Charting question

Specialties Home Health

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I'm considering applying for a home health postion and alot of my questions have been answered here. But I have a question about charting. Where do you do charting? At the patient's home, at the office, or at your home? Also, is charting computerized?

TIA,

shelly

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Specializes in Gerontology, Med surg, Home Health.

The agency I work for does computer charting. We can chart in the patient's home, back at the office, or at our own homes. As long as the charting gets done, we are free to do it where we please. I usually start my note at the patient's house and finish it up at the office. When the weather gets better I think I will finish with patient care, hang around in the sun and then chart.

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we chart in the home with exception, awaiting call back from m.d. we also use chart sheets, communication sheets, and fax sheets. h.h. can also be very educational.

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Specializes in OB, M/S, HH, Medical Imaging RN.

Computer charting. We can do it wherever. I find it time saving to do it in the home as I do my assessment. I put the vs in as I do them then the lung sounds, edema, etc....The only thing I usually have to do when I get home is chart the teaching.

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None of my agencies have converted to computer charting yet. Although we are supposed to do our charting in the home and leave the field chart copy in the book for the next nurse to be able to refer to, nobody has ever said anything as long as we get the office copies turned in according to their time frame for billing and placing in the office chart. I've done my charting in various places. Most of it I get done in the home. Sometimes, I get involved, and take it home to finish. But I always make certain that my field chart copy makes it back to the home to be placed in the field chart. Have seen where some nurses don't leave their field chart copies at all. They aren't charting at the time of the shift. Watched one hurriedly do six days worth of charting to have it there b/c we received a call that the supervisor was on her way over for a visit.

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Specializes in LTC, HomeCare, a little med/surg.
I'm considering applying for a home health postion and alot of my questions have been answered here. But I have a question about charting. Where do you do charting? At the patient's home, at the office, or at your home? Also, is charting computerized?

TIA,

shelly

We don't use computers and I don't really think our company ever will. We are supposed to do our charting in the patients home but with recerts and PHEs you have to review the chart in the office so that is where we complete it. Of course we all are guilty of taking paperwork home to finish but I have done it both ways and it is less stressful if I do the majority of it while in the patients home (or sitting in my car in their driveway).

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One time I drove down the coast and went to one of my favorite beach parking spots, opened the windows of my car and sat there with the warm sun and ocean breeze relaxing me while I did a whole lot of charting. My mood was ruined when a highway patrolman drove up. I decided to leave. Thank goodness most of what I needed to get done was finished by then.

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Specializes in post-op.

We use laptops and we are supposed to do it in the home. I have found that if you do it in the home, you save a lot more time.

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