Do you log every "out" time?

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I am using Caredox, and I have to put an out time on everything. If I don't get meds documented within the minute that the kid takes it, I have to then put an out time. So that is a total of three times that I have to document: in, time the med was taken, out. And it's a pain because the current time defaults in. Do you document EVERY in and out time in your logs?

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Specializes in School Nursing.

Yep. It sucks. :(

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Specializes in Pediatrics Retired.

No, I usually go to my med screen and document administration for all of the meds at the end of the day. Bottom line - if someone accuses you of any med inconsistency it doesn't really matter what time stamp the computer indicates unless you have a coinciding video of the process to corroborate your side of the story. That's my story and I'm sticking to it.

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Specializes in Home Health,Dialysis, MDS, School Nurse.

In my computer system, I can schedule med visits and they populate on my calendar every day with the time I scheduled them for. Then when I give the med I just click it as completed. Unless I choose to change the time, it will chart that it was given at the originally scheduled time no matter when I chart it. Works great when I am really busy and don't get meds charted right when they happen.

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Specializes in ED, School Nurse.
In my computer system, I can schedule med visits and they populate on my calendar every day with the time I scheduled them for. Then when I give the med I just click it as completed. Unless I choose to change the time, it will chart that it was given at the originally scheduled time no matter when I chart it. Works great when I am really busy and don't get meds charted right when they happen.

I have the same with my charting system (SNAP). The med automatically populates given at the ordered time. I just have to enter a 4 digit PIN every time I document.

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Specializes in school nursing, ortho, trauma.

for office visits, yes, i hit the time out box. If i'm charting after they came, i tr y to be as accurate as possible in remembering when they were there. For meds i am not as strict with a time out. My rationale is that the med is a scheduled and expected visit. I still need to log that it happened, but how long the student was here is almost immaterial.

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I have the same with my charting system (SNAP). The med automatically populates given at the ordered time. I just have to enter a 4 digit PIN every time I document.

Same here.

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Specializes in Med-surg, school nursing..

We have to chart meds in on a paper MAR, this is so subs, office staff, or teachers on field trips who don't have access to the computer health log can chart. So the paper MAR is a simple and quick time and initial for the kid.

Then I am supposed to chart it in the computer system as well (this goes towards showing how many students I saw that day). This is highly, highly recommended, but if it isn't done, it's not that serious. When I chart in the computer system I will log my time in (refer to the MAR for the correct time) and put one minute later for the time out. There is a way to schedule meds in our IC system, but I ain't fancy nuff to figer't out.

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Specializes in School Nurse, past Med Surge.

My district uses CareDox. I schedule meds at the round about time they're given (2nd grader's lunch med is scheduled at 11:10). I don't change any times on meds unless it's taken 10ish minutes or more outside the scheduled time. Medical episodes I always put an out time. Partly to know how much time kids are with me. Partly to catch the snowflakes who dawdle back to class. I often wish CD had a button you could click to change the time to "current time" for the check out time.

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