Re: Getting orders on care plans

[Delores234]

Be very careful with highlighters that are not yellow and render information unable to be copied.  If a copy of the record is requested by an authorized individual or the court you will have serious problems. 




Delores

have less problems with issues r/t inaccuracies.

Our most efficient nurse managers have a âcare plan note bookâ and as things arise they make an entry such as 2/19 FayeâUTI and when they do the IDCP use a pink highlighter to âpink it outâ.  The note book sits by the unit computer and all 3 shifts are welcome to assist. This seems to work well for them.  They tell me that they usually can get them caught up on the weekend.

We used to divide each unit into 3 sections with each shift responsible for their 1/3 for daily updates but this seems to have gone by the wayside.

Delores L. Galias, RN, RHIT

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