job 3 months ago. I left a wonderful facilty because I was part-time and needed a full-time position and all I can say is that the grass is not always greener on the other side =(
    Sorry I don't have much input, I'm still a student. I read these forums somewhat regularly, but HAD to sign up to ask about this. Tracking devices? Like GPS thingees that tell when and where the nurse is? Is this normal?
  3. 1
    You should talk to your manager who should then take it up with his manager. Let the top dogs duke it out. If a patient tells you they never got the neb tx., you could fill out an incident report, as well. I wouldn't ordinarily do this, but if this guy is a frequent offender, some documentation is in order.

    It's not your job to sort out this mess. But you are in a position to gather information that affects you and your patients. You can also talk to your co-workers and see if he gives them guff, too. If this RT has a pattern of neglecting his duties/making mistakes, smart people would be looking at disciplining him before he truly harms someone.
    canesdukegirl likes this.
  4. 0
    Quote from rn/writer
    You should talk to your manager who should then take it up with his manager. Let the top dogs duke it out. If a patient tells you they never got the neb tx., you could fill out an incident report, as well. I wouldn't ordinarily do this, but if this guy is a frequent offender, some documentation is in order.

    It's not your job to sort out this mess. But you are in a position to gather information that affects you and your patients. You can also talk to your co-workers and see if he gives them guff, too. If this RT has a pattern of neglecting his duties/making mistakes, smart people would be looking at disciplining him before he truly harms someone.
    Exactly what I was going to write, M!
  5. 0
    Quote from chocolatechip
    Sorry I don't have much input, I'm still a student. I read these forums somewhat regularly, but HAD to sign up to ask about this. Tracking devices? Like GPS thingees that tell when and where the nurse is? Is this normal?
    At some hospitals, yes, this is the norm.
  6. 0
    Quote from Altra
    At some hospitals, yes, this is the norm.
    Thanks for responding. That sounds odd, not to mention a little disrespectful IMO. Another eye-opener.


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