As most of you are aware by now, we started a new process last week to document census and staffing every four hours. The tool used for this is called the Nursing Checkbook. Each charge RN is responsible for doing the documentation every 4 hours: 07-11-15-19-23-03. One problem we have noted in the documentation is that the charge nurses are being double counted in staffing. Please record the charge nurse under the CN category only. All other RNs should be noted in the RN section. For example, if you have one charge RN (even if they have patients), two other RNs, and on PCT, the charting should be as follows:
Census: # of pts
CN: 1
RN: 2
CNA: 1
You should also document the acuity in the comments section: like 1:1 patients in PICU and 1:2 patients on 7C. You may also put in road trips or any other event that impacts staffing in this section.
Please let me or Amelia know if you have additional questions.
Thanks so much! Melinda
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