experience –
To chart or not to chartRating: (votes: 0) 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? Comment:
How could you not say they were notified? Otherwise wouldn't it look like you didn't do XYZ? Am I missing something?
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When I contacted the supervisor of anything, I charted it. Period.
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Eeny..Meeny...Miney....Mo, who's license is gonna go?(it wouldn't be mine!)Contact your BON. Maybe they can help.
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Is that new policy in writing?
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Quote from systolyIs that new policy in writing?
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OMG,no way.. You chart the problem and what you did.. Period.
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Nursing 101:If it isn't charted, it didn't happen.I think you need to continue to CYA!
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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.
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I always chart under collaboration!
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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.
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It all boils down to CYA, because no one else will if the S hits the fan.
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