Pkirk618

no it was another RN who charted what she saw. Because they couldn't, or wouldn't chase that RN down for some "needed" additional specifics about the situation, they wanted me to fill in the blanks. So, this hardly compares to having eyes in the form of a CNA seeing something and reporting to me but I understand how that could work under other conditions. Bottom line, one RN charts what she see's and our supervisors want me to chart things that may or may not have happened to meet certain standards (perhaps there was a restraint method used, I don't know but you get the point). This, I'm not comfortable doing and I'm sure it's against some nurse practice act based on that merit. I just wanted some additional feedback. Thanks!

why late entry? I'm referring to charting on something I didn't see. Any Nurse Practice info out there someone can refer and help me?

One night I was charge nurse. The nurse on the other side of our two winged facility charted that she had an issue with a patient and charted appropriately. Next day, the powers that be find out that there's a history with the kid (escalates often) that when he acted up with my colleague on the other side, her charting wasn't suffice. But based off what she told me, it was good. I knew something relatively small happened and it was charted. Maybe even an incident report was completed. But that nurse handled thing pretty spot on. But because they are seemingly trying to CYA for stuff happening before our shift and nitpicking at the things that did happen to our shift, they asked me to chart on something I didn't see. And I didn't see it---and I don't think its right that that ask me to compromise myself/license for the sake of CYA. I get I'm supposed to ensure all charting gets done but I do this based on the information I get from other nurses. If something new arrives to someones attention, those nurse managers should use their time to track that nurse to make the charting more accurate. I can't chase nurses down that work different shifts anyway. What would you do? Is this even remotely right? What nurse practice acts in Illinois protect me? Sorry, pressed for time and I need advice. You guys got the condensed version but the bottom line, I wasn't there for anything they might be worried about so I never saw this patient. Thanks.

When I was a burn nurse, we easily could spend half a 12 hour shift performing tbd. Oh and if they soil themselves....aargh frustrating sometimes. I used to get real creative with sm dressing to include some fancy bolster dressing. I learned so much on the bicu more than my other icu and ER experience combined. The above was the good. The below is the bad. Wearing scrubs on top of scrubs in 100 degree heat could kill a person Keeping up with drips and watching IV fentanyl, mso4 and versed being infused higher then I've ever seen is incredible but again difficult to keep up,with....oh that profofol too.. Then there's the emotional aspect or working bicu. I left BAMC 4s traumatized after just 3 years. I could perform with the best h but I certainly was too sensitive to deal with familiar people, soldiers, colleague going through hell. I developed PTSD working on this unit. Oh the screaming both in the room but the shower, that's crazy time for the masses. It takes a special kind of nurse to do that job. I know some who have done it longer than my 20 years of service when I retired. Those nurses are my heros. I'm proud of my experience but I'm even more honored to work amongst the best. ....

for you or the patient? lol jk. gotta love it.

Just think that what you do now will shorten the pain later. ...and we can't take away all the pain now.

Here is some advice: Stay hydrated and think pain management. Welcome to the world of Burns!!