i have had some luck with the informed consents. i pulled out the p&p manual for the hospital and showed the radiologist what he is required to do and i think things will go smoothly with him for a while! he has been spoiled by the rad techs, who didn't realize that the md's needed to get those consents. as for the sl charting, i called some other hospitals including my sister facilities and it seems that either the ct techs, etc. do not chart anything or the nurses start them and chart on their notes if they are going to be with the pt. otherwise nothing gets charted. i guess i have been in the er too long! the techs had to chart their sl's in our notes. as for charting contrast, the only place this gets charted is on the requisition for the test and faxed to pharmacy and the doc's chart it in the progress notes. that's it. i am in the process of creating my own documentation forms, which has been more challenging than i thought! i have gathered many forms from my hopspital, sister hospital and others near me so i figure i will do like so many others and just chart if i am in a procedure and play it by ear for the rest. jacho is not due back for 3 yrs so i think i may have some time! wish me luck! thanks for the responses. i just love this site. so much info here.