Thought provoking article! As for charting, I try to prioritize charting items more thoroughly that could ever be called into question in the future. I absolutely can not chart it all... I got a kick out of your true to life charting scenario! In 38 years, I have never been called to testify, although 2 cases I was involved in were settled out of court, neither my fault. Patient satisfaction has gotten out of control for some! Yes, we all would like to do our best to help ease the stress and pain of a hospital experience, but the expectations seem to have increased over the years and our ability to meet them is stifled by work demands and issues out of our control at times. Our hospital signs advertising patient rights have been replaced by signs saying "we will not tolerate aggressive behavior" and "code grey" security overhead paging is at an all time high. The questions determining patient satisfaction don't get to the heart of true success in nursing care, I don't feel.