The hospital I work at has Meditech...In my ICU we document Q2H and PRN. 3 head to toe assessments, 0800, 1200 and 1600. Q2H assessments which are focus assessments like IV sites, Neuro assessments, Skin, etc. are done at 1000, 1400 and 1800. Narrative notes are done with head to toes and PRN. For me it just becomes routine and I'm just used to it. It was the way we were trained on our unit, so most of us don't have a problem with it. I think it's important, seeing that any one of the assessments or conditions can change at any moment. I hope this helps. I mean with a patient load, it is possible. It only becomes difficult if we ever, which is rare, take a third pt.