I sympathize with you all.....one piece of advice though, NEVER work for a young company---they're never satisfied with their forms, and they change them (or add to them) every time you turn around. The last place I worked, there was no issue so complex that it couldn't be made even more so by throwing more paperwork at it. I guess they figured if three pieces of charting were good, six would be even better. Of course, the more papers they added, the bigger the chances that a nurse would forget to document somewhere, which was one of the reasons I was fired from that job. For example, when I changed so much as one item in a resident's care plan, I had to put it on the resident status sheet, the ADL sheet, the restorative sheet, the 24-hour report, the level of care report, and the care plan itself, PLUS make an entry in the nurses' notes. Multiply that by 35-40 residents, including a sizable number of skilled patients with all the changes they go through in a typical 30-day stay, and you get an idea of how overwhelming it all can be. And they wonder why they can't get care managers to stay longer than a few months........but that's another thread!