Need Charting Help Please

debRN0417 · May 16, 2004

we use a flowsheet for our skilled/subacute charting. it has the check-off stuff on front for all three shifts, pain scale, place for vitals, etc...and place for nurses notes on the back(skilled) the sub-acute one is just a check-off, but there are more things on it like suctioning, vent settings and so forth. for our long term residents we have monthly summaries and just regular day to day nurses notes.

quote=rnwendy]hi guys! i have been in ltc for 8 years. i am a 3-11 rn supervisor. the don and i started at the same time in our facility 3 months ago. he is awesome!!! he has an acute care background with no ltc experience, which i think may actually help rather than hinder him. what he wants is to find some kind of "flowsheet", like is used in acute care, to do daily charting. does anyone use any type of flowsheet charting in their ltc facility? i have searched online all day and havent found much of anything helpful.

any suggestions?

RNwendy · May 16, 2004

hey deb! thanks! is there any way i could have a copy of that flowsheet? i have tried to find flowsheets online that i could adapt for us but have had no luck.

LPN4Life · May 16, 2004

I usually made our flowsheets where I worked off of the spreadsheet on the computer. If you call Briggs, and request a flowsheet from their catolog, then they will send you an example for free. You can make up your own, using theirs as a guide. You can even send in your flowsheet to them, and they can make it especially made from your own ideas.

Lys · May 16, 2004

At the retirement home where I work, we use what's called a "unit daily planner" which may be similar to what you're describing? Perhaps? *lol*

What it is is basically two page document with areas for each shift to chart on noteworthy events, sign off on who was working that shift (granted, we only have 2 staff on at a time), make notes, chart assessments for a few patients.

Much luck with that new flowsheet ;-)

NursesRmofun, ASN, RN · May 16, 2004

hi guys! i have been in ltc for 8 years. i am a 3-11 rn supervisor. the don and i started at the same time in our facility 3 months ago. he is awesome!!! he has an acute care background with no ltc experience, which i think may actually help rather than hinder him. what he wants is to find some kind of "flowsheet", like is used in acute care, to do daily charting. does anyone use any type of flowsheet charting in their ltc facility? i have searched online all day and havent found much of anything helpful.

any suggestions?

never saw it in ltc for nursing...although the cnas have plenty of flowsheets. for ltc nursing, i am not sure what you could put on one...maybe nursing rounds, siderails, callbell, bed position (down), alarms, o2, teds, dressing d&i, dress. change, etc.? maybe a few other things.... that would be pretty easy.

oh, pain scale, of course...forgot that.....oh, and trach inner cannula changes, dress. changes, alll kinds of tubing changes!....and peg site notations! hey, there is a lot of stuff! lol

RNwendy · May 17, 2004

i just ordered some catalogs from briggs and will call them tomorrow. i am still looking tho! thanks for your help! lol my don said he didnt want to "reinvent the wheel" and has me on this wild goose chase. i am thinking maybe i should just come up with one and patent it! i could post it...we could all work on it....lol

FROGGYLEGS, LPN · May 17, 2004

I have never worked at a TN NH that used flow sheets. We've alway did regular nurses notes on everyone including skilled and subacute. We chart on skilled and medicare daily. The rest are weekly. We do have a flow sheet for monthly, but that is on top of the written nurses notes. I'm sure the flow sheets would be welcomed if they decreased the number of narratives.

RNwendy · May 17, 2004

that is exactly what we are trying to do! work smarter....not harder. i am still looking tho lol

debRN0417 · May 17, 2004

i try to check this board regularly, forgive me if i'm slow. if you want to e-mail me an address, i can send copies.

[email protected]

quote=rnwendy]hey deb! thanks! is there any way i could have a copy of that flowsheet? i have tried to find flowsheets online that i could adapt for us but have had no luck.