kerbear829

I have worked in ASC for 13 years. I came from a hospital ICU where you charted everything and at the ASC we charted by exception only. We have done a huge turn around where we document every nitty gritty detail. We devised a check system and are able to complete charting immediately. When the patient is discharged we complete the IV and sign out the time. We are done. The system took a lot of work. We planned it like an EMR but on paper. Now, the charting is so detailed for the Post Op, that we do check the charts at the end of the shift to see little details are complete. But we have NO overtime related to charting. Our ASC would not tolerate it.

I've been a nurse in NE since 1977. I have never had a MD or PA request patient destroy a previous medication before ordering another one. My family have never been told this either. I am currently employed in ambulatory surgery. I see MD's write different scripts all the time without requesting destruction of the other. So not much help, I guess.