I am a new BSN graduate nurse and have started working on a telemtry unit for a couple of months. I'm really overwhelmed and worried about my charting (the legal aspects) because there are so many things that need to be done during the day that charting is sort of the last thing on my list. And on top of that it takes me a very long time to get the wording straight in my head and down on paper.
Does anyone have any advice or any text/books or other resources I could go to for help with concise charting? Everyday after my shift I'm overwhelmed by the legal aspect and spend all night worrying about whether my charting will hold up if I get taken to court. Thank you for your help!
Apr 5, '07
ChartSmart is a good one.