skilled charting

Yes, ask your MDS. person. Ooops, Don't tell her I said that !! Post cheat sheets containing Dx. specific observations and related testing done by nursing for the resident and what they did or need to do to remedy the situation. Don't forget any other pertinent observations/actions necessary specific to the patient. Maybe,the hospital d/c summary describes some other problems very often unrelated to the primary dx's.,which got them admitted to the hospital in the first place.(Diarrhea,med. reaction,rash). Surely,these events warrant further observations if they are not resolved completely upon hospital d/c.to LTC. Let's face it ,these very fragile, sick patients are shipped back from the hospital so quick,still, soooo unstable and how many end right back there within the first few of shifts and are admitted again. And the hospital gets to bill the insurance co's for another admission. If hospital d/c planners would get after the MD's to include the more specific info. re: IV's,amts., dates, (started ,d/c'd) it would help us drive up our medicare reimbursement because we can capture on the MDS. Hope this helps a little....:typing

If I tacked that note on...I'd get grieved by the union

A little humor goes along way ...:chuckle

Ah, if only that were true....they don't seem to have a sense of humor.

Yeah, but whats true is true...

This post is surely off the topic,but....here I go...First off, the suggestion to add such a note was not made here to be taken seriously. Of course it is ridiculous and it was a bait of sorts. I see remarkable success with regards to intelligent and pertinent skilled charting when the individuals that perform in this fashion are given positive feedback and acclaim. It's also beneficial to include skilled Med.A charting in the orientation process of new hires. This will be an important aspect of their job respondsibilities and therefore will be part of their future performance review and ultimately be reflected in their merit increase. And of course, it would'nt hurt to use a proactive ongoing positive approach involving other arenas of staff relations. We should allow room for sensitivity,validation and humor in our relationships. Thanks...

We chart 2 shifts every day on our skilled residents. We also use different sheets for their charting. ¾ of the front side of the page is a check list. The bottom ¼ and the back of the page are for narrative notes. I now have RNs around the clock, so my nurses have more time to do their charting.

We chart on 2 shifts for our skilled residents, and we have different nurses' notes for them. ¾ of the front side of the paper is a check list. The bottom ¼ and the back is for narrative notes. We now have RNs around the clock, which gives my nurses more time for their charting.

Yesterday at a staff meeting we broke down what has to be charted and assigned it by the day- it has worked before, if everyone is committed it will work!