Need Charting Help Please

  1. [font=lucida sans unicode]hi guys! i have been in ltc for 8 years. i am a 3-11 rn supervisor. the don and i started at the same time in our facility 3 months ago. he is awesome!!! he has an acute care background with no ltc experience, which i think may actually help rather than hinder him. what he wants is to find some kind of "flowsheet", like is used in acute care, to do daily charting. does anyone use any type of flowsheet charting in their ltc facility? i have searched online all day and havent found much of anything helpful.

    [font=lucida sans unicode]any suggestions?
    •  
  2. 9 Comments

  3. by   debRN0417
    we use a flowsheet for our skilled/subacute charting. it has the check-off stuff on front for all three shifts, pain scale, place for vitals, etc...and place for nurses notes on the back(skilled) the sub-acute one is just a check-off, but there are more things on it like suctioning, vent settings and so forth. for our long term residents we have monthly summaries and just regular day to day nurses notes.






    quote=rnwendy][font=lucida sans unicode]hi guys! i have been in ltc for 8 years. i am a 3-11 rn supervisor. the don and i started at the same time in our facility 3 months ago. he is awesome!!! he has an acute care background with no ltc experience, which i think may actually help rather than hinder him. what he wants is to find some kind of "flowsheet", like is used in acute care, to do daily charting. does anyone use any type of flowsheet charting in their ltc facility? i have searched online all day and havent found much of anything helpful.

    [font=lucida sans unicode]any suggestions?[/quote]
  4. by   RNwendy
    hey deb! thanks! is there any way i could have a copy of that flowsheet? i have tried to find flowsheets online that i could adapt for us but have had no luck.
  5. by   LPN4Life
    I usually made our flowsheets where I worked off of the spreadsheet on the computer. If you call Briggs, and request a flowsheet from their catolog, then they will send you an example for free. You can make up your own, using theirs as a guide. You can even send in your flowsheet to them, and they can make it especially made from your own ideas.
  6. by   Lys
    At the retirement home where I work, we use what's called a "unit daily planner" which may be similar to what you're describing? Perhaps? *lol*

    What it is is basically two page document with areas for each shift to chart on noteworthy events, sign off on who was working that shift (granted, we only have 2 staff on at a time), make notes, chart assessments for a few patients.

    Much luck with that new flowsheet ;-)
  7. by   NursesRmofun
    Quote from rnwendy
    [font=lucida sans unicode]hi guys! i have been in ltc for 8 years. i am a 3-11 rn supervisor. the don and i started at the same time in our facility 3 months ago. he is awesome!!! he has an acute care background with no ltc experience, which i think may actually help rather than hinder him. what he wants is to find some kind of "flowsheet", like is used in acute care, to do daily charting. does anyone use any type of flowsheet charting in their ltc facility? i have searched online all day and havent found much of anything helpful.

    [font=lucida sans unicode]any suggestions?
    never saw it in ltc for nursing...although the cnas have plenty of flowsheets. for ltc nursing, i am not sure what you could put on one...maybe nursing rounds, siderails, callbell, bed position (down), alarms, o2, teds, dressing d&i, dress. change, etc.? maybe a few other things.... that would be pretty easy.

    oh, pain scale, of course...forgot that.....oh, and trach inner cannula changes, dress. changes, alll kinds of tubing changes!....and peg site notations! hey, there is a lot of stuff! lol
    Last edit by NursesRmofun on May 16, '04 : Reason: addition
  8. by   RNwendy
    i just ordered some catalogs from briggs and will call them tomorrow. i am still looking tho! thanks for your help! lol my don said he didnt want to "reinvent the wheel" and has me on this wild goose chase. i am thinking maybe i should just come up with one and patent it! i could post it...we could all work on it....lol
  9. by   FROGGYLEGS
    I have never worked at a TN NH that used flow sheets. We've alway did regular nurses notes on everyone including skilled and subacute. We chart on skilled and medicare daily. The rest are weekly. We do have a flow sheet for monthly, but that is on top of the written nurses notes. I'm sure the flow sheets would be welcomed if they decreased the number of narratives.
  10. by   RNwendy
    that is exactly what we are trying to do! work smarter....not harder. i am still looking tho lol
  11. by   debRN0417
    i try to check this board regularly, forgive me if i'm slow. if you want to e-mail me an address, i can send copies.
    deb123rn@yahoo.com



    quote=rnwendy]hey deb! thanks! is there any way i could have a copy of that flowsheet? i have tried to find flowsheets online that i could adapt for us but have had no luck.[/quote]

close