Charting!!??

Our computer guy made a simple word system that has contact info / med history and a documentation page for each student that is password protected. Free and easy. Wish we could afford the nice spreadsheet based program like I am used to, but that is just too much for a small private.

I do a combination. I chart visits on a google docs sheet on the computer, but chart medications on paper. Health screenings are inputted into our schools computer software program. I am hoping to start using all computer charting next year, but we'll see if it gets set up for me.

I do exactly the same

eSchool for visits, immis, vision etc. Paper for meds.

Both.

I keep a running clinic log for quick notes through the day then use Renweb for documentation when time allows.

Our school uses Renweb for all communication, teaching and admin documentation, medical documentation, attendance, library, sports, everything.

That is a fairly biased question and I am wondering what you are really asking?

cathymacRN

That is a fairly biased question and I am wondering what you are really asking?

cathymacRN

Who are you directing this to?

My large high school district has SNAP! Very thankful that we do.

I am a telemetry nurse in a medium sized hospital, our tele floor has 32 beds I believe- ICU has 9 beds- and we still paper chart too - the meds, vitals and labs are all on the computer now and CPOE prints all our orders for the clerk to put in the patient chart flagged for us to see and sign. We have a 'trifold' for each patient that we document in through the day that holds the assessment and all nurses notes

Just realized this is in the school nursing section- sorry! My hospital charting means nothing here!!

Yes but I still get to experience SOAPIE, DAR and NARRATIVE charting

I document everything using eSchool and I try to document realtime. Even if the clinic is very busy I am generally able to at least enter a student into the daily log within minutes of their arrival. I have worked in a district where the practice is to paper chart and enter later. The problem with this practice is that the nurse may not be immediately alerted if the student has any medical issues - allergies, asthma, cardiac condition, IBS etc. In eSchool once you enter a student into the daily log, a medical alert appears next to the name if the student has any health concerns, making my job a little easier.

Haha. It's okay.

Just realized this is in the school nursing section- sorry! My hospital charting means nothing here!!