Kabhi khushi kabhie gham blu-ray. Be extra careful when you think you are 'too busy.' It is ironic that it is at your busiest hour(s) that the importance of documenting is the most crucial.
The fact is that those of us who wander the aisles of the mega-mart rarely stop to consider that there are actually three types of date codes, stamped, stickered, or written (sometimes scribbled unintelligibly) on food packaging: Best Before dates, Packaged-on dates, and Expiry Dates.
Be aware of critical times such as: abnormal vital signs codes transfers change of nursing shift or patient hand offs taking verbal orders noting physician’s orders verifying medication orders 2. Remember that critical values should be reported to a nurse within 15 minutes of lab verification.
The nurse must report critical values to the physician within 30 minutes. If the physician can’t be reached, follow the facility’s fail safe plan.
Avoid general statements. Beware of general statements that can be misconstrued. For example, you wrote “Dr. Smith called.” Did you mean: you called and are waiting for a return phone call? the physician called the nurse? the nurse called and spoke to physician? A better option is “MD paged, assessment findings discussed, and no additional orders at this time.”** 5.