Published
I don't like vague statements like that.. If something should happen and it goes to court, a lawyer will have a field day with that statement. But that's just me. It's a shame we have to be so careful in our documentation.
Another one that many nurses chart that I "like" is "comfort measures provided." Another nice little platitude that makes the person who did the charting feel better.
psu_213, BSN, RN
3,878 Posts
The other day I was relieving a nurse for lunch. After she gave me report, I opened the pt's chart and reviewed things. This nurse (who wants everyone to know that she is the superior nurse to everyone else on the unit) had charted "all safety measures implemented." In addition, she had not filled out the "check box" forms that are on the fall risk sections (check boxes for "bed in low position", "call light within reach," etc.). I'm presuming that she skipped this since she had previously charted that "all safety measures" were in effect.
Now, I don't know about other nurses, but my idea of "all" safety measures are different for (a) a 21 year old who is the ED for a broken finger, (b) a 91 year old with a H/O falls and a probable UTI, and © a 45 year old who is suicidal with a plan.
Am I just being silly about this or will this little "all safety measures implemented" do nothing to protect her if there is an issue with a pt and the :poop: hits the fan?