Without a kardex, how is general information passed?
I have worked at only one facility that did not have Kardex, and we received no information during report. Other departments were not happy with the lack of communication, teaching wasn't done because no one knew about it, IV sites without dates, not charted in nn.
The information that I am concerned about is diagnosis, history, orientation, mobility status, teaching needed, diet, dates of IVs and dressings, etc. If it is not passed on in report- no way of knowing.
How do you communicate basic information at the beginning of a shift? There is no way that I would have time to check all charts and review all orders at the beginning of a shift (and sometimes throughout the shift).
What do you use instead?
Everything we have is on the computer. We get printed out MARs, and Patient Care summaries, which have the pt's dx, hx, allergies, code status, fall risk and mobility status, IV site, and all orders, including diet, meds, etc.
I am a new graduate from last year, and never saw a Kardex until my very last rotation at a hospital that didn't do anything on computer. I was amazed (and a little horrified, to tell you the truth) that in this day and age, this info isn't kept in a centralized place on a computer somewhere, but penciled in on a Kardex. Any Joe blow off the street could come in and take a pencil and change IV fluids or orders, or dressing changes (oh, also the charts were kept RIGHT outside each pt's door in little pull down desks). I'm telling you, it was an eye-opening experience (and rather medieval, if you ask me!)