The three areas of the tutorial I notice that I am confident in, is Communication on the tutorial on the Conduct Written Communication 1 explains that written communications is better because it provides evidence, including letters, forms, taxes, emails, telephone messages, orders, and instructions for patients. Also, for a written document verifies that you are correcting the document by grammar check and that the spelling is correct. When making a mistake on a written document it can affect the facility, and a mistake can lead the patients from receiving the wrong dosage this can be life- changing; therefore, that is why written documents are important. The Conduct Written Communication 2 demonstrates how to label a letter, which includes
Some of the examples of written communication are the letters sent to the patient, reports, appointments, notes, prescription. In social care settings, where there are old people, children, mothers. They cannot remember some things. So the written method helps them and helps service providers to remember import facts. The examples of written methods are the letters send to the family members, menu, and care plan. In early years setting, it is necessary for parents to know what is going on with their children.
Written communication is said to be the same as oral but it is written down on paper instead of words being spoken out loud, which then changes it from a ‘verbal’ to ‘non-verbal’ type of communication. Written communication is seen as more reliable than spoken communication, as information can be missed out and more added in. this can cause service users and care workers to receive wrong information, therefore potentially proving the wrong type of care needed which can cause conflict and possible danger for the service user.
“Errors in communication give rise to substantial clinical morbidity and mortality (Riesenberg, Leitzsch, & Cunningham, 2010).” As a result, the Joint Commission has identified effective communication as one of its National Patient Safety Goals (Dunsford, 2009).
6. Right documentation- The seven rights should be documented with great detail along with any adverse events and instructions provided to the patient regarding being alert of reactions and what steps to take. This step should always follow the administration of medications. The person who has administered the medication needs to verify again that all the seven rights were followed to make sure that no medication errors were made. After the end of this order,without leaving any lines or spaces the person administering the order signs his or her name along with there credentials and followed by the date and time the order was given. In some instances the medical assistant may write down the information regarding a medication administered by the provider in the provider’s stead,but the provider still needs to sign, date and time the entry personally. The medical assistant should never document a medication for anyone else nor should anyone else record medication that the medical assistant (you)
Also to give medication respecting the person’s dignity and choice, to only give authorised medication from a labelled container, to give the medication according to the training received. Also to help to inform and educate the person about their medicine should they wish to know, to be aware of common side effects. It’s also important to record episodes of care accurately, also to report any problems to the manager.
Communication can be carried in many ways and also both a formal and informal manner. Within a social care environment it is most important that the information is recorded as the
Recommended Issues and Related Practice Examples to Address During Admission ......................................................................9 Inform patients of their rights..........................................................................................................................................................9 Identify the patient’s preferred language for discussing health care ............................................................................................10 Identify whether the patient has a sensory or communication need ............................................................................................10 Determine whether the patient needs assistance completing admission forms ..........................................................................11 Collect patient race and ethnicity data in the medical record
Ensure accurate maintenance and communication of medications: Making sure that there is appropriate and accurate documentation about the medicines that the patients were taking, and comparing them with the new medications. Also giving the patients the information needed to safely take their medications when they go home. The purpose of this goal is to ensure a better outcome for the patients’ health, and reduce errors when providing medications (The Joint Commission, 2012).
Communicate Effectively: Explain a procedure or assessment prior to completing them: Give the patient a brief description of what you are going to do prior to completing the task. Patients do not like being startled, prodded, and poked. Refrain from using medical Jargon. Explain information to patients in laymen’s terms. Allow time for the patients to ask questions and answer questions appropriately.
Written communication in healthcare system comprises of care plans, daily reports, handover sheets ,medication sheets in general ,(record keeping). These clinical records are essential skills of communication that a nurse should be able to write as well as extracting vital information from which to provide relevant and precise care. This makes continuity of necessary care possible and fulfils one of NMC’s (2008) core principles of the code of working with others to protect and promote the health and wellbeing of those in nurse’s care and obligation to ensure total and effective information is communicated to your colleagues concerning people in your care (NMC 2010). These records help to increase answerability to the part of the nurse if the nurse is aware of this will be more considerate knowing that any mistake will come around. In addition these records help as the basis for decision –making for nurses and multi-disciplinary team of which the nurse
The consequences of a badly written note to a patient could be fire from the job. It can cause your reputation and it make you like unprofessional. Work choice is so important when communicating with patients in writing because it could become legal document. As a medical assistant my responsibility would be clear and write properly to make sure that a patient understand what its written and what is about. The steps that I should take to ensure that written communication is clear would be proofreading.
This week my goals were based on the critique of my SOAP Note HPI narrative by my professor, which her feedback gave me the opportunity to re-evaluate and focus on the organization of patient information and documentation findings. Patient documentation is crucial in a collaborative health professional setting, due to the written documentation must be clear and easy to use and understand by others. Therefore, I will continue to work on improving my ability to overcome my written communication skills weakness. In order to accomplish my goal, I asked my preceptor to give me some suggestions. Unfortunately, I have a tendency to work harder than I need and don’t ask for help, but I like to build trust and excellent work with my team by being a
I think that a writer of healthcare technical instructions or information can help make those instructions or information more understandable by writing in clear and concise sentences. Also, he should write headings and step-by-step process while writing the instructions in order for the reader to understand each one before going to the next step. Furthermore, a writer of healthcare technical instructions of information should consider and know his audience in order to choose the language and the level of writing his information and instructions. As a result, knowing the audience will help writing the information in the same level in order to be more understandable to get the desired outcomes. In fact, using visuals to demonstrate some of the instructions may help make the instructions and information more understandable to the audience because they will compare, and see whether they are on the
The provision of written medication information given to the patient helps significantly in cases of medication non compliance (McGraw & Drennan 2004). This is because it aids in memory retention and presents patients with access to a reliable source of concise medication information, particularly if the patient needs to be reminded of certain aspects (Gorgos 2006). These written medication information sheets need to be provided in the patients primary, dominant language because it reduces the difficulty and limits barriers to patient understanding (Gorgos 2006).This is important because this intervention aims to increase a patient’s understanding of their medications, and when a patient feels more competent with the use of their medications, reduced
Oral communication in healthcare is a continuous process and is extremely important for all those involved. Nurses relay relevant information to patients and their family, they are also responsible for updating the physician about the condition of their patients as well as nurse to nurse reporting. This communication is a fundamental part of the nursing process and can result in either quality effective care or ineffective care caused by lack of information. Written communication between the doctors, nurses, patients, and patient families can occur in a number of forms whether handwritten nursing notes or electronic medical records. Both forms are permanent