Anyway, despite the fact that everyone who else who came here while we were still using paper charting a while back was appalled that we were so provincial and dated, this guy, who is allegedly a seasoned nurse, seems to be terrified of our computer charting. Since all but a handful of our portable computers broke within the first 2 weeks of getting them, it's not uncommon for us to use a piece of scratch paper while getting an ambulance started and put all the information in the computer later, key statement being put the information in the computer later.
If a patient has gotten there within an hour before shift change, this guy writes a bunch of shit in random places on a blank piece of printer paper and then hands it to you during report like, yeah, here's my assessment, bye. So, not only are you stuck with all the other crap he inevitably leaves you, but his charting too. It's whatever to me- I just collect all the information myself and put it in when I triaged the damn patient, because I don't really have time to sit down and decipher this Son of Sam looking shit that is supposed to be nursing notes. I got some time to look over some of this charting (?) the other day when I was helping a friend catch up, and it was pretty amusing. Among the vital signs and medical history, there were all these notes- I'm guessing observations or reports from EMS, one of which read "pt is tacky".
Tacky? Please elaborate, sir. Were you referring to her attitude or her manner of dress? I mean, she wasn't super cooperative, but I'm pretty sure the nursing home dressed her, so you should at least give her a pass on wearing a nightgown this early in the day. Certainly not any more People of Wal-Mart worthy than any of our other patients. Oh... did you mean "tachy?" Oh, okay. Yeah, maybe the avoiding putting stuff in the permanent medical record route is your best bet when possible.