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Here's what you can chart when you are forced to miss a treatment

Often times we RTs are busy in the emergency room and are forced to be very late or not give a treatment on the floor.  In the old days we used to chart, "RT busy in ER, unable to give treatment."

However, a lawyer for the hospital informed us such charting will never hold up in court.  He said there is no excuse for late treatments.  So, this forced us RTs to do some creative lying, and so we now chart, "Treatment Refused."

My coworker has come up with a more creative thing to chart when this occurs:

"RT in ER/  Patient was in no respiratory distress per RN."

He added, "I know this because if the patient was in any sort of distress, or even if the patient was producing annoying lung sounds, the nurse would have called."

How are you guys told to chart at your hospital?

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