Open Forum

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

 Our team also selects the negatives so that the documentation shows that information was asked / verified.  Once we get a yes we stop, and then based on s/s we either go with the suggestion or upgrade if the nurse feels it is warranted.  I agree it does make it seem busy, but you always chart today as if it will be read in court tomorrow.

Hope that helps.

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

Good morning,

Clarifying question here....when you all are saying "chart the negatives" do you mean physically type out the negatives in your documentation section? Or do you mean check off the "no" button next to the question in the protocol? We have our S-T protocols embedded in our EMT (Epic) so the negatives are clearly documented by clicking the "no" button. In my opinion, it is redundant and unnecessary to then again physically type out all those negatives. And the S-T users guide does specifically refer to charting by exception. From my own experience in a legal case, the documented negatives by clicking the "no" button held up. 

All our calls are recorded, so one of the things we do as part of our QA review process is make sure that if the nurses have clicked "no" they actually verbally asked the question, too. That is definitely where it would get dicey in court.......if the call recording does not reflect the nurse verbally asking the question but the "no" button is clicked. 

Karen

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

Hi Karen,

I am referring to checking the "No" button in the protocol, not physically typing out the negative response. Our calls are recorded as well, but only on file for 90 days. Thank you for your response!

Good morning,

Clarifying question here....when you all are saying "chart the negatives" do you mean physically type out the negatives in your documentation section? Or do you mean check off the "no" button next to the question in the protocol? We have our S-T protocols embedded in our EMT (Epic) so the negatives are clearly documented by clicking the "no" button. In my opinion, it is redundant and unnecessary to then again physically type out all those negatives. And the S-T users guide does specifically refer to charting by exception. From my own experience in a legal case, the documented negatives by clicking the "no" button held up. 

All our calls are recorded, so one of the things we do as part of our QA review process is make sure that if the nurses have clicked "no" they actually verbally asked the question, too. That is definitely where it would get dicey in court.......if the call recording does not reflect the nurse verbally asking the question but the "no" button is clicked. 

Karen

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

Good morning,

Clarifying question here....when you all are saying "chart the negatives" do you mean physically type out the negatives in your documentation section? Or do you mean check off the "no" button next to the question in the protocol? We have our S-T protocols embedded in our EMT (Epic) so the negatives are clearly documented by clicking the "no" button. In my opinion, it is redundant and unnecessary to then again physically type out all those negatives. And the S-T users guide does specifically refer to charting by exception. From my own experience in a legal case, the documented negatives by clicking the "no" button held up. 

All our calls are recorded, so one of the things we do as part of our QA review process is make sure that if the nurses have clicked "no" they actually verbally asked the question, too. That is definitely where it would get dicey in court.......if the call recording does not reflect the nurse verbally asking the question but the "no" button is clicked. 

Karen

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,

Good morning,

I am reaching out to see how those using Schmitt-Thompson telephone triage protocols document the assessment questions under the dispositions. The S-T user guides says you do not need to document all of the negatives, that it is charting by exception. Charting all the negatives also makes the note very busy and difficult to follow. However, one of our nurses was involved in a legal case, and she felt the fact that she documented the negatives was very important in the legal proceedings.  Looking for opinions and info on how others document.  

Thanks so much,