Home Care Treatment Sheets

[Dixiedi]

I was just wondering if anyone else has nursing staff who insist on putting such things as the below list on the patient treatment sheet. I believe they should not be there. Only nursing treatments should be there. These tx sheets are so long it's easy to miss an actual tx!

• empty the waste can QS
  
• VS Q2H (this is our agency standard)
  
• Laundry QS
  
• Assess tolerance to TF (wouldn't that be included in actually running the TF and not be a separate entry?)
  
• Lising individually every piece of equipment in the home (this is also listed on the equipment sheet--- I'm talking about an QS initial on the Tx sheet! as if it were a tx for things like... hospital bed, side rails, kangaroo pump, IV pole, W/C, just everything)
  

I did an oncall shift in this home and one of the girls didn't get any supper until almost 10PM! (Long story, but is directly related to all the junk on the Tx sheet.)

Oh well, just wondering what other nurses are running into on Tx sheets.

[hoolahan, ASN, RN]

I don't do this kind of HH nursing, ie shifts, but my general rule is, if there is a check list I can intial, that is one less thing I have to write anywahere else. I NEVER double document unless it is unaviodable.

As for HHA and Nursing skills on the same list, they should have 2 lists. HHA is unskilled and nurse is skilled. Not that a nurse is above emptying the trash, just that if you do it, you can initial it on the HHA form, your FOCUS should be on the nursing needs, and I can understand why you feel the form should be nurseing procedure specific. Try to design some seperate forms for your boss to consider when you bring this up to him/her. get some input from your peers as well.