How Do I Chart That?

re: How Do I Chart That?

Cheryl — Sat, 26 Sep 2009 17:05:47 GMT

Does anyone know a good speaker that we could have come to our facility for education? I think that proper documentation is a large grey area for most nursing staff.

re: How Do I Chart That?

lovetta kargobai — Fri, 24 Jul 2009 03:19:48 GMT

Thank you very much for your education on charting. I try not to write too much in nurses notes.In our facility, we still use flowsheets and write daily notes on each patient. Next time i will definately remember to follow the rules listed above and try to spread the news.

re: How Do I Chart That?

Violetia — Sun, 19 Jul 2009 20:56:14 GMT

Thank you so much for this brief refresher bridgette, I will pass the information on to my colleagues. Though my documentation is not perfect, I often find myself in disagreement with others when it comes to points such as, not mentioning staffing or delegation matters in a patient's chart. Also I'm going to suggest an refresher inservice on proper documentation to my Nurse Manager.

re: How Do I Chart That?

Julio Torres, MSN, RN-BC, CRRN — Thu, 16 Jul 2009 16:11:14 GMT

Documentation of patient care should be reflective of assessment made, intervention rendered and evaluation of response to interventions provided. As such, these written findings is a mechanism of communication to other healthcare members. In addition, the value of quality nursing care can be obtained from the manner in which it was conveyed in a patient's medical record. I appreciate this blog and will share it with my students. Thank you Bridgette for sharing.

re: How Do I Chart That?

Stephanie — Wed, 15 Jul 2009 14:57:44 GMT

My nursing instructors did teach me the proper way to chart. The charting above sounds like a second grader wrote it. I think charting like that should be frowned upon and those nurses should have to do continuing education on it before returning to work. I'm sorry but I was also taught that nurses are not the doctors handmaidens any more and that we do have brains. I went through a lot to get my degree, multiple medical-surgical classes, a year and a half of psychology courses, and multiple other courses, and I am going to write like I did. I am going to write as a competent individual.

re: How Do I Chart That?

Marcia Hymon — Mon, 13 Jul 2009 06:21:11 GMT

Bridgette, your sharing of the seminar you attended on Legal Documentation is very enlightening. Continue to share your thoughts and ideas with your nursing community. Thank you for the reminder on legal documentation. I enjoyed your article immensely.

re: How Do I Chart That?

Sherry — Mon, 06 Jul 2009 17:34:48 GMT

This article is imperative in our current working environments where technology plays a huge role in how we communicate to each other especially the manner in which we document what we do. Even though handwriting was difficult to read at times prior to the electronic chart, the computer "spell checker" is not accurate either! Thanks Bridgette, I really enjoyed reading this!