charting!!!! I am about to leave home health... - page 2

so I have given this field a year...I LOVE LOVE LOVE the work with the patients...I LOVE the feeling of one to one nursing! You can actually make a difference...so different than the hospital where i... Read More

  1. by   TheAtomicStig_702
    I'm currently in CNA school and we went to do clinical and we learned how to chart, specifically at the facility. Our instructor, who is a nurse, wanted us to not constantly remember how to do THEIR charting the way they do it but to chart the old school way on paper the way they used to do it. Their way is by Ipod touch with their own custom design system. If the system goes down, they switch to the paper way. The nursing station also uses digital form of charting. They used to have a bunch of papers EVERYWHERE posted on the cabinets but now they switched to digital.

    If your charting is digital, at least it's digital where you can go back and correct an error and not have to worry about papers. The CNAs I got to shadow carry theirs everywhere patient they care for just in a little pocket sized device. I don't know what the nurses had and I didn't get to shadow them, nor did I need to but just a food for thought, that's what the facility I got to check out does.

    I forgot who told me but at the facility, someone said that some clinics or hospitals or where ever there are RNs, the RNs take home their charts to do their charting. I kinda thought it was BS at first because we were told that leaving a paper chart on the floor with patients name and room number is a HIPPA violation so I kinda thought the same when it came to an RN bringing home charts to complete. Then again, if it's digital and the screen can lock, then it's not a HIPPA violation because no one can access the record. Who knows, you might have kids or nosey husband or wife who might take a picture of your screen while you're doing the charting or when you don't know it and might post it or send it to someone and get you in trouble. Unless the facility screens you for anyone in your household to gauge if trusting you with patient records is safe or not.
  2. by   NurseCard
    I left home health about nine months ago and haven't looked back.
    I have returned to hospital work and am actually enjoying it; never
    thought that I would. I work in a small community hospital for a
    wonderful company, and I think that makes all the difference.

    Anyway though... the charting in HH is brutal. My company went
    from all paper charting, to computer charting, back in November of
    last year. Some of us thought that going to the computer would make
    things easier, but really it did not.

    I will never ever go back to HH, except maybe PRN. A couple of visits
    a week, maybe.
  3. by   Spidey's mom
    Quote from TheAtomicStig_702
    . . .If the system goes down, they switch to the paper way. . ..
    The system our hospital uses (not the hospice system which is different) went down a couple of months ago for over two weeks. We used paper charting. We didn't have to go back in and chart on the computer for those two weeks but medical records had to scan everything in and they had to go back and charge for everything used on the patient. That took forever.

    We keep a paper chart of all our patient contacts . . . just in case. So, we double chart.

    Again, looking forward to retiring.
  4. by   oceanblue52
    I'm a newish grad in home health (4 months) and the questions are a beast for sure. I have gotten my main OASIS for a new admit in the home down to about 90 minutes for all the main questions and the med reconciliation. I look a lot at how they are talking and move from the bottom up of question options to make sure I am capturing their needs. I think you can assess a lot about the patient by just talking with them and interjecting questions, and then if they are able get them up to the bathroom (ask them to show you) which allows you to pretty quickly assess safety measures...the written summary is time consuming but if you keep a *general* template that can help...important to be specific with verbiage though as state audits do not care for copy/paste Do you use a computer? Track pads suck and an external mouse can also make things more expediant. Wish I had more advice, I love parts of this field but it's pretty daunting for a new grad.
  5. by   mpathg747
    We use Kinnser and it is a real nightmare. Slow, crashes, always unavailable, so charting is always delayed. Everyone is complaining. Do you have one I can recommend?
  6. by   mpathg747
    Many of you mention charting at the patient's home. I'm curious to know how many of you are provided with a device by your HHA. What is the norm? My agency does not supply laptops, tablets, or any other device to do charting. I do not like taking my home laptop out for security reasons.
  7. by   Haddoa
    Quote from mpathg747
    Many of you mention charting at the patient's home. I'm curious to know how many of you are provided with a device by your HHA. What is the norm? My agency does not supply laptops, tablets, or any other device to do charting. I do not like taking my home laptop out for security reasons.
    Ours supplies a tablet we use homecare homebase.
  8. by   msteeleart
    I feel the same way you do. We even had a pay cut and our documentation requirements have increased. I will be working in home health for 2 years in March and it just gets worse and worse. No raises ever. I try to do my charting in the car after the visit but I just don't have the time to do it all. I am thinking of going to the hospital and working in the ER, I hate working holidays and weekends but at least when I work in the hospital I have 4 days off and when I am off I am off and don't have a work phone that I have to answer. I have had enough. When I first started doing home health the paychecks were great but now they are basically the same as a hospital.

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