Published Apr 6, 2006
alange75
1 Post
Hi all- I am new to the forum and desperately seeking assistance. I am an active duty RN serving in the Navy, and currently stationed overseas. I am working in an ER with pen and paper documentation. It takes too much long hand, especially with trauma victims. I am also currently working on my masters degree online and my major project right now that I chose to undertake is the revision of the documentation tool. I would like to develop a multisystem trauma checklist style format. If anyone has great documents such as these at their facility and would be willing to share them PLEASE feel free to email me
Thank you so much and I look forward to this forum experience with all of you.
Amy
jillyk*rn
859 Posts
awahweotten
4 Posts
Hi all- I am new to the forum and desperately seeking assistance. I am an active duty RN serving in the Navy, and currently stationed overseas. I am working in an ER with pen and paper documentation. It takes too much long hand, especially with trauma victims. I am also currently working on my masters degree online and my major project right now that I chose to undertake is the revision of the documentation tool. I would like to develop a multisystem trauma checklist style format. If anyone has great documents such as these at their facility and would be willing to share them PLEASE feel free to email meThank you so much and I look forward to this forum experience with all of you.Amy
Hi Amy,
Advanced Trauma Life Support book has a very good example of a checklist for documentation. In addition, I would be happy to fax or mail you a copy of ours from where I work. It's great!!! A guided checklist of your primary and secondary assessment. The only charting left to do would be transfer out and report given to yadayada...and the meds, fluids. Easy tool.
NDN_RN
suebird3
4,007 Posts
Welcome to allnurses.com!
Suebird
RainDreamer, BSN, RN
3,571 Posts
Hi Amy, welcome to allnurses!! :)
bethin
1,927 Posts
Hi Amy and welcome to Allnurses! :balloons:
Sorry, but as an aide I can't offer you much help. But I will say I'm jealous that you're in the Navy overseas. Extremely jealous. That was my plan but health issues got in the way.
You might try posting your question in a trauma forum. I'm sure they can give you more help.
Good Luck!
JRapha'sRN
127 Posts
If you PM me with your address I can send you a copy of our trauma flow sheet. We use computer charting for most things, but paper for traumas. We use a three page spread that is very comprehensive. Let me know if you want me to mail you a copy. Good luck!