Paperwork Hell - page 2

have you ever felt like you were suffocating under a mountain of paperwork? at my hospital, pitt county memorial hospital, in greenville, north carolina, somebody just has too much time on their... Read More

  1. by   Jolly
    Hey Hoolahan ---

    I lasted 6 months in homecare and left because of the lousy, stinkin', god-awful paperwork -- I spent anywhere from 4 to 6 hours PER NIGHT and every night documenting, documenting, documenting. What an absolute nightmare. When I left the hospital to go into homecare, everyone warned me about the paperwork, but I figured how bad could it be? OMG! - it's bad, bad, bad.
    Much happiness with the new career - can honestly say that I understand wanting the change.
    Last edit by Jolly on Jul 7, '02
  2. by   adrienurse
    What I hate is when you've already charted something, but not in the place that counts and then you forget to put it in the nurses notes because you had it in your mind that you'd already done it.

    That's the part in all this paperwork that is dangerous legally.

    Like incident reports, I just hate those because what do they actually do except pile up in corners?

    Last week I was actually was asked to recopy an incident report by my boss because she didn't want it on record that I had given the person prn sedation after he'd gone ballistic (we "don't" use chemical restraints). What's the freaken point if you aren't stating what happened?
  3. by   OrthoNutter
    Originally posted by fedupnurse
    Let's see. There is the flow sheet, the teaching sheet, the problem list, clothing sheet, advance directive, latex allergy, admission form, med variance sheet, med sheet, patient care activites sheet....
    You are kidding right???? We just have an obs sheet (or flow chart), nursing care plan (tick and flick kind of thing), med chart, fluid order chart, maybe a fluid balance if they still have IVT going, and an admission/history sheet. That is it....we're supposed to put in a manual handling sheet but because that's incorporated into the care plan, hardly any of us ever bother doing it. Why document something two, three, four times?? I guess our admin people are a little bit more understanding of unnecessary double-documentation.
  4. by   VickyRN
    {{{{{{Joules, Hoolahan, and every nurse}}}}}}
    The never-ending stream of documentation is truly the bane of nursing.
  5. by   VickyRN
    See pic below...
    Last edit by VickyRN on Dec 27, '06
  6. by   NRSKarenRN
    In the Good old days ( now), we have TWO Intake admission forms ( 1 demographics/services , another for insurance verification and auth) ... third if patient has auto insurance or work comp insurance. Takes us 5-10 min max to do referral; 5-15 min verrify insurance on average.

    NEW computer HBOC Pathways homecare system has 8 screens just to place insurance authorization---can't easily tell which auth goes with which type service. GRRRR

    Computer system kept crashing as power system not designed for 11 computers, projector AND fan (forget the coffee pot) in one 8 x 12 room. Nashing teeth and only day one of orientation.
  7. by   KBaldwinLVN
    Originally posted by fedupnurse
    Let's see. There is the flow sheet, the teaching sheet, the problem list, clothing sheet, advance directive, latex allergy, admission form, med variance sheet, med sheet, patient care activites sheet....
    You forgot the master care plan, the standard care plan that works with the master care plan, the clinical pathway care plan that takes the place of the master and standard if a planned LOS is anticipated.....

    And we wonder why there's a nursing shortage.....(tah-heeee).

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