Nurses General Nursing
Published Feb 19, 2016
floridaRN38
186 Posts
I work in the ER. I was curious as to all nurses about how u document certain things. I had a pt screaming profanity. Now do you document word for word what they say?? And put it in quotes?? Last time I was in nursing school was 10 years ago. Just wondering how u guys do it. THANKS :)
LeChien, BSN, RN
278 Posts
I haven't had that happen but I would chart it in quotes most definitely.
Nonyvole, BSN, RN
419 Posts
"Pt screaming and yelling profanities at ER staff." If there are any explicit threats, then I chart them as a direct quote.
Altra, BSN, RN
6,255 Posts
Agree with the post above - this is exactly the dividing line that I use. I avoid filling up a chart with expletives (though sometimes they are so creatively worded, it's tempting ...) until a direct threat is involved. Then I quote directly - Patient states "I'm going to knock your ******* teeth out."
Well they said "you are a stupid f---King doctor nobody here knows anything and a f---king house fell on My head". Ended up discharging this princess with the help of our detail officer.