I recently resumed my or career after a a 20 year hiatus raising 3 children with Tourette Syndrome. The volume of paperwork for each case is incredible and very redundant. I'm at a small hospital with only 4 operating rooms, 2 endo rooms and a cysto room. There is a three page nursing record, a huge charge sheet and 4-5 other documents. Depending on the case, there may also be a special charge sheet as well. Is this the norm? I's not what I was used to. I hardly have time to think about the patient or the case at hand.