Are the rest of your facilities doing this? The past 12 months they have steadily added more and more documentation requirements. Dvt risk assessment every shift, now a suicide risk assessment, full admit assessment and a post op eval on all post ops (great that a pt isn't assessed before surgery), q 15 min charting on anyone in restraints, paper plus q 2 in the computer. Q 12 hrs chart checks, a chart audit monthly. Now, hounding the docs to dc antibiotics on surgical pts within 24 hrs. A med reconciliation form they have to sign on admit and dc; of course, they have to be chased down on the dumb things they circle, yes to iv fluids when there going home, etc. A flu and pneumonia shot screening on admit. A steady drip thats becoming a flood. Add to that increasingly higher acuities, how do they thing we can get all this done in 12 hours, plus actually do the care they claim they want for the pts?
