Filing PT/INR results

Specialties Geriatric

Published

Active charts in LTC can become very 'thick' quickly and legally there's only so much that can be pulled out and filed. Since PT/INR's are drawn so often, how many weeks/months worth of PT/INR's do you keep in the active charts? These results are faxed to us separate from any other labs drawn that day and I'd like to thin them out a bit. Thanks

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Specializes in LTC,Hospice/palliative care,acute care.
Active charts in LTC can become very 'thick' quickly and legally there's only so much that can be pulled out and filed. Since PT/INR's are drawn so often, how many weeks/months worth of PT/INR's do you keep in the active charts? These results are faxed to us separate from any other labs drawn that day and I'd like to thin them out a bit. Thanks

I'll check tomorrow-we have a procedure dealing with every aspect of chart thining.For PT/INR's we also have a flow sheet that stays with the MAR.I think we thin off labs q 6 months unless it's an annual then we keep current and last..It's rare but some residents are stable and that's all that is on the chart) then we keep 2. We started using the flow sheet 2 years ago-it's nice

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Specializes in acute care and geriatric.

We keep a flow sheet with Dr's orders plus nurses signatures (which must be legible) for the Coumadin and INR results. The doctors get the blood results by computer so the doctor writes in the result and signs it. So I have one flowsheet for about 40 days, we keep up to a year in the chart(9 pages) and the rest goes to archives

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