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Technical difficulties - not charting

Nurses   (2,293 Views | 14 Replies)

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SubSippi has 2 years experience.

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Thanks everyone for confirming what I suspected. This is a small, newer company and this is not the only issue I've worried about. I emailed the supervisor about the legalities of this and she ended up saying we can type a narrative but when the computer glitch is fixed we will have to go back and enter our charting properly. I've decided to just muddle my way through and complete the charting here and there, however long it takes, to get it done right.

If I were you, I would definitely still keep accurate records. Even if your company doesn't want a copy, save the documents. If anything comes up, you'll need to have yourself covered. If the legal system or BON has to investigate a case for any reason, they won't accept "the charting system was broke" as an excuse.

The days after hurricane Katrina, when people were stuck in the hospital for days without electricity or plumbing, hospital staff was still excepted to keep up with documentation. Many things ended up just being hand written on blank pieces of paper with the date, time, and nurse's signature. Months and years later, when people started to sue, the people who kept up with their charting were very glad they didn't just let it go.

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5 Followers; 37,756 Posts; 104,733 Profile Views

There is no way that I would delay my charting. I would do it on a blank form and transcribe it later into the database, but I would never delay it.

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5 Followers; 37,756 Posts; 104,733 Profile Views

Agreed you can't just not chart for days on end. What if the patient has to go to the hospital and there are no records available from the PCP? Not good - or at least needlessly exposing the nurses and the practice.

One of my residents went home for the weekend and passed away there. I had a summary due for them and the boss asked me Monday morning if I had done it on time. Thankfully I had. She said it would have been problematic had the documentation been dated for after the death of the resident. Do your charting now on blank paper. You have no way of knowing that one or more of your patients might not die or otherwise have some serious situation happen and you want your charting done.

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