Here's a new one: chart assessments before midnight.....
- 1Feb 4 by mom-wife-nurseSo the facility I work for is now requiring that night shift finish our documentation by midnight bc if we don't "it looks like we're not documenting". This irritates the crap out if me!!
#1 We can't chart until we've done our treatments, so how are we supposed to complete a whole shift's worth of work in less than 6 hours? Our HS Med pass is not huge but it's heavy.
#2 Why do we have to finish our charting by midnight when day shift often stays after their shift has ended to chart? I realize that day shift is more hectic, but come on!
#3 Residents who we have to chart behaviors on may not have behaviors before midnight but often will after midnight.
- 3Feb 4 by anon456Um good luck with that. I will keep up on my meds, I&O, and VS but I don't get to anything else until much later in the shift, sometimes after the patient is handed off to the next shift. I am sure if enough RN's give feedback about it affecting patient quality of care it will change back to what it was before.
- 1Feb 4 by mom-wife-nurseWe have this really weird charting system where day shift is assigned certain residents that we chart on every day and night shift has a different set of residents we chart on every night. It has to do with payment, not Medicare but Medicaid I guess. It's weird. They want all of these to be done prior to midnight. So like it was mentioned, you can't chart what you haven't done. Taking this into consideration, we have to do all of our treatments done before midnight so we can chart them. They're basically asking us to do 12 hours worth of work in less than 6 hours.
- 3Feb 4 by RNGriffinSo, there is no room for error? Also, what's the nurse-patient ratio?
What is your documentation consisting of? Because, I've had a nurse chart ahead on a patient who was in a safety bed. Needless to say, by the time report came she charted the patient was asleep & respirations noted but the patient had eloped. In a longterm care facility your patient could be deceased while you're trying to beat the clock for a couple of dollars.
- 4Feb 4 by Sam J.Sounds like they want to be sure every patient has documentation to justify daily skilled need, and the day ends at midnight. If nights has a schedule to chart on skilled patients, then technically if it isn't done by midnight, there may have been no documentation for the entire day, ending at midnight. Some places have this schedule to provide an overview of the patient throughout the day, rather than the same shift charting the same information at the same time every day. Some places take it to the other extreme (rather than dividing up skilled charting by shift), and require 'every' shift to chart on every skilled patient. If the daily skilled need is a treatment, IV, etc. that is assigned to nights, if it hasn't been done by midnight, then also it's possible the patient went 24 hours without justifying a skilled need for that day. But does signing off treatments, more so on 11-7, mean the treatments were done before midnight? Always risky to sign anything or chart anything before the fact.