ActiveHusky

Does anyone have a policy or process on reasons for not sharing notes with a patient or family on the EMR. In our system, there is a way to block notes from being automatically shared to the patient's record. For example, let's say you have an unpleasant patient or family member that is disruptive and it's getting to the point of effecting the care of the other patients and you are questioning getting security involved. You may make an event report of some kind to describe what is going on, but you also want to have notes in the chart backing up what you are saying, as you don't ever put a note in saying that you are submitting an event report. I may not want to share the note with the patient or family in fear or making them either angrier, or for fear of retaliation or just making the working relationship worse. Maybe if they read a note from the RN describing the things happening, it would just set them off. Whoever is reading the event reports reviews the patient chart, and there are no notes in the chart describing any of the things I am claiming are taking place. I want to put objective notes in the chart, as my peers do as well, but we don't want to make the patient/family behavior worse. If family were to complain about staff, we would like there to be some reference to what has been going on besides a single event report that is not corroborated when reading the patients chart. So, if we put notes in describing these types of things, would it be appropriate to NOT share those notes with the patient?