| | #3 (permalink) |
| Administrator | Re: Proper charting This post may be old as dirt, but NO! NO! NO! You do not mention ANYone by name in the chart, unless you have contacted the HCPOA/family member 'in charge' of patient. The State would have a field day up here......
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| | #4 (permalink) |
| Senior Member Join Date: Feb 2004 Location: IN
Posts: 1,314
| Re: Proper charting Sure you can mention another nurse by name in the chart if it applies to what you did in patient care. You wouldn't chart what you were told by another nurse ie "S. Jones RN says pt told her she had pain level 8 blah blah that's what you should assess yourself. Maybe the other nurse was in the room and came and told you "your pt want meds" but that's not to chart their name. But if you are doing something say PICU you can put extubated @1300 by S Jones RN or retraints applied by: not that you wouldn't check those yourself. No writing S Jones RN did not give 1500 medication so I'm giving it now, or Pt says S Jones didn't listen to her lungs today. But there is a time you can put someones name.
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