Published Nov 22, 2017
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.
PeakRN
547 Posts
If everything goes well...probably not. If things go poorly everyone gets to read them in court.
Wow- Yep!
kataraang, BSN
129 Posts
Yep, this!
BBP42
107 Posts
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.
applewhitern, BSN, RN
1,871 Posts
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.
pixierose, BSN, RN
882 Posts
I've had docs quote my charting from the night before directly into their own notes i.e. "staff report that ... "
So, yeah.
kiszi, RN
1 Article; 604 Posts
Yep, I've known doctors to look at it. One would even check to make sure nurses were titrating drips when the bps were outside parameters.
meanmaryjean, DNP, RN
7,899 Posts
If no one in the hospital does, eventually an attorney will.
Crush
462 Posts
I for sure read what day shift charted and the physician note from that day. I know our doctors for sure do read our documentation.
KatieMI, BSN, MSN, RN
1 Article; 2,675 Posts
Some professionally looking guys in well-made suites and with the letters J and D after their last names.
Davey Do
10,608 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?
Well, I think we other Professional Button-Clickers read all the charting you do, gypsierose.