September 8, 2008
All of you nurses out there know what I mean when I say I hate charting. It sucks. Really sucks when you're busy. Charting is one reason nurses never get off on time, because when you're actually taking care of the patient, you can't chart. I mean, it would just be wrong when you're baby is taking a dive, heart tones in the crapper, and you're racing back for a c-section, for you to stop and say "hey, I have to chart all of this, so you'll have to just wait a minute". So you end up having to go back, and fill in the gaps. Plus if you have other patients, that's more charting. Charting is important anywhere, but I think? obstetrics may see more lawsuits than any other department. And lately, the charting has been, shall we say, lacking on the unit for the last several months. So, after chart audit after chart audit, the system manager decided to start holding people accountable (really, you are accountable anyway) . She came up with this "ticket" system. She'll audit charts and if your charting is perfect, you get a blue ticket. If you forgot something that a coworker or she could change, you get a yellow notice, just letting you know you forgot something. If you forgot to chart something that you have to go back and fill in, you get a red ticket. Okay, I'll go along with that. But my problem is this: these tickets are being taped to our lockers, for everyone to see. I just have a real problem with that. First, everyone makes mistakes, so lets point out to everyone who comes into the locker room (RNs, techs, secs, housekeeping, nursing students) who's made a mistake. Second, I feel like I'm in grade school. We are trained, licensed professionals and we are getting issued "tickets" . With the blue tickets, after you've collected so many, you can turn them in for a prize. Come on. Are we children or nurses?! Yes, let everyone know when they've omitted something because lately the charting has sucked, but lets do something a little more private, and let's be treated like professionals. If tickets are the only option, lets be more discreet about it. Maybe folders in everyone's mailbox. I guess I'm touchy about it. I take great pride in my charting and care, and maybe it goes back to H.S. I was a good student, so anytime anyone would see me miss a question on a test, or they did better than I did, especially in math, they'd make a big deal out of it. Maybe I'm too sensitive, but man, it irritates me. Since I work weekends, if I get a bad ticket, that puppy could be up there for 4 days before I see it. Oh well, I guess it could be worse and I don't really have a great replacement for this damn ticket system.