Put the darn chart back!

Nurses General Nursing

Published

I don't know how those of you that are day nurses deal with docs leaving charts all over. I really don't understand how hard a concept it is to either put it back on the door, or if life is really that busy, drop it off to the secretary at the desk!

OK that's it.

:heartbeat Tait

Specializes in Neuro/Med-Surg/Oncology.

BTW, all of our orders have been electronic entry for the last year and a half and I love it for all the above mentioned reasons. No more being surprised by a 5 hour old STAT order. :w00t:

Specializes in Adult Critical Care/Neonatal ICU.
Makes a great case for computer charting. I can't wait until the day comes when the doctors have to put their own orders in the computer. That would be heaven, no more deciphering what that scribble is.

This would be wonderful. We have computer orders but the doctors aren't required to enter their own orders (except the residents) so sometimes they will leave the unit and call from their cell phones to give verbal orders that the nurse now has to enter. Or they scribble orders on a post it note and say, "I'm really in a hurry....can you enter these?". Or even worse, they just write things in the progress note and when you get a chance to read them later you realize that they never ordered the things they talked about in their progress notes. So, did they change their mind about what to order or did they just "forget". Then you have to call them and clarify what is needed so yet again, the nurse ends up entering the orders.

I don't know what they are going to do when progress notes will be entered on the computer. I hope they don't think they can write it out the way they do now and expect the nurses to transcribe their notes into the computer!!

Specializes in Psych.

:coollook:Wow, I thought not putting charts back in the rack and if it has an order on top of the rack; only happened in our small hospital. I agree withe lpnflorida, Dr's should have to put their orders in the computer so we don't have to decipher them. You know it's really bad when the pharmacy can't read their hand writting either.

Ah, another "pro" for electronic charts!

Bit off topic, But,

I :redpinkhe:redpinkhe:redpinkhe computerized charting. Cerner is the easiest to use, IMO, but then again I've only came across Cerner and Meditech.

Funny that it cuts both ways.

The worse thing about working in facilities with paper charts for me, is that the nurses consistently gather all their patients' charts, then go hide in the break room or empty patient rooms so that they can chart on all their patients at once.

And of course, when I need to write orders, the nurse in question is on break, meaning I get to search the entire floor for their secret hiding place.

God bless electronic medical records.

Specializes in Neuro/Med-Surg/Oncology.

Definitely. If I have all of them, at least they don't leave the desk. I also work a lot of nights and just try to be more aware of people walking on and off a unit from a safety standpoint. Once in a while I'll see a doc eyeballing my stack of binders, I ask who he's looking for before he wanders all over God's creation.

Our computer syetem is awful. The other medical facility in town got rid of it. When our hospital started using it, they didn't put in the stipulation that we get the most up-to-date version and it shows. But I still love, love, love it for the orders. They go right to pharmacy too, so I'm only stuck making 75% of the phone calls to them that I did before.

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