Originally Posted by
Ricu
Ya know, I think the biggest pet peeve that I have about nursing is the insane amount of documentation that is now considered essential. I realize that these are my personal observations but I've been doing this for a long time and have seen the changes. Let's see where it comes from now... We have the bureaucratic, government driven,machine, JCAHO; morphed to out-of-control proportion in response to the bigger machine- the healthcare insurance industry. Their tactic; let's hold reimbursement hostage till you comply or my favorite- we'll send out the chart auditor to fine-tooth the record and look for any possible reason to decline payment. You can be absolutely sure they'll find one.
Then there's the less popular, paranoia driven, "I need to write everything down or else" reason for senseless documentation. I find crap like "Patient observed to be resting in bed with three rails in upright position watching television from 1400 till 1545, at which time he rang the bell to get up to void 400ml of clear yellow urine without difficulty, at the bedside, into the urinal. Patient assisted back into bed safely and rail returned to upright position". Thank you very much, Jim Sokolove, and all of your fellow bottom feeder, opportunists who use greed and entitlement to generate many pointless lawsuits.
Okay, okay, I'm off my rant now but see what I mean?
R