oramar 1 Article; 5,758 Posts Mar 9, 2008 Joint Commission and the fear factor is what makes nurses spend more time documenting than doing patient care. It is hard to find a balance when you are trying to do both each and every day, because you never know which patient may be a potential law suit. It is unhealthy to resign ourselves to the knowledge that we HAVE to stay more hours to document in order to give patient care, but may not be getting compensated for it. The med-surg nurses at my hospital have been intimidated into not putting in for comp or overtime by being told that "if you have to stay after your shift to document, then, you are using poor time management skills and it WILL reflect in your evaluation (and it has actually happened to them)". Also, I think it is a danger to remain on the floor for too long after your shift is over because if something else happens on the floor and you are present, you may be expected to respond. I stopped having lunch in my clinic because of this. The staff lounge is in another building altogether. I hated going there because on the way, I run into many patients or administrators that ask or demand my attention and I cannot really say 'no', so, I would take my food out and go to a 'quiet' area. When people know I am there, they would come in and say "Oh, since you are here, can you please do this blood pressure check (or injection, nebulizer, etc...)". If I say no (and I have, sometimes), then, I am wrong. If I do it, I don't get those 15 minutes back. Some nurses take to documenting charting everything at the end of the tour, which, I try to avoid doing, because I forget pertainent information. Other times, there is really no choice. Basically, people are doing all that they can do to survive in an arena that is asking for impossible things to be done and the rules change daily.:yeahthat:Excellent post. Neither the nurses who spend too much time with their paper work or the ones like me that blow some of it off just to have more time with the patients are the villians here. The system sucks.