I was asked by my nursing supervisor to *not* be specific when charting a cardiac assessment. She indicated that much beyond "heart rate regular" was something she didn't want. I'm trying to figure...
Just a follow-up for all you wonderful nurses who gave me such good answers: I finally had a talk with the NM this morning. I told her I disagreed with her on her viewpoint and explained why (using...
I charted on a recent MI patient, "murmur heard best at left 4-5th intercostal" which really isn't very specific. I thought that was pretty generic as it was. I proceeded to chart tissue perfusion,...
Well, I'm going to have to duck and run with this post so all the LPNs in the world don't start throwing tomatoes at me. But, here goes. Some 30 years ago, I started as a CNA. Then I became a...
Originally posted by cheerfuldoer When you chart THAT specifically, it DOES set the hospital up for more liabilities........and I'm not disagreeing with your charting assessment........but looking at...
That was my confusion, too. I felt like if there were implications involved, such as the S3 you mentioned that could indicate CHF, then wouldn't I also state "S3 gallop" and do a pulmonary...