UK: Nurses tied down by excess paperwork (Daily Telegraph)

  1. Nurses are now spending half their working week tied down with paperwork rather than caring for patients.

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  2. 7 Comments

  3. by   HM2VikingRN
    I think this is also a problem in the US.
  4. by   leslymill
    If you do get national healthcare, I hope we can learn from them and do better than that.
  5. by   imenid37
    Quote from leslymill
    If you do get national healthcare, I hope we can learn from them and do better than that.
    We are already spending an outrageous amount of time charting. When the govt. and facilities keep asking us to do these "little" things that take 5 minutes, they add up. Five of these "things" take 30 min. and 12 take 1 hour. It seems that almost monthly we add something. I love how we add the fall assessment, the skin assessment, the home safety assessment, etc. The research shows these are benficial. I'd love to know under what conditions they were trialed. Many were derived by looking back at charts of people who fell or had whatever problem. If you get a good look at the patient, you probably don't need to fill out a checklist, you can figure it out. I will tell you what really works, each nurse having a manageable number of patients that they can really assess, really talk to, really interact w/ the pt. and S.O.'s. That works and that is good nursing care. It has better outcomes. There's research on that too. How come it is ignored? Nurses and patients are dissatisfied with all of this cover our backside, satisfy medicare, etc. etc. Peopel want to be cared about and nurses want to care for them. I get so sick of telling the staff, now we have to document this or that. Administrators are often unfazed, as they don't have to interrupt an already busy shift to add this extra documentation or ask these questions of people who have demntia and don't know their own names. Our computer charting has so very many rules almost no one does it completely right, because no one can remember all of the rules. I do feel everyone is entitled to healthcare, but to have the govt. running it seems to be a nightmare.
  6. by   oramar
    Quote from imenid37
    We are already spending an outrageous amount of time charting. When the govt. and facilities keep asking us to do these "little" things that take 5 minutes, they add up. Five of these "things" take 30 min. and 12 take 1 hour. It seems that almost monthly we add something. I love how we add the fall assessment, the skin assessment, the home safety assessment, etc. The research shows these are benficial. I'd love to know under what conditions they were trialed. Many were derived by looking back at charts of people who fell or had whatever problem. If you get a good look at the patient, you probably don't need to fill out a checklist, you can figure it out. I will tell you what really works, each nurse having a manageable number of patients that they can really assess, really talk to, really interact w/ the pt. and S.O.'s. That works and that is good nursing care. It has better outcomes. There's research on that too. How come it is ignored? Nurses and patients are dissatisfied with all of this cover our backside, satisfy medicare, etc. etc. Peopel want to be cared about and nurses want to care for them. I get so sick of telling the staff, now we have to document this or that. Administrators are often unfazed, as they don't have to interrupt an already busy shift to add this extra documentation or ask these questions of people who have demntia and don't know their own names. Our computer charting has so very many rules almost no one does it completely right, because no one can remember all of the rules. I do feel everyone is entitled to healthcare, but to have the govt. running it seems to be a nightmare.
    Right on!!! Most of this additional charting is done so some QA person can sit on their butt in an office somewhere and do THEIR work. How about them walking into the room and having look at the patient's skin or crawling under the sink and looking for mold? Do they really think that scanning all this paper work would change anything?
  7. by   preciosa
    I spend a lot of time filling in forms instead of using that time with patients. Plus add the time I use in faxing this forms to the offices of persons making sure we meet targets. And that is from CCU!!!Every year someone here in the NHS will think of some new forms nurses will need to fill in.
  8. by   ebear
    All of these "extra" assessments are done by nurses ANYWAY when they are given the time and opportunity to take care of patients. Illusion brings confusion. When can we get back to basics??
    ebear
  9. by   ElvishDNP
    Nurses having too much paperwork? No way!!!!

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