Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

To chart, or not to chart

Ok nurses! We need some answers..... I have been a nurse for four years now, and now our company has this new policy. I, along with other "seasoned" nurses, are questioning this policy. Ok, so something happens and it cannot be handled by the nurse per company policy and rules, therefore the nurse informs the manager or "boss", which is a nurse as well. Is it proper to chart that the correct people have been informed of situation? (This is not an occurence, we are aware that is something different.) But we have been told not to chart that any other person from management has been involved in any care (making us feel that if legal issues were to come up, management would be free and clear when we weren't able to handle situation in the first place). Please some feedback, because now we are confused about how to chart these situations.. Thanks.

Featured Replies

WOW, I acutally couldnt prove that I notified a supervisor that my patient's blood from the blood bank was late. When it came down to the verbal coaching the supervisor never recalls being called. So from that point on Ive made a point on documenting to whom the information is given. Like you said it seems as though everybody else is free and clear. Why are "they" special and exempt?:confused:

How could you not say they were notified? Otherwise wouldn't it look like you didn't do XYZ? Am I missing something?

When I contacted the supervisor of anything, I charted it. Period.

Eeny..Meeny...Miney....Mo, who's license is gonna go?

(it wouldn't be mine!);)

Contact your BON. Maybe they can help.

Is that new policy in writing?

Is that new policy in writing?

If you find it in writing, keep a couple of copies in case it disappears when **** hits the fan.

OMG,no way.. You chart the problem and what you did.. Period.

Nursing 101:

If it isn't charted, it didn't happen.

I think you need to continue to CYA!

I would bring as many people into it as I could. That is such a nice way of saying we dont want any responsibility and can blame it on you if something happens. I dont mind ever dragging more people into my charting to cover my own butt.

I always chart under collaboration!

always chart. in 7 years, the people involved won't remember specific conversations, so you have to cover yourself. it doesn't necessarily have to be detailed; you can just chart "d/w _________, supervisor/manager/whoever." in my hospital, we have to make a note when a patient falls, and part of that note is charting that you spoke with the doc, patient's family member, and that you notified the patient care supervisor, manager, and CNS, even if only by text-page. you are ultimately responsible for your own license.

It all boils down to CYA, because no one else will if the S hits the fan.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.