progress notes

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Is it appropriate to put what family members say in a progress note? Such as that they are not happy with the facility and that they were accusing staff of keeping a patient awake.

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Specializes in Geriatric.

I wouldn't include anything negative about the facility but you could put something like "Patient's family expresses concern that patient isn't getting adequate sleep. Will monitor for sleep disturbances."

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Specializes in Emergency Department.

I'm going to go the exact opposite, I would document verbatim what was said both by nursing staff and family. When complaints come in it is nice to have contemporaneous notes.

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Specializes in LTC, med/surg, hospice.

If a patient family is saying they aren't happy with the facility, I am going to get a charge nurse or even house supervisor involved so they can file a formal complaint. I would not just place it in the progress note.

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