Excerpted from an interesting post we found here: Paperwork-It Will Only Get Worse!
Two hours working on paperwork and I am beat!
Visiting patients is the easy part of my day. The part that gives me the greatest satisfaction and reaffirms my choice of career. The paperwork doesn’t. I’ve read that paperwork is one of the top four reasons nurses leave the clinical setting. Is that surprising?
Paperwork takes time. My typical day starts at 8am. I carry a laptop when I make my home visits but I try to do most of my computer work outside the patient’s home because I value my patient-nurse relationship. A computer gets in the way. I work through lunch documenting the care I gave in the morning. I make more home visits in the afternoon and I’m back in the office about 2 or 2:30 pm. And then begins the hours of paperwork.
Our software package sets up our documentation template to meet the Medicare rules and regulations called OASIS. When the patient is a new one or has just returned from the hospital, is being recertified or discharged, the OASIS template is longer, more demanding. Built into the software program is our clinical note (“nurse’s notes”). In years past, nurses often used a SOAP (subjective/objective, assessment/plan) format. Now I’m writing my note to meet the demands of the Medicare reviewer. A typical note may begin “Skilled nurse visit where the primary focus was on skilled assessment and observation. Minimal education was done at this visit”. I’m writing for the insurance reviewer…
Read the full article at the link below:
Author: C Wall
Paperwork-It Will Only Get Worse!