Published
Hi
I'm a new grad nurse who has been working on a busy ICU for 3 months. This is my 2nd week off orientation and I constantly get the feeling that I forgot not necessarily to do something, but to chart it. We use electronic medical record, but sometimes it's easy to overlook something small. Anyway, I had a 3 patient assignment today due to understaffing, but left with my head held high knowing the amount I accomplished in my 12 hour shift. Throughout my 12 hour shift, our charge nurse was charting small things for me, which is common with a heavy patient load. When I got home, I got really worried that I forgot to chart one of my restraint checks. I was really panicked and thinking of going back in to check myself. I ended up calling my unit in which the night charge picked up and let me know that I didn't forget to chart it. Was it silly of me to do this?
amzyRN
1,142 Posts
I second the late entry idea. Unless it was something related to a narcotic administration or to tell the nurse a vital piece of info, I'd do a late entry the next time I was in.