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I have seen that good charting can save the facility a tag when the state comes in. If we are watching someone for signs of dehydration, or monitoring post fall, those are events that the state seems to love looking for the documentation that we were really on top of the follow up according to policy. I have felt the same way though, especially when we have to duplicate the same charting in three different places.
Oh, yes, we have people in our hospital that read every word we chart. Sometimes even while you are still charting! They notify us if we leave off something like pupil sizes for neuro checks, forgot to chart a daily weight, etc. I know not every place does this, but mine sure does. They go over every single thing and you will get a note to correct it, if need be. I don't mean falsify anything.
So I know I have to do it, and I know it gets crunched through a spreadsheet somewhere and some bean counter bills for it, but does anyone anywhere read all this charting I do? These hours of drop down menus that pull me away from my patients?
Well, I think we other Professional Button-Clickers read all the charting you do, gypsierose.
gypsierose
81 Posts
So I know I have to do it, and I know it gets crunched through a spreadsheet somewhere and some bean counter bills for it, but does anyone anywhere read all this charting I do? These hours of drop down menus that pull me away from my patients? Disclosure- new nurse.