One of the nicer things about my job is that I don't write treatment sheets. I love it. I put my plan in the computer in numbered lines... this is an example from Sunday:
- IVF - PlyteA - bolus 500ml, then 50ml/hr
- CRI - Lidocaine 50mcg/kg/min, Fentanyl 2mcg/kg/hr, Metoclopramide 1mg/kg/day
- Cerenia 10mg IV q24h
- Famotidine 10mg IV **ONCE**
- Pantoprazole 10mg IV q24h
- Place NG-tube, placement radiograph, suction q3-4h
- DIET: If no V in 6 hrs, 10ml Clinicare/hr, increase to 20ml/hr after 3 hours if tolerating. Offer bland diet same time. F/C H2O
- If still nauseous in 6 hours, add Dolasetron 10mg IV q24h
- TPR + BP q4h - notify DVM if pain not controlled
- ECG Telemetry
- Recheck Chem8+ 6AM
- Take O/S PRN
.... so my techs can translate that onto the treatment sheet however makes the most sense TO THEM. And since they are the ones that have to read/use/record it, I think that is the smarter way to do it.
To me that makes a LOT more sense. I don't have to spend time writing a treatment sheet, and the next shift doctor can cut 'n paste and modify as they see fit in THEIR shift notes. And the techs get to have it written on the treatment sheet how THEY feel it makes sense. Everyone wins. If I'm concerned about making sure the orders got translated from my plan in my notes to the treatment sheet, I can always wander over and look at the treatment sheet, but I hardly ever do - I've never really seen our techs make a mistake in putting together the tx sheet. The mistakes are usually on my end (forgetting to put in a dose, putting in an incorrect dose, leaving out some treatment I meant to do) - all stuff that would have happened had I been doing the treatment sheet anyway.
I dunno. Just seems to me to be a better method. I won't ever go back.