Thought Experiment: Nursing

Imagine unlimited time, money and authority.

So - You are responsible for training new hire nurses for the Navy. They have been though the core training, so they know their job but not hospital procedure. Due to military procedure, you have 100% turnover every three years. You will be their supervisor after training.

Your problem: they do not complete the patients' charts accurately, or in a timely manner. This puts the hospital at significant risk in the case of an audit or a serious problem. While a catastrophe has not happened at this hospital, cases of patient injury or death are circulated to ensure awareness of problems resulting from incorrect procedures.

In general, the nurses hate paperwork. They are hoping to be promoted to the front line where they can be heroes - saving lives in a critical setting, and where little or no paperwork is required. Additionally, nobody really knows what "good" looks like. The current standard is that another nurse can review the chart and get a picture of everything that happened during the day: all the procedures and whatnot. There is no clear idea of what the critical pieces of information for each procedure.

What do you do?