Published Oct 9, 2011
traumaRN1908, RN
132 Posts
Does anyone have a chart audit form that they would be willing to share? I need to develop something, and i have no idea where to start. Any help or guidance would be greatly appreciated.
:)
LouisVRN, RN
672 Posts
I've done a lot of chart auditing before but it was all for a specific purpose, what are you looking for?
CapeCodMermaid, RN
6,092 Posts
I think the focus of the audit would depend on where you practice. My audits of charts in the SNFnwould be of little use to someone who works in an ER or ICU.
cher1157
6 Posts
If you let me know what you are auditing, I can create one for you. I do chart audits all the time and make up my own.
kyshoegal
2 Posts
I need a chart audit tool for LTC. I am also new to this role and currently we have about 3 different tools but none are effective. I'm looking for something that can streamline the process and be a complete tool. Something that includes MDS completed/signed timely, admission orders completed and signed within time frame. It would need to include documentation criteria, ADL's, care plans..all the important aspects. It would be a HUGE help to me to have just one tool, I can use to do monthly audits on all the units.
I created an audit tool for kyshoegal. I am not sure how to email back to you.
you can email me at [email protected]. THANK YOU SO MUCH!!
I am looking at ER charts that are paper, and focusing on Triage and Lenght of Stay. I am not sure where to begin with this.