weekly documentation in ltc
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I need advice, we are required to do a weekly summary on each of our pt. Each shift is assigned a certain number of pt. so that all pt in facility are documented on weekly. My problem is, the documentation is so redundent (sp?). How do others document this often without saying the same thing over and over again. I'm feeling really incompetent with my documentation as some of the pt. hardly ever have any changes, they've been on the same meds, same diets, same adl regime, etc, etc,.