Are the rest of your facilities doing this? The past 12 months they have steadily added more and more documentation requirements. Dvt risk assessment every shift, now a suicide risk assessment, full admit assessment and a post op eval on all post ops (great that a pt isn't assessed before surgery), q 15 min charting on anyone in restraints, paper plus q 2 in the computer. Q 12 hrs chart checks, a chart audit monthly. Now, hounding the docs to dc antibiotics on surgical pts within 24 hrs. A med reconciliation form they have to sign on admit and dc; of course, they have to be chased down on the dumb things they circle, yes to iv fluids when there going home, etc. A flu and pneumonia shot screening on admit. A steady drip thats becoming a flood. Add to that increasingly higher acuities, how do they thing we can get all this done in 12 hours, plus actually do the care they claim they want for the pts?
Specializes in vascular, med surg, home health , rehab,.
I agree with you that we are taken away from the bedside too much, but when it comes to a court of law, if we didn't chart it, we didn't do it. Can you save some of this charting until the end of the shift?
Sure I can, if I want to be there an extra hour or two; I did for a long time and I am not prepared to work 14 plus hours will minimal breaks and have to get up and go back to the same next day. 12 hours in my opinion is plenty. Just giving report takes a hour as it is. Enough already.
Specializes in Med/Surg, Geri, Ortho, Telemetry, Psych.
Sure I can, if I want to be there an extra hour or two; I did for a long time and I am not prepared to work 14 plus hours will minimal breaks and have to get up and go back to the same next day. 12 hours in my opinion is plenty. Just giving report takes a hour as it is. Enough already.
annmarie, I was just asking. I'm not saying you should stay late. Like I've said in other threads, I personally don't mind staying late because my kids are getting older and it's not really a big deal for me to stay late, and I'm one of those freaky nurses who love to do paperwork. ;)
Steady drip fof paper work is right! And I work at a teaching hospital so there are forms for studies and performance improvement projects and data collection. I could just scream if I see any more projects. I always said I could be the world's greatest nurse if someone else would chart for me.
;)
annmariern
288 Posts
Sure I can, if I want to be there an extra hour or two; I did for a long time and I am not prepared to work 14 plus hours will minimal breaks and have to get up and go back to the same next day. 12 hours in my opinion is plenty. Just giving report takes a hour as it is. Enough already.