bsndeedee

I would love to just use a line instead of N/A what I would like to do is find some guideline that would show that it is acceptable and legal to document that way. As far as I know our policy does not address this specifically. Just a department preference because one nurse charts that way.

I thought I would add. The flow sheet has a place for almost everything that I do with a client. Plus I have the paper MAR that shows each treatment and medication. It was my understanding that they developed the flow sheet to decrease the amount of narratives that had to be written. Can't seem to get it through to the managers that we shouldn't have to chart things twice.

I know that the home care and hospice nurses use ELectronic records and charting but I do extended care in the home and there are very few clients that fall in this category. I spend 10 to 12 hours with these clients and have completely different charting from the other departments.

Thank you.

I know that paper charting has become almost obsolete these days, but I work in extended care at a home care agency. We use a flow sheet for charting and it is all handwritten. I used to put lines in anything that wasn't assessed or needed when charting. There are specific items that are assessed hourly and things that would be charted should something occur in that time frame. Plus there is a nurse note area for abnormal findings. During external audits this has not been an issue but now they want N/A put in every box not used. I think this makes the flow sheet difficult to read. Is there specific rules somewhere that says N/A should be used? I would think if a line can be put through half a page of unused lined paper after a nurses note or doctors note that it would be okay to Pu a line through a box that is not used on a flow sheet. Another question I have is. When using a flow sheet that covers all aspects of cares, is it necessary to write a full chronological narration of the entire shift? I have been a nurse for 8 years and I still struggle with writing narratives and would like to decrease the amount that I have to write.

No I have not disclosed it. I have kept it hidden for years and I have attempted to compensate for it. I have only recently discovered through research that My inability to manage time and organize is another part of my disability. I always thought it was my fault and I have not had any medical treatment or therapy since I had corrective surgery to correct my physical defects. Therefore, I am not sure what to do now. I am going to try to talk my family doctor but she is not always receptive. Idon't want to say anything since I have no proof. My childhood record were sealed when my physician died and I am not sure that the hospital that did my assessments and surgery at age 9 would still have any info.

I feel like it is my fault if I am not done. I also have an undisclosed disability that makes me slower than the average person and am not sure what to do about it

Lynda Carpenito is the author of one that I use she has a couple of different ones try searching the online bookstores. My instructor had one that had clinical nursing in the title.

You could contact someone who works there to get an idea about the dress code. I think it would be a save bet to follow the rules before you get the job.

I should have also mentioned that there are ways to get the pre-reqs done but you should think about whether or not you might be eligible for financial aid because there are ways to get the courses but they can be spendy.

Alot of schools have a Pre-nursing program since there is a waiting list to get in. Then there are various programs for training most often you must get your LPN first then there is a bridge program or a continuation to get your RN. The RN is usually an AA degree but some schools ofer an accelerated program to get the BSN. You will have to check around where ever you are interested in going. Good luck. What basic classes have you had?

If you have some time before your interview go to your schools career counseling office and do a mock interview. Don't forget to take a copy of your resume and references. Take a deep breath and smile.

When I had my first child my OB-GYN put me back on my regular birth control pills which caused my milk to decrease gradually despite breastfeeding and pumping. Anti-histamines also effect milk production although no one prescribes these as treatment. The side effects are there. The mini-pill that I was put on after my second child had no effect on my milk production. I don't know if this is helpful for your paper but it does make a person think about drug side effects.

you can take the clep or dante exam at any college for around $75 you do not have to be enrolled. Contact the testing or assessment center at a local college. Then you can have them transferred to EC or you can do them online through a regular college and maybe even use financial aid if you take at least 6 credit hours or whatever is considered half time. EC will allow you to take the nursing exams if you are within so many credit for your degree. I dont remember what the number is off the top of my head. There may be a fee to have them put on your transcript.