If it wasn't charted it didn't happen

[HamsterRN]

At my facility, we are going to be changing our charting system to one that will be truly "by exception" and I foresee some friction from some staff. We currently use an EHR that is essentially "by exeption", but it allows a lot of leeway for nurses who want to chart more than needed, both in their note and their worklist. The unneeded charting in the worklist won't be possible, and we won't really be able to allow nurses to write the minute-by-minute shift summaries that some use currently (ie 1400: gave patient blanket 1410: Pt watching TV, etc.)

For those that are opposed to or feel uncomfortable with charting by exception, what specific issues/concerns could be addressed that would help you feel more comfortable and supportive of such a system?

[HamsterRN, ADN, RN]

Where would you consider it appropriate to draw the line? Do all standards of care need to be charted on specifically? Pt specific standards of care only? Interventions only? How do we define an intervention?