Implementing New ER Charting - Please Help!

[GlobalNurseRN]

Hi All,

I am searching for some help on documentation for Emergency Departments.

What I need - sample ER documentation forms (primarily nurse charting)

Explanation - Although a relatively young nurse I have become the nurse manager for a hospital in East Africa. The region has a huge need for improved health care and the hospital I am at has a vision to become the leading model for advanced medical and trauma care. Part of that is a recently built trauma unit/ER, including trauma training for staff. However, the current documentation is almost non-existent. Nursing here is traditionally a non-thinking sort of position, follow the doctor and do what is told, no questions. So, the potential for training the nurses and improving standards right now is huge. What I would like to do is implement a new charting format that provides cues for what things should be monitored and assessed - basically your average emergency department charting template/sample type of thing. If you have access to that and could send it, it would be wonderful. Or if there are samples online (it would have to be free as there is no budget), that would be great too. Also if there is a nurse manager with experience working in developing countries interested in dialoging, please let me know. Thank you

[traumaRUs, MSN, APRN]

T-charts are paper-based which might help you. Another good resource would be the ENA:

http://www.ena.org