Ruth, this isn't exactly what you're looking for, but maybe it will help in some way. Three different examples I've seen of charting by exception are kind of like this:
1. Parameters spelled out. Example: Abdomen soft, nontender and nondistended with active bowel sound (Y/N). If the nurse answers N, he/she fills out the next field, which is "Exceptions: (comment)". 2. Parameters defined somewhere else. Example: abdomen within defined parameters (Y/N). If N, complete the "exceptions" field, as in #1 3. Charting by exception used in a more global way, in which the hospital's documentation policy states that nurses will document (eg an assessment) once, and then they will document again ONLY if the patient develops a change in condition. I'm told this passed by the Joint without problem, and has not created an issue in many years. I have personally used strategy #1. It was popular, even if not very fancy, because it represented a significant time savings from the way the nurses were previously documenting, and the physicians (at least those that cared about the system) liked it, too - it shortened their data review process because once they memorized the Y/N statements, all they did was look at the exceptions. But I only used this approach where it seemed to make sense to me, so I don't think I would have described the documentation system as being based on the concept of charting by exception. Off hand, I don't see any connection between any of these 3 approaches and the care plans those facilities had - just their policies. Happy Friday, y'all! Sharon ________________________________ From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] On Behalf Of Ruth Chapman Sent: Thursday, June 07, 2007 12:18 PM To: meditech-l@mtusers.com Subject: [MEDITECH-L] NUR - charting by exception Good day L: I would like to communicate with anyone who has charting by exception working in NUR. I need to know how you got it started. How your screens look. How your interventions are different than ours, your care plans differ, etc.. So I would greatly appreciate anyone willing to share their expertise and time, Thank you, Ruth Chapman BSN, RN-BC Nursing Analyst Central Michigan Community Hospital [EMAIL PROTECTED] ***Note: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by replying to the message and deleting it from your computer. Thank you. Central Michigan Community Hospital
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