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As a matter of fact I just created one as a "nursing" peer review. There are no names - of either the reviewer / or the reviewee. We are a union based facility and there were some concerns about this being a punitive thing.
So... I have promised this only goes in the QI folder in the trauma office.
The goal of this form - I will give each ED nurse a copy of the form and the chart to review. I will use the schedule book so that all nurses get the opportunity to review a trauma chart. I am hoping that by reviewing other's charts that
a. they will see areas that they are weak
b. that during designation review - that I am actively working as is the whole ED nurse population on documentation.
c. then I plan on doing a documentation competency in May -- from our nurse risk manager.
Here is the tool - anyone can use it.
Lisa McLaughlin
Trauma Nurse Coordinator
St. Vincent Hospital
Santa Fe, NM 87508
505-820-5708
-----Original Message-----
From: Bingham, Kirstie [mailto:Binghamk@centracare.com]
Sent: Wednesday, February 26, 2003 9:41 AM
To: 'traumanurses@mailman.listserve.com'
Subject: [traumanurses] Re: Documentation Audit Tool
Anyone is welcome to use the tool and modify to meet your own needs.
Kirstie
> -----Original Message-----
> From: Bett, Marjorie D. [SMTP:bettm@KGH.KARI.NET]
> Sent: Wednesday, February 26, 2003 10:22 AM
> To: 'traumanurses@mailman.listserve.com'
> Subject: [traumanurses] Re: Documentation Audit Tool
>
> Looks like a great tool.Do you mind if I adopt? Of course I will give
> credit.
>
> Marjorie Bett
> Trauma Coordinator
> Kingston General Hospital
> 76 Stuart Str.Kingston
> Ontario,Canada K7L 2V7
> bettm@KGH.kari.net
> 613 549-6666 ext 4837
>
>
>
> -----Original Message-----
> From: Bingham, Kirstie [mailto:Binghamk@centracare.com]
> Sent: Wednesday, February 26, 2003 10:59 AM
> To: 'traumanurses@mailman.listserve.com'
> Subject: [traumanurses] Re: Documentation Audit Tool
>
>
> Jennifer, here is the tool that we utilize. These audits are done
> quarterly
> by the ER staff themselves to make them accountable for their
> documentation.
> Good luck!
>
> <<Docu-trauma-8-02.doc>>
>
> > -----Original Message-----
> > From: Jennifer Becher [SMTP:JLBecher@stmarys.org]
> > Sent: Wednesday, February 26, 2003 8:22 AM
> > To: TraumaNurses@TraumaNurseSoc.org
> > Subject: [traumanurses] Documentation Audit Tool
> >
> > Does anyone have a Audit Tool for trauma flowsheet documentation. I am
> > in the process of developing one and would like to see some samples.
> > Anything would help.
> >
> > Thank you in advance for your help. Hope to meet some of you at the
> > conference in March!
> >
> > Jennifer Becher, RN, BSN, CEN
> > Trauma Program Manager
> > St. Mary's Medical Center
> > Evansville,IN 47750
> > office - 812-485-6817
> > fax - 812-485-6833
> >
> > To Digest or put your listserve on "vacation hold" refer to listserve
> page
> > on the website. STN does not accept the following: Coarse or vulgar
> > language, disparaging or untruthful remarks about health care
> > professionals or institutions, job postings, or comments which otherwise
> > would indicate a lack of respect or regard for trauma nursing or
> anything
> > deemed inappropriate by the webmaster. Subscribers who do not comply
> will
> > be unsubscribed. STN does not take any responsibility for the
> information
> > shared on this listserve.
>
>
> To Digest or put your listserve on "vacation hold" refer to listserve page
> on the website. STN does not accept the following: Coarse or vulgar
> language, disparaging or untruthful remarks about health care
> professionals or institutions, job postings, or comments which otherwise
> would indicate a lack of respect or regard for trauma nursing or anything
> deemed inappropriate by the webmaster. Subscribers who do not comply will
> be unsubscribed. STN does not take any responsibility for the information
> shared on this listserve.
To Digest or put your listserve on "vacation hold" refer to listserve page on the website. STN does not accept the following: Coarse or vulgar language, disparaging or untruthful remarks about health care professionals or institutions, job postings, or comments which otherwise would indicate a lack of respect or regard for trauma nursing or anything deemed inappropriate by the webmaster. Subscribers who do not comply will be unsubscribed. STN does not take any responsibility for the information shared on this listserve.
ED NURSE PEER REVIEW.doc
Description: MS-Word document
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