Hand-in-hand with real-time charting ... "Documentation does affect the timeliness of care. When a nurse is ready to give a premeal insulin dose but has to track down the nursing assistant first ...

Keeping accurate documentation and nursing charts of your patients' information ... When a patient is first seen, usually by a nurse, an initial assessment of his current and past health is ...

Very often, the nursing progress ... make sure your documentation has important, relatable information. That way you don’t have to worry about leaving a sticky mess! The Real Nurse Jackie ...

Nursing documentation can get you in trouble with ... I wonder if the patient didn’t complain because he or she was dead.) The Real Nurse Jackie is written by Jacqueline Vance, RNC, CDONA ...

As a medical malpractice attorney, I have seen hundreds of cases that turned on charting by a physician, nurse or other health ... been a significant burden on nursing and pharmacy staff, reaction ...

But at Baltimore-based Johns Hopkins Hospital, leaders are equally focused on improving documentation in nursing ... “Instead of the nurse having to go in and document on every single row ...

A nursing diagnosis provides the basis for selecting nursing interventions to achieve outcomes for which the nurse has accountability ... Thankfully with modern charting technology, most ...

[2] Probably the single most significant effect on workflow prompted by EHRs is the shift to point-of-care and real-time charting. Experts in nursing ... I have been a nurse, documentation has ...