Where I work, there are some MD's who seem to take quite a long time to call back when paged. When it comes to documenting, let me know what you think of this:
Pt. reports increase in pain to abdomen. Rates pain 8/10. No nausea or vomiting. Call out to Dr. X. to update on condition.
Page number two to Dr. X. regarding Pts. pain level. Will continue to monitor closely.
Page 3 to Dr. X.
No reply from Dr. X. Dr. Y calling, stating can't get Dr. X. on pager, update given regarding patients status. New orders noted.
Just curious as to what my peers think on this kind of documenting. It appears to cover me. I am wondering because I came to work the next day and the doctor crossed out the rest of the page and crossed out the back of the page and started his note on a new piece of paper. Perhaps making it easier to make my notes "disappear"... ?? Should I have documented differently. Haven't heard anything from my bosses... JOHN