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Rnmo21

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  1. Copying & Pasting is fast, yet can be dangerous. You have to be careful to go through ea line item & individualize. Notes made also copy. Word for word can be obvious & wrong in a case I know about. Several shift nurses over 48 hour period copied skin assessment notes, yet, pt acquired a DTI during this time. All nurses involved were liable and written up. It is safer to go line by line with your own assessment, comparing to previous for baselines. Hitting tab button, or clicking on the choices in upper corner are all fast options. Regardless of the millions of tasks that are added to our jobs, it all boils down to the golden standard. If it is not documented, then it's not done! The Nurse will always be like the first to be blamed! CYA!!!

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