Does anyone have some basic HHC charts, or sites with charts. My definition o f is basic in something with vitals, i&o's, feeding, linen changes, and meds. The adency that I will be working for says that their charting is a part of the patients file, so after I turn it in I won't have access to it, and I can't make copies, so I want my own, ya know just in case something comes up, and I need to back myself up, with my own documentaion.Thanks.
1angie 16 Posts Apr 6, 2005 Does anyone have some basic HHC charts, or sites with charts. My definition o f is basic in something with vitals, i&o's, feeding, linen changes, and meds. The adency that I will be working for says that their charting is a part of the patients file, so after I turn it in I won't have access to it, and I can't make copies, so I want my own, ya know just in case something comes up, and I need to back myself up, with my own documentaion.Thanks.I have been looking also and have had no luck. If you find any good sites to obtain these, please let me know. Thanks
renerian, BSN, RN 5,693 Posts Specializes in MS Home Health. Apr 6, 2005 I am trying to understand exactly what your looking for? Do you mean a travel chart while you are working and caring for a client or keeping documentation to protect you at some later point in time? renerian
Fiona59 8,343 Posts Has 18 years experience. Apr 6, 2005 My first thought was privacy act violation -- keeping duplicate charts at home.What's wrong with keeping just a record of patient ID numbers in a day timer? Or do you think an agency is going to change your charting?
1angie 16 Posts Apr 7, 2005 I am trying to understand exactly what your looking for? Do you mean a travel chart while you are working and caring for a client or keeping documentation to protect you at some later point in time? renerianI am looking for Documentaion charts. I am a Medical Assistant and I do private in home caregiving. I am currently working with a SCI patient who recently was released from the VA in Seattle after he was struck by a car while riding his motorcyle last year. I made up a Spinal Cord Injury Handbook for this client with informational subjects for SCI's. And in it I have a section where i documents his I/O's, vitals, medication log, etc.. I am very carefull about recording everything !! The only thing I could find on the internet were I/O sheets and treatment planners. Stuff like that, but no good client documentation sheets. I just want plain ol' charting sheets. Nothing fancy. I guess I could just make my own up with "Works". Just thought I would ask anyway. I work 6 days a week plus i went back to school a couple months ago to work toward Bachelors in Science and also working towards Surgical Technology degree. I am so tired most the time I don't have it in me to do massive serches on something so minor. I have been using notebook paper, and wanted something a little more professional looking. Thank you for you reply !!! :
renerian, BSN, RN 5,693 Posts Specializes in MS Home Health. Apr 7, 2005 I think I gotcha now. I always make my own flow sheets on excel anywhere I have ever worked. Are you working agency on a private pay patient or as a privately hired caregiver? If your privately hired I wanted to be sure you were carrying enough malpractice insurance.renerian
FocusRN 868 Posts Apr 7, 2005 I think I gotcha now. I always make my own flow sheets on excel anywhere I have ever worked. Are you working agency on a private pay patient or as a privately hired caregiver? If your privately hired I wanted to be sure you were carrying enough malpractice insurance.renerianYeah, basically a flow sheet. I tried to do it with Excel but I suck at that.
FocusRN 868 Posts Apr 7, 2005 My first thought was privacy act violation -- keeping duplicate charts at home.What's wrong with keeping just a record of patient ID numbers in a day timer? Or do you think an agency is going to change your charting?The only personal info I would need is something identifying , and a list of was was performed at what time, any problems that they complained of, and that is basically it. I am not sure if the agency would try to change my charting, but the AMA, the two office RN's, and the director truthfully are a little shiesty. I just want to be covered no matter what.
renerian, BSN, RN 5,693 Posts Specializes in MS Home Health. Apr 7, 2005 Unfortunately you cannot keep anything pertaining to the client-it is against hippa. Sorry.Isn't your agency providing you with the needed paperwork?renerian
1angie 16 Posts Apr 8, 2005 Unfortunately you cannot keep anything pertaining to the client-it is against hippa. Sorry.Isn't your agency providing you with the needed paperwork?renerianI dont' work for an agency. I am self employed. Thanks anyway. I will make upmy own. And they are not for me to smuggle home a patients records. They are for me to keep daily records of activities and record vitals, bowel movements,I/O's, etc... I design and put together folders pertaining to individual clients needs and cicumstances. In this folder i keep a daily record of everything done with that client. Pretty smart, huh?!!
1angie 16 Posts Apr 8, 2005 I dont' work for an agency. I am self employed. Thanks anyway. I will make upmy own. And they are not for me to smuggle home a patients records. They are for me to keep daily records of activities and record vitals, bowel movements,I/O's, etc... I design and put together folders pertaining to individual clients needs and cicumstances. In this folder i keep a daily record of everything done with that client. Pretty smart, huh?!!You are sounding either like you worry to much , or you are to suspicous. Don't you frett little one. I have plenty of insurance.
renerian, BSN, RN 5,693 Posts Specializes in MS Home Health. Apr 8, 2005 Sorry I did not mean smuggling records. ren
