Nurses Now Required to Chart When and What They Are Charting

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“Nurses, don’t forget to document your time spent documenting”

SILVER SPRING, MD – Tuesday, the American Nurses Association (ANA), the Society for Pediatric Nurses (SPN), and the National Association of Pediatric Nurse Practitioners (NAPNAP), released a joint memo stating that all nurses must now document what information they are charting.  This new guideline has implications across all specialties.

Now, instead of simply charting, “Patient rang call light for PRN pain medication, dispensed 1000 mg acetaminophen,” nurses are required to additionally document, “I am currently charting that I documented the prior statement: rang call light for PRN pain medication, dispersed 1000 mg acetaminophen.”

ANA President Karen Daley claims, “This will increase patient care and help reduce medical errors and overall improve patient satisfaction.”  The ANA proudly boasts the greatest advancement in nursing is the ability to document more than they were able to even ten years ago.

“We are living in the golden age of documentation.  With electronic medical records, charting couldn’t be easier,” Daley argues.  “Now the hospital can bill for the time we spend documenting, but we must document that time to get credit.”

The new guidelines also state that hospitals using both paper and electronic medical documents, record when something is written down in the paper chart on the electronic record, and vice versa.

“Charted vital signs.  Please see paper chart for the documentation,” followed by the vital signs.  This type of documentation will also require two-nurse documentation where another nurse will have to document in the chart verifying the previous charting is correct.

Critics of the new rules say that they take away from actual patient care and it forces nurses to be transcriptionists instead of care providers.  Daley disagrees, releasing a written statement where she stated, “These people [the critics] obviously do not work with patients.  We want our nurses to provide the highest level of care and that is documentation.  The more places nurses document patient information and the more often documentation occurs, the better for everyone.  This is becoming the new standard of nursing and is superior to one-time documentation.”

This new regulation not only applies to inpatient care but is working its way into clinic nursing practice.  The Joint Commission is in love with this new charting proposal and can’t wait to inspect paper and electronic records during their upcoming visits.

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    Suzanne Page Tillotson

    This is a lovely satirical rant that perfectly describes the ridiculousness of our current state of medical care, including the hoops we all jump through to provide the best we can. Keep it coming Lord Lockwell…you’re brilliant!

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    mike palmer

    I think Ms Daley has been removed from direct patient care to believe this is going to improve anything but the bedside nurse being removed from bedside longer. Also EMR and the ability to refer other side of information was meant to decrease double charting if the same information.

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    Sharon Cobb

    This may be satirical but it wouldn’t surprise me one bit if some over educated desk jockey thought it was a good idea.and tried to think of some way to make nurses do it.

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    Delbert Davis

    Relax guys, it’s a satirical article lampooning the insane amount of charting that goes on.

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    Sounds like more idiotic waste of time.. more unnecessary work for the nurse. It’s stupid things like that is why, even though I love being a nurse, I never encouraged any of my children to go into nursing. I know more nurses who tell their kids to find a different careers because of stupidity like this

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    How is this going to improve patient care when the Nurse is spending even MORE time in front of the computer?!!

  • Gomerblog

    Ha, perhaps documentation in modern medicine is getting our of hand?

  • Patrick Dennis
    Patrick Dennis

    There used to be a saying “chart once”, last night I had to chart in three places the same bloody information because of the paranoia from a previous bad survey at a LTC somewhere somewhen.

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