Fountain Pens for Charting

Nurses General Nursing

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This is really, really small potatoes in the scheme of it all but I've been wondering about this. Does anyone routinely use fountain pens for charting? As long as notes are neat, well done, and clean/professional in appearance (no smudges/blots/etc), would anyone mind if it was done in ink as opposed to ballpoint?

For background, I'm in a new grad home healthcare program (mostly complex pedi cases, traches, vents, g-tubes, TPN, etc.). At my new agency, virtually all charting is paper. This week has been all classroom; I've used a fountain each day but no one has mentioned it (nor have I brought it up). My writing speed is the same as it is with ballpoint (if anything a bit faster since I'm more used to fountain). I've used mostly fountain pens since I was 11; I had the opportunity to try one out and it was love at first-write :-). They really are a lot easier and cheaper than people realize. There are high end brands yes, and those are the ones doctors and lawyers tend to use, but you can get one that writes very similarly for less than $10.

For important documents, I only use a couple pens I really "trust". Ones that never blot or smudge. The right type of nib will exert enough pressure to work on "carbon copies" (technically "pressure copies" now I guess). I also use very fast drying ink (gotta clean my nibs constantly now because it can dry and form mini plugs but worth it-never smudged since switching a couple years back). None of my pens are expensive. If I ever lost one I'd only be sad for sentimental reasons (I've had many of them for several years, and a couple are from street fairs and would not be possible to replace).

I do know that fountain pens are good for legal documents because they are virtually impossible to forge. Are there any other issues I may not be thinking of?

Specializes in Early Intervention, Nsg. Education.

In homcare? I wouldn't chance it. The first time anything lands on a wet surface and a spot goes through the page onto someone's kitchen table...

There are so many quirky aspects to home care (visiting nurse or private duty) that could end up with your supervisor calling you in to discuss some inconscionable act that the client/parent complained about, like...oh, I don't know, using more than 4 squares of toilet paper during your 12 hour shift, mixing formula at 4:59 instead of 5:00PM on the dot, re-dressing a child in pants that didn't come with the shirt because the pants got wet but the shirt is still clean, getting a microscopic spot of betadine on a disposable chux after straight cathing...

The super duper important and life-threatening stuff. Obviously. ;-)

Why add even a theoretical catastrophe to the list if you don't have to?

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I was taught that we should all use pens that look alike. If the pen is different it could catch the eye of anyone investigating any thing, and pens that are not black and ballpoint are subject to closer scrutiny. I prefer blue gel pens - but at work it is ALL

black ball point.

Specializes in critical care, ER,ICU, CVSURG, CCU.
I've got a couple homemade ones (bought at street fair). One uses a fine Zebra nib, the other is a #4 Iridium extra fine point German. Both are excellent for not bleeding through. In fact, ballpoint is more seeable through paper than the way these two write.

I really love it hem

I was taught that we should all use pens that look alike. If the pen is different it could catch the eye of anyone investigating any thing, and pens that are not black and ballpoint are subject to closer scrutiny. I prefer blue gel pens - but at work it is ALL

black ball point.

I worked for several years as a hospital surveyor (for my state and CMS) and I can assure you that no one in our agency paid any attention to the style of pen or color of ink when we were reviewing charts. We were only interested in the content of the charting, not what the charting looked like.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
I've got a couple homemade ones (bought at street fair). One uses a fine Zebra nib, the other is a #4 Iridium extra fine point German. Both are excellent for not bleeding through. In fact, ballpoint is more seeable through paper than the way these two write.
I am going to advise no. Those inks are not waterproof. If something is spilled there go the legal documents. Your home agency isn't computerized?

I would suggest using homemade ink from crushed minerals and charting on vellum using a quill or reed pen.

Specializes in NICU, Infection Control.

I have had fountain pens that leaked all over everything. Try some different ballpoints: barrel width, speed of ink flow--I hate it when I'm writing, and the pen is 3 words behind me. Find one that feels good, and buy several.

Start liking the ballpoints!! ;)

Specializes in Oncology.

Just as an update, I've been using my Iridium point fountain pen that I got at the fair. A child spilled water all over my charting and...it was totally fine! Quick dry ink really does work. My handwriting looks way nicer and the only person who mentioned it was a patient family member who asked to try it after seeing me use it. So yes, it can work. It's one of those things that sounds like a terrible idea but is actually fine I think.

Oh and the child spilled it on the papers while I was charting. I'd written on the area she spilled it on probably less than a minute earlier. Really love quick dry ink.

My husband is an engineer who collects fountain pens and inks. There are good quick drying inks to use. Glad you found something that worked.

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