Viagra cream Made it to the Notre Dame/Stanford game this weekend. Viagra cream I walked into the Stanford stadium thinking the Irish would grind the Cardinals into the turf, viagra cream but by the time I left I would have accepted a hefty dose of IV Valium. Viagra cream I like my football nice and calm. Viagra cream A 30 point lead in the first quarter, viagra cream a nice half-time show by the marching band and fluffy pom-poms to wave at the appropriate moments.
Viagra cream Last night was gut-wrenchingly close. Viagra cream Stanford played their heart out, viagra cream but the Irish pulled it out in the last two minutes. Viagra cream It was the last game Stanford would ever play in their stadium. Viagra cream Right after the game, viagra cream literally, viagra cream they began to tear down the old stadium in preparation for what looks to be a fantastic replacement.
Viagra cream I could write an entire blog entry on the differences between the Stanford and Notre Dame cultures, viagra cream both campus and football. Viagra cream Having experienced both this month, viagra cream it was like visiting two different worlds.
Viagra cream If Stanford had been playing any other team, viagra cream I would have rooted for them. Viagra cream But they were playing Notre Dame. Viagra cream ‘Nuff said.
Viagra cream Nurse’s notes are my passion. Viagra cream I must chart in blue and I must have a medium-point, viagra cream gel-ink pen that does not scratch the page as it flows. Viagra cream I accept no substitutions. Viagra cream I carry a small, viagra cream six-inch ruler so that my lines are straight.
Viagra cream I do not chit-chat while charting; I eschew the tantalizing temptation of socialization with my colleagues until my nursing narrative is completed to my exacting specifications. Viagra cream I have claimed a small corner desk as my “office”, viagra cream to the distress of my fellow nurses, viagra cream for that is the desk they use to surf upon the internet. Viagra cream I daresay that my attempts to construct a medical work of art supersedes their need to (1) check their cell phone bill or (2) make bets on the NFL.
Viagra cream I’m not kidding!
Viagra cream I really do enjoy charting as part of my nursing responsibilities. Viagra cream A well-written nurse’s note acts as a timeline of the emergency visit. Viagra cream I make sure mine are:
- Doctors may be notorious for illegible handwriting, viagra cream but I know a lot of nurses who make doctors’ writing look like calligraphy.
- If that note gets blown up poster-size to sit in front of a jury, viagra cream I want my writing to reflect that I am a professional nurse, viagra cream not a literary slob.
- You might be Nurse of the Year but as the old saying goes, viagra cream “If you didn’t chart it, viagra cream you didn’t do it.
- Check every box, viagra cream chart every response, viagra cream write N/A where applicable to show that a topic was at least considered
Viagra cream And, viagra cream in addition to charting my actual nursing care, viagra cream I make sure to chart:
- Time that patient was roomed.
- Time that the doctor evaluated the patient.
- Times of each test (lab, viagra cream radiology)
- Times that the patient was out of the department.
- Time of discharge
- If I hear the doctor on the phone in consultation with another physician concerning my patient, viagra cream I’ll verify who they were speaking with and document it on my notes with the time of the call.
- When the EDMD goes back to the bedside to discuss the case with the patient or family, viagra cream I will note that it occurred. Viagra cream I don’t go into detail, viagra cream perhaps I’ll just write, viagra cream “EDMD at beside, viagra cream case discussed with patient and family”.
- When I update the EDMD with patient information (medication response, viagra cream a change in vital signs, viagra cream etc.), viagra cream I document what I said and when I said it.
- Patient comments and behavior.
- Verbal abuse – I will chart what the patient said, viagra cream verbatim, viagra cream including the foul language, viagra cream in quotes.
- A threat to sue – if a patient makes a threat to sue while in the emergency department, viagra cream I will quote it, viagra cream again verbatim, viagra cream in the record.
Viagra cream Of course, viagra creamthe goal is to document, viagra cream as objectively as possible, viagra cream what is happening during the patient’s time in the department. Viagra cream The nursing record is really the only part of the medical record that gives “real time” information. Viagra cream It pulls together and reinforces all the other documentation, viagra cream including the EDMD dictation.
Viagra cream I’ve worked with doctors who do medical-legal chart reviews. Viagra cream They have story upon story about how a single entry in a nurse’s note stopped a lawsuit in its tracks.
Viagra cream Pretty impressive.
Viagra cream It doesn’t take any more time to document thoroughly, viagra cream clearly and legibly than it does to scribble what looks like incoherent mumbling on a page. Viagra cream It does take organization, viagra cream focus and good management of your time. Viagra cream It isn’t rocket science.
Viagra cream I do it every shift.
Viagra cream With a medium-point, viagra cream blue gel-ink pen and a six-inch ruler.