Where do you keep your nurses notes?

Nurses General Nursing

Published

  1. Where do you keep your nurses notes?

    • 28
      On the actual chart
    • 5
      At the bedside
    • 1
      I lost them
    • 14
      Somewhere else (please specify)

48 members have participated

Specializes in Family.

Where do you keep your nurses notes? We keep ours on the pt chart, but I miss the way I did it on my old unit where it was part of the bedside chart.

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We keep ours in a small nursing chart which is filed beside the large pt chart at the nurses station. It normally has 2-3 days of flow sheets, med sheets, and the care plans.

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Our hospital has computerized charting and all our notes are done on the computer

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Specializes in Adult ER.

well the vital signs are kept on a sheet out side of the pt room, then of course we have other notes in the pt's charts and then the meds are kept in the mar binder....... having all these places to look in can be kind of interesting at times if there are med/nursing students and dr's with any one of them. sometimes i run around and actually call for my chart/mar:uhoh3: :lol2:

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In the chart under "Nurse's Notes".

steph

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Specializes in Pediatrics.

On the computer, which is where a majority of our charting goes including assessments, etc.- but then, they are printed out each day and added to the chart, but not charted on the chart if that makes sense

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Of course, we are computerized so the nurses' narratives go in the puter. but the vitals are charted on a sep vital signs sheet for dr, in the chart. all stays in the chart. I cannot see having nurses' notes anyplace else, really. That is what kardexes and clipboards were always for ---at least for me.

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my boss came up with a 72 hour charting sheet. used for admits/re-admits/falls/behaviours. when finished with the charting, sheets placed in the chart.

i tell ya, these sheets sure beat pulling up to 15/20 charts at a time....more if you're the lone nurse on 11-7's!

suebird :p

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We have computerized charting and then when a pt is transferred from L&D to the MBU all the notes, etc are printed out and placed on the chart.

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We do all our charting on the computer. I didn't think I would like it at first, but now it would be hard to go back to paper charting.

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