I need help...holes in MAR

[jeanne1657]

Hi everyone,

I need to come up with a solution for ending each month with "holes" on the MARS and TARS. We have tried the shift to shift check system (oncoming nurse checks off going nurse), we have tried to have the unit manager (me) check the records daily and call the nurse at home to come back in and sign (that didn't work because I would get busy with other issues and didn't always have time to check), we have tried disciplines, we have tried re-education....nothing has worked thus far. I need any suggestions you may have. Part of the issue is that I don't have consistent staff on my unit due to staff shortage however, the nurses that float to my unit should be consistent with their work. Can anyone offer some help? Thank you in advance (tomorrow I'm in the hot seat in morning report....please save me!)

[NurseExec]

As I posted on another thread, I have my nurses swap MARs/TARs with their wing partner before they leave for the day. I've found it to be more effective than having the oncoming nurse check it with the offgoing nurse--they both look at it all the time, and it's the nurse who DOESN'T look at it who will catch those one or two holes....

[hippylady7211]

Don't know if you can do this but if one of their job responsibilities is to make sure they fill in their holes, is that they have to complete their documentation on the MAR's before they get their paycheck.

Have the MAR's in the same place they pick up their checks or in DON's office or med records and they (DON or med records clerk) will need to sign off that the documentation has been completed. No check until documentation is done. First time they don't get their check for a day or two you problem will be solved.