TXnurse87

I have to take this class again. I better pass or....

well we have to place our notes there. we cant make general notes and pass it to the supervisor since there are many of us for that one supervisor. Another reason i think they do that is since its computerized we have like 24 hours to make changes in our notes before they lock in and become permanent

Hello all. Ok. I am needing some guidance or opinions of other nurses. So I have recently started this new nursing job. It's a third party company that deals with short term disability. Basically my job is to review medical information and see if the medical submitter supports approval of the std. We make notes about what the medical is and it's the diagnosis and rational on why we think it supports or does not support. My issue is that if I feel like the medical does not support and I explain that in my rational then my supervisor (who is a non medical person) decides if it does or does not as well. If they feel it supports when I don't they tell me to change my rationale to make it support. My issue with that is that I feel like they are making me change my "nurses notes" in order to how it supports. I think if the supervisor think it supports or vice versa then they should put in a note saying why or why not. The bigger questions is, are the notes I place really "nurses notes?" Sorry about being all over the place but I do need some help and guidance. If you have any questions please ask.