I work in a hospital ER that has a "fast track" area, staffed by a P.A., a R.N., and an ER tech. We are using the T System of charting. The P.A. sees the patient, the tech does the dressings and splints, etc.,and also can type up a discharge instruction sheet using Logicare computer program. The R.N.'s major role is giving meds and giving the patient the discharge. My question is how much charting is the nurse legally have to do? Must she legally do the assessment portion of the T sheet. If not how is she libel if she leaves it blank...If you are not familiar with the T System, it is a complaint oriented charting system. My co-workers are having a difficult time leaving areas blank, because we were taught if you don't chart it, you haven't done it. Anyone know the legalities in an urgent care setting??