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 hands. the paperwork has become unbelievably atrocious. it is like a very bad joke that just isn't funny anymore. everytime i come to work, there is yet another new form hanging by the time clock. the latest round of paperwork diarrhea started when our hospital was recently audited for medicare/medicaid chart compliance and failed miserably. now our hospital is in danger of loosing all medicare/medicaid funding. so, tptb are frantic. result: we now have this "hot pink" monster of a form that has to be filled out on all new patients, either by the unit clerks or rn's. it has now become our job to police the doctors, to see that all orders are being signed off in a timely/legal fashion, history and physicals are on the charts within 24 hours of an admit, pre-procedure and post-procedure notes are on the chart, etc. etc. etc.--we have to call the docs to come in to fix what they didn't do, if the chart is found lacking
we have the usual bothersome critical pathways, now with each carepath, also have an infection pathway and a skin care pathway, to fill out on each patient daily under the threat of a bad eval if not done. we have computer charting also, and our patient admission record has become a nightmare!!!! link after link, with sublinks literally being added daily to fill out on new admits. it has gotten so complicated and burdensome, that there is very little time left for patient care. we are supposed to be clocked out by 7:15 each shift, no exceptions. on a very busy day, there is absolutely no time to fill out all this paperwork. jchao is coming to audit the hospital in a year, and i foresee a very unhappy year as the frantic "suits" are trying to get everything in compliance. i don't know how much more of this i can stand.
sorry for the down post; just need to vent
Jul 7, '02
Originally posted by Joules
Just curious, is paperwork this bad all over? How is the paperwork at your facility?
I feel nursing consists of doing your job twice - first, you do it, and then second, you write practically every detail about it; I understand the necessity of it to promote continuity of care, but beyond that (insurance reasons, JCAHO, blah,blah, blah) is a major time waster. What other career insists that this be done? Without it, imagine how much more time there would be for patient care. . .
Last edit by Jolly on Jul 7, '02