hkoreenrs

Thank you wound warrier. I find our computerized documentation program to be a bit misleading at times. I always like to chat as though there is a lawyer looking over my shoulder. However, this subject get brought up over and over each semester when I teach.

As a registered nurse and clinical instructor I am always looking for best practice. I would like to pose a question to see if I can get some legal advice on how to chart on the specific topic of skin integrity. We have a computerized charting system. There is a section titled "skin integity" and the click-the-dot option I have to answer about skin integrity is intact, not intact, unable to assess. So the question is, when is the skin considered "intact" or "not intact"? Is the skin intact or not intact if an IV is present? Is the intact or not intact if an epidural is present? Is the skin intact or not intact with a chest tube or thoracotomy incision? Is the skin intact or not intact with a tracheostomy? Would love to hear your feedback. If anyone has any evidence based practice articles I would love the links. Sincerely, HKoreenRS

Don't forget the FOOD!!

I also recently returned from Nashville for the TCAB meetings. I am excited about TCAB and all the good it can do for the patient's and the staff. We have been implimenting small tests of change this past week. The excitement the nurses are having is wonderful....a lot better than anticipated. We are having a kick off meeting next week (three actually) where we will introduce TCAB to the staff, explain what we learned in Nashville and do a snorkel (same snorkel topic) at each meeting. We have ordered food, balloons and all the stickers and such we will need. I am very excited about this and think it is going to do amazing things for our patients. Would love to hear how everyone elses tests are going and what you are implementing for changes. Excited about TCAB.