In the psych hospital we used tretament plans and the entire treatment team doucmented on the care plan. It was really a bunch of B.S. Just more paperwork.

I have always and still do think care plans are a waste of time.It is  yet ANOTHER  form we have to fill out every shift.Its  a bunch of blah blah blah and yadda yadda yadda.It is the same for everyone, their never is any distinction  that seperates it from pt to pt.

If we do not have patient care plans, then how would we know what the patient needs, likes, dislikes, etc.  At Bethesda Health Group, the care plan is a much utilized tool for patient care.  All Caregivers are encouraged to review the careplans and provide care accordingly.

I would like to see such a care plan. We were always PUSHED to document care plans but the damn things were not truly utiilzed.

Agreed..........

We use Care Paths as guides- flexible, easy to follow, useful for new staff or float pool.

   I am with you guys on this one. Care plans to me is just busy work.. A bunch of BS. We use computer ones but they are still a big pain. If as nurses we dont know what needs to be done for our patients without these stupid things we need to go back to school. It is much easier to flip through the chart and find what you need. with the computer ones we use there are to many places to chart the same exact thing and if you chart under the wrong tab it does not show up or if you are busy and do chart where you are supposed to the forget to check the green arrow when you go back it is gone so it looks like you never charted to begin with

OMG, Care plans in nursing school were a nightmare. We had to have at least 5 Nsg Dgx, with at least 3 interventions for each one and goals which had to measurable. I spend hours doing those stupid careplans in school. I hated them so.... bad. I'm so glad I don't have to do that anymore.

In school we had 5 dx. with no less than 8 interventions that had to be measurable.... And WHY we dont have to do them now..... Just BS busy work I guess

The only problem that I see with care plans is that they suck.

we have computer generated care plans , but we have to revise so much of them , sometimes i think is is better to write them yourself. BS??? yes and no . some people have special needs and that info needs to be accurate so the staff can handle them appropriately . also the state utilizes the submitted care plans and mds' to come into your facility to do their surveys ,on an individual basis of what each facility submits,  

i always hated care plans in nursing school , but did them very well. if people had the time to read them i think they could get good info, but where the BS comes in , is do you read and follow the care plan / or DO the patient care. . TIME is the problem.

as a care plan cooridnator i get equally as frustrated as the floor nurses (which i have worked as for many years as well) , because i know how tough it is to find time to 'follow' them , BUT keep this in mind , your documentation  is what is captured on MDS and equals a RUG score which determines HOW much money the facility makes, which = raises, bonuses, benefits, etc. so be accurate what you write, and  try to work with your care plan team so you don't get deficiencies during survey , and low RUG scores which will lose money for everyone from the staffing to patient care items .