This care plan notebook is just an organizational tool and ends up in the trash not part of the medical record.  It just helps them keep track of care planning needs and the highlighting just indicates “that one is done”.  We do not use pink highlighter on our formal records for the reason you mentioned.

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Sunday, February 22, 2004 1:31 PM
To: [EMAIL PROTECTED]
Subject: Re: Getting orders on care plans

 

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 “care plan note book” and as things arise they make an entry such as 2/19 Faye—UTI and when they do the IDCP use a pink highlighter to “pink it out”.  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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