I am a new hospice nurse, and I could use a bit of advice on charting.
The agency I work for does continuous care shifts for anyone who is actively dying, so that they remain comfortable.
One thing I've had trouble with is ensuring that my charting can reflect the care I am giving, when it comes to vital signs. Often once my patients reach a certain point i first can no longer obtain o2 sat, then bp and so on.
Can someone give me a few pointers on what is the best way to reflect this in my charting over a longer period of time.
And, if you feel up to it any other tips would be appreciated. I've only been at this for a month or so.
FLArn
503 Posts
I missed hourly too. We do vitals only once per shift or visit except for temperature or respiratory rate to chart effectiveness of an intervention.