#WeNurses - Thursday 2nd July 2020 8pm (GMT Standard Time) Documentation

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Hosted by WeNurses using #WeNurses

Thank you to @Claire_Conboy for suggesting this topic.

Documentation takes up a large proportion of nurses’ clinical time and producing detailed documentation in line with the Nursing and Midwifery Council’s guidance is challenging. The volume of clinical documentation has grown over time as a result of:

  • Nurses taking on many of the roles that used to be undertaken exclusively by doctors; these require specific documentation
  • Complicated conditions and therapies requiring the support of multi-disciplinary teams across complex care pathways need to be documented and communicated
  • Worries about litigation require nurses to record why they took particular actions rather than just describing them
  • The ability to keep people alive despite major life-threatening conditions means many long, complicated medical histories and complex needs – all of which need to be documented and communicated to the multidisciplinary teams
  • The change in medical and nursing culture, whereby patients/parents/carers are now seen as partners in care, involves more communication than used to be required in a paternalistic medical environment

This @WeNurses tweet chat aims to explore the challenge of clinical documentation for nurses 

  • Why is nursing documentation so important?
  • What are the biggest challenges you face with respect to nursing documentation? 
  • What things do you think could be done to improve nursing documentation? 
  • Do we spend too much time documenting as nurses? How much is too much? 
  • Is the time spent delivering nursing care and the time spent documenting ratio right? 
  • If there was one change you could make to the way we document as nurses what would it be? 





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 Chat Summary

 

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 #WeNurses transcript

 
@MHealthDez
02 July 2020 20:00
@WeNurses Just turned my film off... and I am in postion! #WeNurses
@leili00516924
02 July 2020 20:01
@WeNurses Will do #WeNurses
@WeNurses
02 July 2020 20:02
@MHealthDez hello and welcome #WeNurses
@MHealthDez
02 July 2020 20:03
All ready and set to join in with the @WeNurses #WeNurses tweet chat, so much so I turned off Will Ferrells @NetflixUK Eurovision Film!
@WeNurses
02 July 2020 20:03
It's Thursday and it's 8pm so it must be #WeNurses .... welcome everyone ! This evenings discussion is all around documentation ... so please tweet us a "hello" and share your first thoughts https://t.co/AiDuqDMHPT
@LeilanieTacanay
02 July 2020 20:04
still waiting for the tweetchats to begin @WeNurses #WeNurses
@natdocregistry
02 July 2020 20:04
RT @WeNurses: It's Thursday and it's 8pm so it must be #WeNurses .... welcome everyone ! This evenings discussion is all around documentat…
@Chelsea_Fawcett
02 July 2020 20:04
@WeNurses Student mental health nurse here, hello! Looking forward to chatting with everyone tonight. #WeNurses
@PUNC18_laura
02 July 2020 20:04
@WeNurses Hello ???? documentation is key, I’ve always be taught if it isn’t documented it didn’t happen #wenurses
@LeilanieTacanay
02 July 2020 20:04
@WeNurses hello @WeNurses!! im so excited for tonight’s tweetchat! #WeNurses
@Elif_MDX
02 July 2020 20:05
RT @WeNurses: It's Thursday and it's 8pm so it must be #WeNurses .... welcome everyone ! This evenings discussion is all around documentat…
@Melissa59484575
02 July 2020 20:05
@WeNurses Hello #WeNurses
@WeNurses
02 July 2020 20:05
QUESTION 1 Why is nursing documentation so important? ... is it important ? #WeNurses https://t.co/oUq2MqjDlg
@AgencyNurse
02 July 2020 20:05
Hi everyone .... as a nurse with dyslexia I have always found documentation a challenge, but over the years have found that documenting as i go along really helps #WeNurses https://twitter.com/WeNurses/status/1278766245601517569
@MHealthDez
02 July 2020 20:05
@WeNurses HELLO! I'm Derrick, a NQ RMN from Cumbria. I am looking forward to learning more about the role of documentation and how I can turn this from a mundane task that takes me away from my patients, into a task that I feel contibutes to the care I deliver. #WeNurses
@GwenWPunc19
02 July 2020 20:05
@WeNurses Hello from sunny Cornwall ????. Documentation is definitelt fundamental to nursing, if it isn't documented, there is no record of occurrence #WeNurses
@leili00516924
02 July 2020 20:05
@WeNurses Hello great #Wenurses
@GARRYE14
02 July 2020 20:05
#WeNurses Good evening everyone
@DaisyLaylaPUNC
02 July 2020 20:05
@WeNurses Second year student nurse here :) hello!?? #WeNurses
@WeNurses
02 July 2020 20:05
Welcome and this mantra certainly sounds familiar #WeNurses https://twitter.com/PUNC18_laura/status/1278766592604725249
@Asmaa__u
02 July 2020 20:06
Hello #WeNurses
@RachMc1984
02 July 2020 20:06
@WeNurses I was just about to tweet this #wenurses
@WeNurses
02 July 2020 20:06
@MHealthDez Hello and welcome #WeNurses
@PUNC18_laura
02 July 2020 20:06
@WeNurses I think it’s important to cover yourself if anything was to happen, it’s part of our handing over if you like of what’s happened through the day with regards to other health professional views #wenurses
@NicolaFrame1
02 July 2020 20:07
@WeNurses #WeNurses looking forward to this
@LeilanieTacanay
02 July 2020 20:07
@WeNurses nursing documentation is very important as it provides good clinical commucation. #WeNurses
@Elif_MDX
02 July 2020 20:07
RT @WeNurses: QUESTION 1 Why is nursing documentation so important? ... is it important ? #WeNurses https://t.co/oUq2MqjDlg
@Asmaa__u
02 July 2020 20:07
Nursing documentation is essential for good clinical communication. Appropriate documentation provides accurate nursing assessments, changes in clinical state, care provided and pertinent patient information to support the multidisciplinary team to deliver great care. #WeNurses
@MHealthDez
02 July 2020 20:07
@GwenWPunc19 @WeNurses I really do "get" that mantra, but it really feels quite cliched now... Can there be a better reason for doing it? #WeNurses
@leili00516924
02 July 2020 20:07
@WeNurses Nursing documentation is so important in order to have evidence for the action taken place and for other health care professionals to also be aware of what has been taken place #WeNurses
@AgencyNurse
02 July 2020 20:07
@MHealthDez @WeNurses I think it's all about your approach .... making it something we do alongside the people we care for can help, not always possible but something to aim to be the norm #WeNurses
@amenbhagbe
02 July 2020 20:08
#WeNurses Hi all
@WeNurses
02 July 2020 20:08
@lambs3 @RachMc1984 @Asmaa__u @Elif_MDX @DaisyLaylaPUNC @GARRYE14 @leili00516924 @GwenWPunc19 HI and welcome everyone to tonights #wenurses :) Here's a top tip in a pic! https://t.co/ICYJSY6FPv
@Chelsea_Fawcett
02 July 2020 20:08
@WeNurses I think documentation is important for continuity in care, so the person doesn't have to start from the beginning every time they see someone new. #WeNurses
@WeNurses
02 July 2020 20:08
@MarcelleTauber @AgencyNurse thanks for joining #wenurses this eve :)
@AgencyNurse
02 July 2020 20:09
@MarcelleTauber @WeNurses agree necessary but does it have to be laborious ?? Surely we can streamline in this day and age ? #WeNurses
@GwenWPunc19
02 July 2020 20:09
@MHealthDez @WeNurses I think it does aid with reflection too, allows you to recognise your successes and for self-development as well as patient care #WeNurses
@L3SL3YT
02 July 2020 20:09
Hello #WeNurses documenatation is fundamental for safe care. It is essential and not an optional extra. It tells a story!
@MToorap
02 July 2020 20:09
@WeNurses nursing documentation is important as it helps prevent clinical errors. #WeNurses
@RachMc1984
02 July 2020 20:09
@WeNurses I find it important especially in terms of reviewing care plans.....gives you time to reflect on the care given and actually show you know your patients (or at least for me in a care home setting). I find it frustrating to see "no changes" what does that even mean????? #wenurses
@MHealthDez
02 July 2020 20:10
@AgencyNurse @WeNurses Yeah, I really get that... I once heard a @TEDTalks that touched on a patient that was cared for in a MH Hospital. She basically said that while her care was documented, her voice wasn't noted, valued or recognised, she was just "described". Very sad! #WeNurses
@NRCUK
02 July 2020 20:10
@Chelsea_Fawcett @WeNurses thats the logic, but in practice does it happen? Lot's of documenting things for good reasons that never seem to materialise? #wenurses
@AgencyNurse
02 July 2020 20:10
Do we document to only evidence though ?? What about it being part of the nursing process ?? (am i showing my age?) #WeNurses https://twitter.com/leili00516924/status/1278767335185297408
@NicolaFrame1
02 July 2020 20:10
@WeNurses Keeping it brief and no rambling or abbreviations is always helpful I feel #WeNurses
@Lisaannet_
02 July 2020 20:10
@WeNurses Hello ?? I know documentation has to be done but I do find there are times when I am duplicating what I am writing and I would like to be able to cut down on this #WeNurses
@WeNurses
02 July 2020 20:10
#wenurses https://twitter.com/ANNJay09/status/1278767928712867841
@GARRYE14
02 July 2020 20:10
#WeNurses Nursing documentation is important for future references, evidence based, and decision making.
@jenashl3y
02 July 2020 20:10
@WeNurses It records care and helps guide continuity of that care. It is essentially a form of communication. #wenurses
@leanne_millar01
02 July 2020 20:10
RT @WeNurses: It's Thursday and it's 8pm so it must be #WeNurses .... welcome everyone ! This evenings discussion is all around documentat…
@GwenWPunc19
02 July 2020 20:11
@WeNurses It enables you to document patient care, enabling reflection and regular updating to ensure patient centred care and best practice. Allows for self-development too and continuity of care for other nurses and professionals for future shifts #WeNurses
@amenbhagbe
02 July 2020 20:11
#WeNurses Nursing documentation is very important because it provide an accurate reflection of assessments, changes in clinical state to particular patient information and support for the team to deliver safe care.
@Asmaa__u
02 July 2020 20:11
Nursing documentation is essential for good clinical communication. Appropriate documentation provides accurate nursing assessments, changes in clinical state, care provided and patient information to support the multidisciplinary team to deliver great care. #WeNurses
@NRCUK
02 July 2020 20:11
@MToorap @WeNurses not if you don't read it or can't access it :) #wenurses
@leili00516924
02 July 2020 20:11
@WeNurses Very true #WeNurses
@AgencyNurse
02 July 2020 20:11
@MHealthDez @WeNurses @TEDTalks oh that is very sad indeed .... simple things like having laptops instead of desktop computers have really made a difference in my clinical area to being able to work with pts to plan care #WeNurses
@MHealthDez
02 July 2020 20:12
@WeNurses It's certainly very important in todays "watch your back" culture. But, I just wish we used technology better to reduce the amount of duplication, freeing up time to spend with the people we look after. #WeNurses
@WeNurses
02 July 2020 20:12
@amenbhagbe welcome to #wenurses Franca :) thanks for joining
@Chelsea_Fawcett
02 July 2020 20:12
@NRCUK @WeNurses I know what you mean. If people aren't reading the notes for any reason then the continuity isn't going to be there. #WeNurses
@BramClaeys88
02 July 2020 20:12
@MHealthDez @WeNurses Documentation should not be the goal but an instrument to organise your multidisciplinary care around the patiënt. Correct documentation leads to more efficient and integrated care! #WeNurses ????
@Melissa59484575
02 July 2020 20:12
@WeNurses Absolutely, this is something I was taught from the beginning. Documentation is proving that we have acted #WeNurses
@NaomiBe44702921
02 July 2020 20:12
RT @WeNurses: It's Thursday and it's 8pm so it must be #WeNurses .... welcome everyone ! This evenings discussion is all around documentat…
@SarahSa71387327
02 July 2020 20:12
#wenurses Nursing documentation is needed for clinical communication. Appropriate documentation provides accurate reflection of nursing assessments, changes in clinical state, provide care and pertinent patient information to help the multidisciplinary team to deliver good care.
@iansambrook23
02 July 2020 20:13
RT @WeNurses: It's Thursday and it's 8pm so it must be #WeNurses .... welcome everyone ! This evenings discussion is all around documentat…
@Silverangel882
02 July 2020 20:13
@WeNurses Hello! #WeNurses Documentation is great if it serves a purpose as isnt just a tick box exercise
@NRCUK
02 July 2020 20:13
@leili00516924 @WeNurses unless that other health care professional doesn't have permission to see it, this still happens ALL the time, despite billions of £ being spent on sharing information for the reasons you stated #wenurses
@MHealthDez
02 July 2020 20:14
@BramClaeys88 @WeNurses Yes... Like using formulation tools that can help better understand and tailor interventions that make care more person centred! But, it's just that this in then documented in numerous areas and on several care plans and systems. #WeNurses
@AgencyNurse
02 July 2020 20:14
@MarcelleTauber @WeNurses mmmm yes I can see that ... i have to admit that the care plans where i work give you the option to write yourself or fill in the blanks ... i always opt for write as feel this takes less time as it'e not a mundane task, something about my dyslexia abhors form filling #WeNurses
@WeNurses
02 July 2020 20:14
RT @SarahSa71387327: #wenurses Nursing documentation is needed for clinical communication. Appropriate documentation provides accurate refl…
@MarcelleTauber
02 July 2020 20:14
RT @SarahSa71387327: #wenurses Nursing documentation is needed for clinical communication. Appropriate documentation provides accurate refl…
@DrAnthea
02 July 2020 20:15
#WeNurses documentation is absolutely necessary but can be frustrating when systems don’t work together and we can’t access information needed for care or safeguarding
@WeNurses
02 July 2020 20:15
QUESTION 2 What are the biggest challenges you face with respect to nursing documentation? #WeNurses https://t.co/NgUko8yamk
@L3SL3YT
02 July 2020 20:15
#WeNurses I once taught the value of using your senses when writing - starting with what you saw - what your heard.
@GwenWPunc19
02 July 2020 20:15
RT @SarahSa71387327: #wenurses Nursing documentation is needed for clinical communication. Appropriate documentation provides accurate refl…
@GwenWPunc19
02 July 2020 20:16
@SarahSa71387327 @WeNurses Perfectly sums it up! Also aids with self-reflection, recognising the care you've been able to provide ?? #WeNurses
@WeNurses
02 July 2020 20:16
Anybody else feel like this? Thanks for sharing and welcome @Lisaannet_ to #wenurses https://twitter.com/Lisaannet_/status/1278768045838733314
@MHealthDez
02 July 2020 20:16
@AgencyNurse @WeNurses @TEDTalks We've just had some laptops delivered after merging with a new trust, so I am hopeful we can get better at using this. Personally, I have started doing care plans on word documents, so the patient can have their say, check pronouns, etc; before adding it to the record. #WeNurses
@leili00516924
02 July 2020 20:16
@WeNurses The biggest challenge faced is having to remember to document all details correctly so the other Person understands #WeNurses
@P_e_t_r_a____
02 July 2020 20:16
@WeNurses Hello #wenurses I would like the freehand documentation to be more standardised format that follows pattern of important point in patients care so you already know what you should expect to find. Instead of generic entry settled and medications given.
@Silverangel882
02 July 2020 20:16
@WeNurses Documentation is a necessary evil so to speak. Important to record patient interventions, but is is just a tick box for some people? Do we become so used to it that we dont actually read it anymore? Or understand why we are using it? #WeNurses
@RachMc1984
02 July 2020 20:16
@WeNurses Getting people to document accurately and when needed in depth #wenurses
@AgencyNurse
02 July 2020 20:17
Being able to have the systems accessible where you need them to be, often computers are at a desk and not mobile ... also not all care planning systems are all they are cracked up to be, so much is possible and it frustrates me to see poor systems #WeNurses https://twitter.com/WeNurses/status/1278769191823331339
@MToorap
02 July 2020 20:17
#WeNurses, Documentation not only helps with minimising errors but also safeguards both practitioner and patient #WeNurses #MDX_EL DX_EL
@SarahSa71387327
02 July 2020 20:17
1. Inadequate supervision for nurses on nursing documentation; 2. Competency issues in documentation; 3. Lack of confidence and motivation on documentation. #WeNurses
@NRCUK
02 July 2020 20:17
@MHealthDez @AgencyNurse @WeNurses @TEDTalks great, welcome to 1998 :) #wenurses
@LeilanieTacanay
02 July 2020 20:17
@WeNurses Lack of confidence and motivation on documentation. #WeNurses
@Elif_MDX
02 July 2020 20:17
RT @WeNurses: QUESTION 2 What are the biggest challenges you face with respect to nursing documentation? #WeNurses https://t.co/NgUko8ya…
@Chelsea_Fawcett
02 July 2020 20:17
@WeNurses I write notes that are too long. Need to learn to make them more concise so that they are more accessible and to save myself time but I'm still learning what information is necessary and what isn't. #WeNurses
@GwenWPunc19
02 July 2020 20:17
@WeNurses Increasing pressures, e.g. staff shortages, time, it being seen as a 'chore' so can lose meaning and seem like it's something we have to do, a routine job, rather than considering it from its true perspective, to provide best patient care which is holistic and caring #WeNurses
@DaisyLaylaPUNC
02 July 2020 20:18
@WeNurses Documentation is a way of evidencing care and therefore providing good care, through honesty and clarity. Only through this can we move forward and improve the service we provide. #WeNurses
@AgencyNurse
02 July 2020 20:18
@RachMc1984 @WeNurses oh lord yes .... often the important bits of info seem to get missed out ! Or perhaps this is just how it appears to be ?? #WeNurses
@WeNurses
02 July 2020 20:18
#wenurses https://twitter.com/Kelly97533651/status/1278769926648594433
@PUNC18_laura
02 July 2020 20:18
@WeNurses Sometimes I struggle to find the right words as in a lot of the time when written it is read differently to how you would say it, on paper the person reading can’t see your body language etc #wenurses
@moke_jay
02 July 2020 20:18
RT @WeNurses: QUESTION 1 Why is nursing documentation so important? ... is it important ? #WeNurses https://t.co/oUq2MqjDlg
@Melissa59484575
02 July 2020 20:18
@WeNurses Biggest challenge on a busy surgical ward: being able to document something after it has happened #WeNurses
@lambs3
02 July 2020 20:18
@WeNurses Good Nursing documentation is validating care that may have been given by junior staff or unqualified staff i.e counter signing notes #WeNurses
@RachMc1984
02 July 2020 20:18
@WeNurses @Lisaannet_ Sometimes. I've had to document the same thing in 3 or 4 different places when I worked in acutes #wenurses
@MHealthDez
02 July 2020 20:19
@WeNurses I find the biggest challenge is duplication, duplication and duplication. With the CQC making demands, the trust / organisation making demands and it just taking all the time and creativity out of our interventions. #WeNurses
@WeNurses
02 July 2020 20:19
Thoughts ?? Is documentation a necessary evil or a valuable nursing tool ?? #WeNurses https://twitter.com/Silverangel882/status/1278769607780839424
@Chelsea_Fawcett
02 July 2020 20:19
@WeNurses @Lisaannet_ I can relate to this #WeNurses
@MarcelleTauber
02 July 2020 20:19
@AgencyNurse There is such a huge variation in the quality of it! I don’t always rely on the info documented by colleagues and I feel horrible confessing that @WeNurses #WeNurses
@Silverangel882
02 July 2020 20:19
@WeNurses Knowing what's required for where you work. Not always the same even though you work for the same employer. But also engaging the other staff to support you with the documentation. I've been told many a time by HCSW that's not my job I'm not a nurse ?? #WeNurses
@SarahSa71387327
02 July 2020 20:19
@WeNurses 1. Inadequate supervision for nurses on nursing documentation; 2. Competency issues in documentation; 3. Lack of confidence and motivation on documentation. #WeNurses
@AgencyNurse
02 July 2020 20:19
@MHealthDez @WeNurses @TEDTalks That sounds like you have a great workaround there ! #WeNurses
@Asmaa__u
02 July 2020 20:20
- misunderstood notes - incomplete or missing documentation - misplaced documentation - failure to note the date or time #WeNurses
@WeNurses
02 July 2020 20:20
Would you like your tweets seen by other tweeters this eve and Documented in tonight's post chat transcript.... Add #WeNurses to your tweets :) "If you don't add the # it never got tweeted" https://t.co/jWw60bBy9E
@DaisyLaylaPUNC
02 July 2020 20:20
@WeNurses I always feel I would like to be able to document more, but with time constraints and number of patients having to be concise can mean points get missed! #WeNurses
@MHealthDez
02 July 2020 20:20
@NRCUK @AgencyNurse @WeNurses @TEDTalks We're hoping to get these new inside toilets that we've heard they have in the city! Very exciting! #WeNurses #NorthernPowerhouse
@leili00516924
02 July 2020 20:21
@WeNurses It is a necessary nursing tool needed for evidence to be shown #Wenurses
@GwenWPunc19
02 July 2020 20:21
@WeNurses Always valuable! Aids with future clinical decision-making, and discussion of what works and what doesn't, all in the interests of the patient and for best practice for holistic person-centred care #WeNurses
@leili00516924
02 July 2020 20:21
@WeNurses Yes please #Wenurses
@AgencyNurse
02 July 2020 20:21
@MarcelleTauber @WeNurses The problem is - dare I say - time. Sometimes we are all pushed for time and it's often them that we need to document more and with greater accuracy ... these times are important and I think it can take a while to develop the skills required to document ... 1/2 #WeNurses
@Winn_on_Health
02 July 2020 20:22
@WeNurses Depends: What's being documented? Why? For whose benefit is the record being made? Also harks back to previous response about repetition #WeNurses
@amenbhagbe
02 July 2020 20:22
#WeNurses I think of one them is short of staff.
@Elif_MDX
02 July 2020 20:22
@WeNurses Nursing documentation is important, because it’s an effective way of communication with other health care professionals who need relevant information in certain situations. For example, documents will be useful for a nurse if they’re taking care of a new patient. #WeNurses
@NicolaFrame1
02 July 2020 20:22
@WeNurses Definitely a necessary evil it’s the only way to see the chain of events #WeNurses
@PUNC18_laura
02 July 2020 20:22
@DaisyLaylaPUNC @WeNurses Me too! Sometimes I feel like I could write a book on what’s happened, their feelings, discussion etc ?? #wenurses
@GARRYE14
02 July 2020 20:22
#WeNurses The biggest challenges in nursing documentation is time. It is time consuming.
@AgencyNurse
02 July 2020 20:22
@MarcelleTauber @WeNurses I wonder how many of us give / receive feedback on the quality of our documentation ?? #WeNurses
@RachMc1984
02 July 2020 20:22
@AgencyNurse @WeNurses I think sometimes it's a case of others not perceiving information as important and sometimes just thinking that getting the "bare bones" documented is enough #wenurses
@MHealthDez
02 July 2020 20:22
@WeNurses @Lisaannet_ Urgh! I feel like that all of the time. Especially after an incident on the unit. However, without incident forms and proper documentation, there often isn't enough evidence to properly challenge for change and developement. #WeNurses
@NRCUK
02 July 2020 20:23
@MHealthDez @AgencyNurse @WeNurses @TEDTalks totally heading in the right direction :) It is beyond frustrating how poor the documentation systems are for you, patients safety and the outrageous cost of these systems all in place to record/report - yet NHS / DHSC know virtually nothing, dark times :( #wenurses
@Elif_MDX
02 July 2020 20:23
@WeNurses The biggest challenge faced to nursing documentation is having correctly and honestly written notes as well as having a clear hand writing so other professionals are able to read it well if documents are written by hand #WeNurses
@AgencyNurse
02 July 2020 20:23
@RachMc1984 @WeNurses yes maybe .... but should we perhaps get better at giving / receiving feedback re our documentation ? #WeNurses
@SamBarnard11
02 July 2020 20:24
#wenurses - 100 % attendance today in our first drive through HBA1C service. Great to work with such highly motivated #PWD. The team worked really hard keep things going and pulled together as we always do!
@Silverangel882
02 July 2020 20:24
@GwenWPunc19 @WeNurses Totally agree with you, but it's the quality of the information recorded that helps holistic care. If those filling it in dont understand its relevance then things might get missed #WeNurses
@RachMc1984
02 July 2020 20:24
@Silverangel882 @WeNurses I've found reviewing care plans becomes a tick box exercise at times. Hate coming back to find *my* care plans have been reviewed for me and all it says is "reviewed, no changes" ?????? #wenurses
@MarcelleTauber
02 July 2020 20:24
@AgencyNurse @WeNurses That may be so ... but there are very, very experienced staff whose documentation remains poor (impersonal, factually incorrect, minimal) #WeNurses
@katblossom
02 July 2020 20:24
RT @WeNurses: Thoughts ?? Is documentation a necessary evil or a valuable nursing tool ?? #WeNurses https://twitter.com/Silverangel882/status/1278769607780839424
@MarcelleTauber
02 July 2020 20:24
RT @AgencyNurse: @MarcelleTauber @WeNurses I wonder how many of us give / receive feedback on the quality of our documentation ?? #WeNurses
@Winn_on_Health
02 July 2020 20:24
@WeNurses Certainly nothing worse than reading "Slept well" ... Has promoted me to ask "How so you know?" #WeNurses
@lambs3
02 July 2020 20:24
@WeNurses I think sometimes it’s better to have a structure , like a template . This could cut out unnecessary waffle #WeNurses
@AgencyNurse
02 July 2020 20:24
Does anyone use speech to text with their clinical documentation ?? #WeNurses
@WeNurses
02 July 2020 20:25
QUESTION 3 What things do you think could be done to improve nursing documentation? #WeNurses https://t.co/B0U6Y7BIXU
@Kelly97533651
02 July 2020 20:25
@WeNurses I think it’s a valuable nursing tool, especially when you work in a large team, as long as it’s concise and factual it Is all part of providing an effective service. #WeNurses
@MHealthDez
02 July 2020 20:25
@Chelsea_Fawcett @WeNurses That will come in time. My advice here is to read what other people document. You'll soon pick up what people read and note. Just make sure you remember to leave in the human element. Document the person, don't just describe symptoms. #WeNurses
@NRCUK
02 July 2020 20:25
@Elif_MDX @WeNurses I've not hand written anything in 20 years, and what i do type is automatically corrected so the recipient can understand it, a good percentage is now even suggested for me... how the rest of the world works! #NHScatchup #wenurses
@AgencyNurse
02 July 2020 20:26
@MarcelleTauber @WeNurses sigh yes i have come across this too .... though i do wonder what people think of mine, being a dyslexic nurse I know i make many spelling errors, however I hope that other than that i am quite comprehensive #WeNurses
@tharry
02 July 2020 20:26
RT @AgencyNurse: Does anyone use speech to text with their clinical documentation ?? #WeNurses
@PUNC18_laura
02 July 2020 20:26
@WeNurses We need to cut down on the duplication, I feel this is valuable time we could be spending with our wonderful patients, holding their hand in tough times, reassuring family and much more #wenurses
@WeNurses
02 July 2020 20:26
RT @AgencyNurse: Does anyone use speech to text with their clinical documentation ?? #WeNurses
@Asmaa__u
02 July 2020 20:26
To improve nursing documentation we must ensure notes are written clearly so others can read, also making sure to note important details. Most importantly the date and time. #WeNurses
@RachMc1984
02 July 2020 20:26
@AgencyNurse @WeNurses I think so. When I was ward based and had students I would let them at my care plans once they knew the patients and then sit and go through how they'd review them. Slightly different when it's colleagues I think #wenurses
@Winn_on_Health
02 July 2020 20:26
@LeilanieTacanay @WeNurses Ouch! They are serious impediments. #WeNurses
@L3SL3YT
02 July 2020 20:26
#WeNurses in maternity services there are ‘standardised records’ often called the national record that are used by some mat services all over the country. Can be customised. But overall are easy to use and can link to computerised records
@WeNurses
02 July 2020 20:27
RT @Winn_on_Health: @WeNurses Certainly nothing worse than reading "Slept well" ... Has promoted me to ask "How so you know?" #WeNurses
@MarcelleTauber
02 July 2020 20:27
@AgencyNurse @WeNurses I have given & received feedback. I get told I write too much, particularly about patient & family conversations. I try and encourage personalisation and pertinence! #WeNurses
@GwenWPunc19
02 July 2020 20:27
@Silverangel882 @WeNurses That's why my placement found it such a massive help when there were students around as I took so much time with my care plans ensuring info was up-to-date and relevant (especially checking and reorganising folders on nightshift) obviously always being counter signed #WeNurses
@MHealthDez
02 July 2020 20:27
@NRCUK @AgencyNurse @WeNurses @TEDTalks What is worse is that since the merger, the most northern part of the trust are on one system and the "old part of the trust" are on another. We're getting patients moved to our unit with no sight of past admissions, risk assessments, what worked or anything! #WeNurses
@leili00516924
02 July 2020 20:27
@WeNurses One should make a list available for the nurse which will make it easier #Wenurses
@Chelsea_Fawcett
02 July 2020 20:28
@WeNurses I've seen it mentioned several times tonight but removing duplication, for example when there are 3 different places on one system to record the same information. #WeNurses
@Melissa59484575
02 July 2020 20:28
@Silverangel882 @WeNurses Everyone should be accountable for documentation regardless of their role. Unregistered staff can document in a careplan stating what they have done for a service user. But it is the attitude within many workplaces #WeNurses
@NRCUK
02 July 2020 20:28
@WeNurses the BILLIONS spent on enabling its recording and sharing it could actually have driven some change. IG could be used to improve patient outcomes, not lock down info. Billions wasted :( Time wasted :( Little learned :( Harm caused :( #wenurses
@Silverangel882
02 July 2020 20:28
@WeNurses Standardisation across similar services UK wide would help with consistency and quality. I also think appropriate on the job training on how to use the documentation effectively would help as well #WeNurses
@MarcelleTauber
02 July 2020 20:28
@AgencyNurse @WeNurses Spelling errors I will always accept as long as the quality is there #WeNurses
@AgencyNurse
02 July 2020 20:28
Things like systems putting weights and heights into every relevant field automatically ... or being able to chose free text .. or having the option for speech to text .. having portable systems .. would all help IMO #WeNurses https://twitter.com/WeNurses/status/1278771695801729025
@SarahSa71387327
02 July 2020 20:29
@WeNurses #wenurses Make sure it is Legible and accurate and try not to use abbreviations.
@MHealthDez
02 July 2020 20:29
@Winn_on_Health @WeNurses "No new concerns - Continue to follow plan" Erm... why even bother to write anything!!! So frustrating - Why were there no new concerns. Why weren't you concerned. #WeNurses
@GwenWPunc19
02 July 2020 20:29
@WeNurses Reminders that it is not a chore, but enables continuity of care and best care from the patient's perspective. Without it, it could enable duplication of not only info or even care that didn't prove viable or beneficial, such as meds or a type of wound dressing, etc. #WeNurses
@Elif_MDX
02 July 2020 20:29
RT @WeNurses: QUESTION 3 What things do you think could be done to improve nursing documentation? #WeNurses https://t.co/B0U6Y7BIXU
@MToorap
02 July 2020 20:29
#WeNurses what could be done is updating/refreshing how its done such as go digital but if not done properly it becomes more of a barrier to providing care #MDX_EL
@sawherry
02 July 2020 20:29
RT @WeNurses: QUESTION 1 Why is nursing documentation so important? ... is it important ? #WeNurses https://t.co/oUq2MqjDlg
@DaisyLaylaPUNC
02 July 2020 20:29
@WeNurses I think it would be really interesting to have the patient give notes on their care each day. I understand this isn't always practical, but we often think we're doing our job right, but I'd love to see what each of my patients would see from their view of the day! #WeNurses
@AgencyNurse
02 July 2020 20:30
@MarcelleTauber @WeNurses phew ! #WeNurses
@NRCUK
02 July 2020 20:30
@MHealthDez @AgencyNurse @WeNurses @TEDTalks I don't doubt that for a second.... AND nobody gets fired. Mergers are so badly done and supplies use patient data as a currency... NHS/DHSC has no handle on the billions spent and wasted on these outdated systems that hide behind IG, it really is a disgrace. #WeNurses
@sandraos88
02 July 2020 20:30
@WeNurses Having the time to do it. I’m a community nurse and am often days, if not weeks, behind in writing up patient contacts #WeNurses
@Silverangel882
02 July 2020 20:30
@Melissa59484575 @WeNurses Totally agree with you! If a carer/HCSW has supported a person with personal care then they are the person who should complete say a Waterlow or skin check documents #WeNurses
@Winn_on_Health
02 July 2020 20:31
@PUNC18_laura @DaisyLaylaPUNC @WeNurses Timeliness, brevity, specificity and accuracy are all important. #WeNurses
@Kelly97533651
02 July 2020 20:31
@WeNurses Ive used templates I feel these work well. Tick boxes to show the care given without having to write large amounts. However there was always the option to free text anything you felt you needed to add as evidence. It just allows more time to focus on your patient. #WeNurses
@AgencyNurse
02 July 2020 20:31
@jane_nickels @WeNurses Do you use it at work ??? We don;t even have speakers / microphones in the computers at work ! #WeNurses
@WeNurses
02 July 2020 20:31
Have others experienced this, it seems like it is still very common? #wenurses https://twitter.com/MHealthDez/status/1278772354240438273
@GwenWPunc19
02 July 2020 20:31
@Winn_on_Health @WeNurses Always different perceptions on this...they could have restless but were settled on checks. Sometimes patient communication proves more true that just 1 review or visual check #WeNurses
@WeNurses
02 July 2020 20:31
RT @Winn_on_Health: @PUNC18_laura @DaisyLaylaPUNC @WeNurses Timeliness, brevity, specificity and accuracy are all important. #WeNurses
@MHealthDez
02 July 2020 20:31
@WeNurses Involve the patient / service user in to the process... I've heard about a ward that lets the individual document how they think their day has gone and how it could have been improved. Allowing for more of their voice to be heard in their care. #WeNurses
@L3SL3YT
02 July 2020 20:31
#WeNurses peer and self audit of records - check out the basic audit tool that the CQC use when inspecting
@LeilanieTacanay
02 July 2020 20:31
@WeNurses Using the right tool/charts in documenting and update it everytime. #WeNurses
@WeNurses
02 July 2020 20:31
#wenurses https://twitter.com/AnnaKFlink/status/1278773216580898817
@leili00516924
02 July 2020 20:32
@WeNurses No #wenurses
@MarcelleTauber
02 July 2020 20:32
RT @Winn_on_Health: @PUNC18_laura @DaisyLaylaPUNC @WeNurses Timeliness, brevity, specificity and accuracy are all important. #WeNurses
@WeNurses
02 July 2020 20:32
And this is very frustrating ! #WeNurses https://twitter.com/AnnaKFlink/status/1278773216580898817
@Winn_on_Health
02 July 2020 20:32
@MHealthDez @WeNurses Agree. "No change" is briefer and just as accurate, IMO #WeNurses
@Chelsea_Fawcett
02 July 2020 20:32
@sandraos88 @WeNurses When I was on a community placement the nurses were allowed to block out time after an appointment for documentation and they had protected time in the morning for e-mails and catching up. #WeNurses
@NicolaFrame1
02 July 2020 20:32
@WeNurses Over the years there has been an increase in the amounts of paper to fill in , from risk assessment forms for nearly every task we carry out to overly complicated admission documents, maybe things need to be made simpler and less time consuming #WeNurses
@WeNurses
02 July 2020 20:32
#WeNurses https://twitter.com/AnnaKFlink/status/1278773118769782785
@SamReece16
02 July 2020 20:32
@WeNurses Everyone across all of healthcare using the same system including in and out of hospital, improve access to patients records investigations and improve communication reducing duplication #WeNurses
@Nitchola
02 July 2020 20:32
RT @WeNurses: QUESTION 3 What things do you think could be done to improve nursing documentation? #WeNurses https://t.co/B0U6Y7BIXU
@aerendell49
02 July 2020 20:32
RT @WeNurses: #wenurses
@WeNurses
02 July 2020 20:33
Now this is a whole nother tweetchat ! #WeNurses https://twitter.com/SamReece16/status/1278773098196721665
@MarcelleTauber
02 July 2020 20:33
@Winn_on_Health @WeNurses @PUNC18_laura @DaisyLaylaPUNC Brevity .... ABSOLUTELY! #WeNurses
@AgencyNurse
02 July 2020 20:33
That's really amazing :) #WeNurses https://twitter.com/jane_nickels/status/1278773607720681473
@SamReece16
02 July 2020 20:33
@WeNurses #WeNurses improves patient safety and reduces the risk of errors occuring
@Melissa59484575
02 July 2020 20:33
@MHealthDez @WeNurses I like the sound of that #WeNurses
@Chelsea_Fawcett
02 July 2020 20:33
@MHealthDez @WeNurses I like this idea #WeNurses
@AgencyNurse
02 July 2020 20:34
Love the inclusion of brevity here .... something us Tweeting nurses are quite good at ;D #WeNurses https://twitter.com/Winn_on_Health/status/1278773186746896384
@Silverangel882
02 July 2020 20:34
@WeNurses When I was in community we used Morse which is an electronic system. Loved it when it was working lol #WeNurses
@MHealthDez
02 July 2020 20:34
@NRCUK @AgencyNurse @WeNurses @TEDTalks YES! The amount of problems that are carpeted over using the IG shield. It's such an archaic view that hinders real progress! Sadly when it goes wrong it's not the caldicott guardian in court, but the nurse who made a decision based on half the info. #WeNurses
@WeNurses
02 July 2020 20:35
QUESTION 4 Do we spend too much time documenting as nurses? How much is too much? #WeNurses https://t.co/cUCXIHFUgD
@L3SL3YT
02 July 2020 20:35
@MHealthDez @NRCUK @AgencyNurse @WeNurses @TEDTalks #WeNurses that is shocking - questionable leadership!
@Elif_MDX
02 July 2020 20:35
@WeNurses Some documents may be done on the computer however there could be some nurses who are not familiar with using digital platforms, an idea would be providing training for nurses; easy ways to note documents in the correct and best way possible when using the computer. #WeNurses
@Winn_on_Health
02 July 2020 20:35
@LeilanieTacanay @WeNurses Confidence can be gained, assisted & should be part of training. Motivation is a professional necessity. #WeNurses
@PUNC18_laura
02 July 2020 20:35
@AnnaKFlink @WeNurses That’s why I have to keep buying pens! ?? #wenurses
@MarcelleTauber
02 July 2020 20:35
RT @AgencyNurse: Love the inclusion of brevity here .... something us Tweeting nurses are quite good at ;D #WeNurses
@NRCUK
02 July 2020 20:35
@SamReece16 @WeNurses We don't need the same system, we all use: Different banks Different mobile networks Different credit cards Different everything... yet we can all buy and call globally. 20 years of not agreeing protocols by IT baphones draining public money #wenurses
@Lisaannet_
02 July 2020 20:35
@RachMc1984 @WeNurses It happens so much! I feel like it is not a good use of time. #WeNurses
@AgencyNurse
02 July 2020 20:36
Brilliant to hear ... but it would make so much sense for it to be available across the board as standard #WeNurses https://twitter.com/PUNC18_laura/status/1278774254516015110
@MHealthDez
02 July 2020 20:36
@Winn_on_Health @WeNurses Yes, but just as vague and just as half efforted! Tell me, the nurse taking over or the professional that is reviewing the care what, why and how the time was spent by the person. #WeNurses
@leili00516924
02 July 2020 20:36
@WeNurses We do however I do believe it is needed #WeNurses
@WeNurses
02 July 2020 20:36
#WeNurses https://twitter.com/GwenWPunc19/status/1278774528806735873
@Chelsea_Fawcett
02 July 2020 20:37
@WeNurses I've observed some nurses come in on their annual leave just to catch up on documentation because when urgent appointments have cropped up they haven't had time, and then they are worried about the Trust being penalised for not submitting the documentation on time #WeNurses
@NRCUK
02 July 2020 20:37
@MHealthDez @AgencyNurse @WeNurses @TEDTalks 4 years ago to the day! #wenurses https://twitter.com/NRCUK/status/749132770778185728?s=20
@Elif_MDX
02 July 2020 20:37
RT @WeNurses: QUESTION 4 Do we spend too much time documenting as nurses? How much is too much? #WeNurses https://t.co/cUCXIHFUgD
@GwenWPunc19
02 July 2020 20:37
@Kelly97533651 @WeNurses I always consider them to be each individual processes that contribute to that particular aspect of that patient's care! Always consider the patient in the centre and use clinical knowledge to underpin all decisions to add depth and structure to care #WeNurses
@MHealthDez
02 July 2020 20:38
@WeNurses I would argue that we do... Especially as NQN's who are still getting their head around the system and what is "needed" to be noted. Especially after a patient safety incident. However, I would like to think this gets better with time and experience. #WeNurses
@jmv127
02 July 2020 20:38
@iamnursejin @PUNC18_laura @WeNurses Yes make it integrated. Why do ward nurses write in one folder and everyone else write in another? When I became a specialist nurse and wrote in the medical notes for the first time it felt very strange #wenurses
@NRCUK
02 July 2020 20:38
@MHealthDez @AgencyNurse @WeNurses @TEDTalks this one only 3 years ago https://twitter.com/NRCUK/status/893193194946666496?s=20 #wenurses
@MHealthDez
02 July 2020 20:38
@NRCUK @AgencyNurse @WeNurses @TEDTalks Will it ever change? #WeNurses
@BrianWebster18
02 July 2020 20:38
RT @WeNurses: QUESTION 3 What things do you think could be done to improve nursing documentation? #WeNurses https://t.co/B0U6Y7BIXU
@AgencyNurse
02 July 2020 20:38
We should not be spending all of our time documenting ... equally we should have enough time to document ... there should be balance Once went to a care home where the care plan documentation for each pt was 94 pages long ... I couldnt find the bits of info I needed #WeNurses https://twitter.com/WeNurses/status/1278774210987524109
@SarahSa71387327
02 July 2020 20:39
@WeNurses #wenurses we do however it is crucial and needed
@Elif_MDX
02 July 2020 20:39
@WeNurses As nurses when documenting we should only document the relevant information as this would be helpful for other health professionals when looking over the documents. #WeNurses
@EllenParker6
02 July 2020 20:39
@WeNurses I thought we did until I became a midwife .....now that is a lot of documentation #WeNurses
@AgencyNurse
02 July 2020 20:39
#WeNurses .... It pretty much comes as standard on most tech now so why not ?? https://twitter.com/PUNC18_laura/status/1278774844390334464
@PUNC18_laura
02 July 2020 20:39
@WeNurses Absolutely, but it’s time well spent to ensure safety, handover and continuity #wenurses
@MarcelleTauber
02 July 2020 20:40
RT @Winn_on_Health: @WeNurses Certainly nothing worse than reading "Slept well" ... Has promoted me to ask "How so you know?" #WeNurses
@WeNurses
02 July 2020 20:40
#eek #WeNurses https://twitter.com/EllenParker6/status/1278775370884489218
@NRCUK
02 July 2020 20:40
@MHealthDez @AgencyNurse @WeNurses @TEDTalks no - because you still get healthcare professions saying "caring is about people and not technology" even though it has run out of people whilst every other sector is delivering more for less and increasing the quality at the same time by using date. #wenurses
@L3SL3YT
02 July 2020 20:40
#WeNurses so sorry about this but my granddaughter has just asked said “nanny what are you doing?” I said “I’m writing tweets about documentation” She said “what’s documentation?” I said” it’s writing” She said “so you are writing about writing?” And laughed!!!!
@Lisaannet_
02 July 2020 20:40
@WeNurses Good documentation can be a valuable nursing tool as long as people are not just 'going through the motions' when documenting. Documentation should be concise and accurate and contain all the key information needed #WeNurses
@GwenWPunc19
02 July 2020 20:40
@MHealthDez @WeNurses On placement, as care plans were situated on patient's clipboards, I would write them next to them, explaining, addressing concerns. I used this method when doing discharge paperwork, ensuring they understood what each of their meds were and when to take them, etc #WeNurses
@NicolaFrame1
02 July 2020 20:40
@WeNurses I feel we do , how many nurses have taken their break time to write notes ? #WeNurses
@LeilanieTacanay
02 July 2020 20:41
@WeNurses Sometimes yes because rather than spending more time with the patients we spend too much time documenting. For me, you can say ‘too much’ if your willing to give up your lunch just to update documents. Therefore, time managing is so important! #WeNurses
@lambs3
02 July 2020 20:41
@WeNurses It depends on the team writing the notes . Notes need to be delegated fairly, but at the same time the quality of the notes should be streamlined and be of similar standard .. #WeNurses
@WeNurses
02 July 2020 20:41
hehehe very smart granddaughter :D #WeNurses https://twitter.com/L3SL3YT/status/1278775571498090497
@SamReece16
02 July 2020 20:41
@NRCUK @WeNurses An example, Some hospitals have two different prescribing systems, so when a patient is transferred to a different area at times they cannot get their meds on time as they need inputting onto a new system this can increase the risk of error and med duplication #wenurses
@WeNurses
02 July 2020 20:41
An important question.... (of course it stops becoming a break if you are working during it!) #WeNurses https://twitter.com/NicolaFrame1/status/1278775678482239493
@AbigailAkinrim1
02 July 2020 20:41
@WeNurses Communication is very important! It helps staff that are taking over in the day or night know what care has been given to the patient and what also needs to be done. #WeNurses
@Chelsea_Fawcett
02 July 2020 20:42
@AgencyNurse I've observed this as well, and policy was to read it at the start of each shift but the new information could have been anywhere in the folder. #WeNurses
@hnbarker
02 July 2020 20:42
#wenurses https://twitter.com/hnbarker/status/1278769142397624325
@Winn_on_Health
02 July 2020 20:42
@AnnaKFlink @WeNurses There is a need to delegate some documentation types. Repetitious forms are next to useless. I'm hoping that computerisation will improve the arduous tasks. Voice recognition tech is widely available ... Just not widely deployed. It works v well. #WeNurses
@RachMc1984
02 July 2020 20:42
@abbeycourt34 @WeNurses I summarise in a couple of lines how they are doing e.g. Continues to mobilise well, no falls. Or continues to present as disoriented to time, place, person; accepts support and reassurance from staff etc. #wenurses
@Chelsea_Fawcett
02 July 2020 20:42
@Elif_MDX @WeNurses I'm still learning what is relevant...I just want to write down everything! #WeNurses
@Asmaa__u
02 July 2020 20:43
We do spend too much on documentation as this is vital for patient care but we should also spend nursing practice time. #WeNurses
@NRCUK
02 July 2020 20:43
Nurse document information because they always have, and so the trust has a less chance of being sewed, it adds very little day to day value, nothing is learned from it, singularly or collectively. Most of it used to ensure the trust gets paid. #wenurses
@MHealthDez
02 July 2020 20:43
@NRCUK @AgencyNurse @WeNurses @TEDTalks I love how we have looked to the aviation sector to improve patient safety in certain areas, but not all... Why can't we create an sector that takes the best from numerous areas and makes a world beating health service. I'm sure we can learn from @google or @AmazonUK #WeNurses
@SamReece16
02 July 2020 20:43
@NRCUK @WeNurses A patient seen in another trust for a fracture, you cannot get access to their x-ray report unless you ask for access, wait for it to be sent takes time, not a good patient journey #wenurses
@NicolaFrame1
02 July 2020 20:43
@WeNurses Indeed it does #WeNurses
@AgencyNurse
02 July 2020 20:43
@Chelsea_Fawcett yes indeed and when documentation becomes this lengthy it makes itself obsolete #WeNurses
@DaisyLaylaPUNC
02 July 2020 20:43
@WeNurses There is definitely a lot of time spent in documentation, but you wouldn't want to regret not writing something either.. but I think as a student when I'm laying in bed after a long day, worrying if I didn't document something small... thats when perhaps its too much. #WeNurses
@BreathAndMind
02 July 2020 20:43
RT @WeNurses: QUESTION 2 What are the biggest challenges you face with respect to nursing documentation? #WeNurses https://t.co/NgUko8ya…
@GwenWPunc19
02 July 2020 20:43
@WeNurses I believe that NQNs may spend more than more experienced ones but it all ensures patient safety + is all in their best interests enabling improvement in health + wellbeing. Nightshifts were useful to enable checking of documentation, reorganising and reviewing of care #WeNurses
@Melissa59484575
02 July 2020 20:44
@WeNurses I document what I feel is relevant. Unfortunately, I do have a bad habit of staying after my shift has ended to make sure evidence has been provided #WeNurses
@WeNurses
02 July 2020 20:44
Anyone else do this ?? #WeNurses https://twitter.com/Melissa59484575/status/1278776458316517383
@NRCUK
02 July 2020 20:44
@MHealthDez @AgencyNurse @WeNurses @TEDTalks @Google @AmazonUK Outrageous, what do they know about serving millions of people a day, globally.. it is totally different to care so not comparable :) #wenurses
@MHealthDez
02 July 2020 20:44
@LeilanieTacanay @WeNurses Yeah, I agree writing too much is just as dangerous as writing too little... Give me the facts, so I can see it in an emergency. #WeNurses
@Silverangel882
02 July 2020 20:45
@WeNurses Has to be a balance, but not always easy to do depending on how unwell your patients might be. Even when I was a student I had to stay late after my shift to finish my notes. Very little changed once I qualified #WeNurses
@WeNurses
02 July 2020 20:45
QUESTION 5 Is the time spent delivering nursing care and the time spent documenting ratio right? #WeNurses https://t.co/xeN4kdpAdg
@GwenWPunc19
02 July 2020 20:45
@Rachel_A_ @Chelsea_Fawcett @NRCUK @WeNurses Yes- I always had to ask on placement what things were written, like medication on a drug chart! Can compromise patient safety, especially if there are incorrect spelling or illegible handwriting #WeNurses
@AgencyNurse
02 July 2020 20:45
THIS >>> #WeNurses https://twitter.com/MHealthDez/status/1278776627967807488
@Winn_on_Health
02 July 2020 20:45
@lambs3 @WeNurses Templates have a place but have been misused in the past - perhaps today! Since the 1960s the profession has looked for better ways to document care. We're still at it! #WeNurses
@AgencyNurse
02 July 2020 20:45
RT @WeNurses: QUESTION 5 Is the time spent delivering nursing care and the time spent documenting ratio right? #WeNurses https://t.co/xe…
@MHealthDez
02 July 2020 20:45
@WeNurses Erm... today, I ate my bangers and mash, with my laptop, in the break room... while documenting a patients discharge risk assessment. Bad... Dez... I know! #WeNurses
@Chelsea_Fawcett
02 July 2020 20:46
@DaisyLaylaPUNC @WeNurses I can relate to this! #WeNurses
@WeNurses
02 July 2020 20:46
@MHealthDez nurses need breaks too :) #WeNurses
@leili00516924
02 July 2020 20:46
@WeNurses No I feel like we document more then provide care for the patients #WeNurses
@GwenWPunc19
02 July 2020 20:47
@WeNurses I believe that most patient care is unfortunately sometimes provided primarily by HCAs as nurses are so pressured with documentation and ensuring meds are given at dedicated times, which can sometimes take time away from patient care being truly 'patient-centred' #WeNurses
@RachMc1984
02 July 2020 20:47
@WeNurses Yup.....I'm better than I was. I'm currently in a care home and if other things are happening and the carers need support or I've had a 1:1 that I feel needs documenting I'll step in and help etc and finish my documentation after I've finished handover #wenurses
@BreathAndMind
02 July 2020 20:47
RT @WeNurses: QUESTION 3 What things do you think could be done to improve nursing documentation? #WeNurses https://t.co/B0U6Y7BIXU
@MHealthDez
02 July 2020 20:47
@NRCUK @AgencyNurse @WeNurses @TEDTalks @Google @AmazonUK Hahahaha! You mean, they keep all their customer information in one place, so it can be accessed by people who need it? But... what about IG? Hey, if they're not going to pay their tax, @AmazonUK and @Google can at least help us in other ways. #WeNurses
@SamReece16
02 July 2020 20:47
@NRCUK It's a form of communication amongst colleagues and reduces the risk of errors occuring #wenurses
@Silverangel882
02 July 2020 20:48
@WeNurses I think it all depends where you work. I've just finished as a community nurse and feel the balance was right there. But in other areas not so much. On the wards I often was late finishing #WeNurses
@NicolaFrame1
02 July 2020 20:48
@WeNurses Sometimes it doesn’t feel right , I know I put my patients before paper and then inevitably there is a rush on to get paperwork completed before end of shift , which doesn’t make for good documentation #WeNurses
@LeilanieTacanay
02 July 2020 20:48
@WeNurses Overall we spend more time with patients than documenting. And I think you if spend much time with patients then documenting will be more quick and accurate. #WeNurses
@BreathAndMind
02 July 2020 20:48
RT @WeNurses: QUESTION 1 Why is nursing documentation so important? ... is it important ? #WeNurses https://t.co/oUq2MqjDlg
@PUNC18_laura
02 July 2020 20:48
@WeNurses Personally I don’t feel it is, I would love to spend more time with my patients, getting to know them that little bit more, updating family and just generally being the best nurse I can. Plus I reckon I’ve got shares in pen companies with all my writing?? #wenurses
@AgencyNurse
02 July 2020 20:48
I remember awful photocopied "core care plans" that were around just after i qualified .... they were speedy but so flawed with no room for amendment or personalisation #WeNurses https://twitter.com/Winn_on_Health/status/1278776867915522050
@MHealthDez
02 July 2020 20:48
@WeNurses Yeah, but... I also like to finish on time so I can see these other little people that I look after! ???? #WeNurses
@NRCUK
02 July 2020 20:48
@SamReece16 @WeNurses the concept of e-prescribing is of course amazing, but "e" in NHS totally misses the "e" value. All "nhs" has done is digitise paper processes, every other sector has totally unlocked the learning, predicting, preventing waste and delivering efficiency digital brings #wenurses https://t.co/xmawDxmi0N
@WeNurses
02 July 2020 20:49
RT @leili00516924: @WeNurses No I feel like we document more then provide care for the patients #WeNurses
@NRCUK
02 July 2020 20:49
@SamReece16 that's what it is supposed to do - but half of you can't see what the other half have documented :( #wenurses
@Asmaa__u
02 July 2020 20:49
Patient care is just as important as documentation, so we must ensure we do both adequately #WeNurses
@MHealthDez
02 July 2020 20:49
@WeNurses No, but... I don't see how it can change without compromising accuracy and clarity. Any ideas? #WeNurses
@RachMc1984
02 July 2020 20:49
@NicolaFrame1 @WeNurses 10 months ago I might have answered "what's a break".....but yes, I have at times sat writing notes etc whilst having my lunch #wenurses
@Winn_on_Health
02 July 2020 20:49
@GwenWPunc19 @WeNurses Agree. If compelled to write about the apparent sleep experienced by a patient, best ask the patient what they experienced. Can guarantee this will stop documentation of nurses perceptions, rather than the patient actuality #WeNurses
@WeNurses
02 July 2020 20:50
#WeNurses https://t.co/e8Th6mLoie
@SarahSa71387327
02 July 2020 20:50
@WeNurses #wenurses Personally I believe we spend more time with patients than documenting
@LeilanieTacanay
02 July 2020 20:51
@WeNurses I think if nurses spend more time with patients then documenting will be more quick and accurate. #WeNurses
@WeNurses
02 July 2020 20:51
RT @SarahSa71387327: @WeNurses #wenurses Personally I believe we spend more time with patients than documenting
@jmv127
02 July 2020 20:51
@WeNurses Nurses spend a lot of time documenting. We need to look at the function of that documentation. If it is to communicate relevant information then keep it clear and concise. Some people spend a lot of time writing but it has little actual content #wenurses
@WeNurses
02 July 2020 20:51
RT @LeilanieTacanay: @WeNurses I think if nurses spend more time with patients then documenting will be more quick and accurate. #WeNurses
@NRCUK
02 July 2020 20:52
@MHealthDez @AgencyNurse @WeNurses @TEDTalks @Google @AmazonUK OH, they try very, very hard to help, and new ways of thinking about learning are being explored with them now :) Imagine how quickly AI could have managed Corona if all the data was in one place, but no, lets let 1,000s of isolated experts learn locally one by one :( #wenurses
@Melissa59484575
02 July 2020 20:52
@WeNurses How can documentation be completed if more time is spent documenting? #WeNurses
@MHealthDez
02 July 2020 20:52
@WeNurses Yes... So long as it's done in a way that the MDT will actually read it, or even have access to it! Social care can't see health's notes and vice versa. The amount of calls I take where the answer is on the care record is unreal. #WeNurses
@WeNurses
02 July 2020 20:52
Does anyone audit the quality of nurses documentation ?? #WeNurses https://twitter.com/jmv127/status/1278778370944389120
@GwenWPunc19
02 July 2020 20:52
@WeNurses However putting a twist on it, documentation could overpower patient care due to fears of the repercussions of not documenting everything. Being unsure of what is truly necessary and so too much is written which is irrelevant to that particular part of patient care #WeNurses
@WeNurses
02 July 2020 20:53
LOL anyone documented about cats recently ?? #WeNurses https://twitter.com/MartinHogan84/status/1278778584329531392
@Winn_on_Health
02 July 2020 20:53
@AgencyNurse Please, don't remind me! A documentation disaster from the 80s. Once you've presented records to a Law Court you learn how important records are ... & Photocopies are NOT. #WeNurses
@MHealthDez
02 July 2020 20:53
@NRCUK @AgencyNurse @WeNurses @TEDTalks @Google @AmazonUK Yep! Imagine! Literally tens of thousands of lives saved if people were allowed to collaborate on one system. Siloed care literally compromises care and costs lives. #WeNurses
@SamReece16
02 July 2020 20:53
@NRCUK Yes some writing is better than others granted, but that is the very odd one, and if you are following your governing bodies code writing should be legible, if it's not that needs addressing not documentation avoided. #wenurses
@Elif_MDX
02 July 2020 20:54
@WeNurses I have noticed that sometimes documenting can take up a lot more time than expected but it is only because the information documented is a reliable source so nurses take time and explaining clearly on what they’re documenting about #WeNurses
@AgencyNurse
02 July 2020 20:54
@JaneCoomber1 ooh that sounds challenging ! #WeNurses
@Elif_MDX
02 July 2020 20:54
RT @WeNurses: QUESTION 5 Is the time spent delivering nursing care and the time spent documenting ratio right? #WeNurses https://t.co/xe…
@Melissa59484575
02 July 2020 20:55
@MHealthDez @WeNurses Who doesn't do this #WeNurses
@MHealthDez
02 July 2020 20:55
@WeNurses Yep! How one service user in my care has 4 cats and when she is distressed, we should talk about them to help distract her from her voices and urges to ligature and self harm! #CatCareNotes #WeNurses
@WeNurses
02 July 2020 20:55
QUESTION 6 If there was one change you could make to the way we document as nurses what would it be? #WeNurses https://t.co/CAxdVeuoL2
@NRCUK
02 July 2020 20:55
Am amazed that people are talking about handwriting/legibility. I know I don't look it but I am nearly 50, I've been working and communicating professionally for nearly 3o years... NONE OF THOSE PEOPLE HAVE EVER SEEN MY HAND WRITING! #wenurses
@BreathAndMind
02 July 2020 20:55
@MHealthDez @WeNurses Having said that I've spent some time developing new documentation for our team and it's been an interesting journey #WeNurses
@Elif_MDX
02 July 2020 20:55
RT @WeNurses: QUESTION 6 If there was one change you could make to the way we document as nurses what would it be? #WeNurses https://t.c…
@LeilanieTacanay
02 July 2020 20:56
@WeNurses Less pressure and less duplication. #WeNurses
@AgencyNurse
02 July 2020 20:56
@Winn_on_Health i had to give evidence at an NMC hearing once and they asked me to read out another nurses documentation ... it has stuck with me as i had to keep saying " i think they mean xxxx here" #WeNurses
@Chelsea_Fawcett
02 July 2020 20:56
@WeNurses I did this once on my last placement. We then agreed an action plan as a team from the findings and it was very helpful. #WeNurses
@AbigailAkinrim1
02 July 2020 20:56
RT @DaisyLaylaPUNC: @WeNurses Second year student nurse here :) hello!?? #WeNurses
@AgencyNurse
02 July 2020 20:56
@JaneCoomber1 eek yep #WeNurses
@MHealthDez
02 July 2020 20:56
@WeNurses Could some documentation tasks be delegated to experienced HCA's that may have a better insight into the patient and how their care is going? We allow StN's to do it! #WeNurses
@NRCUK
02 July 2020 20:56
@WeNurses Stop buying systems that use IG to not share data!!! As nurses get involved in IT procurements there are 750,000 of you - be the voice, make the change happen :) #WeNurses
@WeNurses
02 July 2020 20:56
Wow brilliant #WeNurses https://twitter.com/Chelsea_Fawcett/status/1278779531260833792
@leili00516924
02 July 2020 20:57
@WeNurses Make it less to me consuming so maybe document but using a check list for the patient #WeNurses
@PUNC18_laura
02 July 2020 20:57
@WeNurses Dictating notes! I feel this could save so much time, if it can be used for clinc appointments when typing up clinic letters etc we should be able to use them on the wards too #wenurses #savethepens ??
@WeNurses
02 July 2020 20:57
Any key learning points to share ?? #WeNurses https://twitter.com/BreathAndMind/status/1278779336179494912
@Kelly97533651
02 July 2020 20:57
@WeNurses Definitely less duplication...#wenurses
@AgencyNurse
02 July 2020 20:57
RT @WeNurses: QUESTION 6 If there was one change you could make to the way we document as nurses what would it be? #WeNurses https://t.c…
@BreathAndMind
02 July 2020 20:57
@WeNurses Working in a service that isn't online/connected yet, I'd LOVE to see that day #WeNurses
@MHealthDez
02 July 2020 20:57
@BreathAndMind @WeNurses Yeah, we need to strike a delicate balance between the two. Plus, there is always that eventuality that wouldn't fit a standardised form. #WeNurses
@WeNurses
02 July 2020 20:58
RT @BreathAndMind: @WeNurses Working in a service that isn't online/connected yet, I'd LOVE to see that day #WeNurses
@GwenWPunc19
02 July 2020 20:58
@WeNurses Knowing what valuable and true documentation is necessary...what should and shouldn't be included. Also knowing that not everything needs to be documented, just important aspects that could compromise patient care though should remain thorough and comprehensive #WeNurses
@L3SL3YT
02 July 2020 20:58
@WeNurses #WeNurses standardise the nursing record - ‘National Nursing Record’ (that links with an electronic programme that eventually would replace the hand written record!)
@WeNurses
02 July 2020 20:58
RT @Kelly97533651: @WeNurses Definitely less duplication...#wenurses
@captaintau
02 July 2020 20:58
@WeNurses F*** no! #wenurses
@Silverangel882
02 July 2020 20:58
@WeNurses Has to be national standards across the UK and electronic so that it can be seen from Shetland to the Scilly Isles and everywhere inbetween. #WeNurses
@NicolaFrame1
02 July 2020 20:59
@WeNurses Brief, concise, plans and outcomes clearly written so there is no confusion #WeNurses
@MHealthDez
02 July 2020 20:59
@BreathAndMind @WeNurses It's amazing to hear that you've done that, but would it be able to be rolled out across an entire trust. Or would that end up being more forms that would be lost in translation when / if a patient was moved. #WeNurses
@SarahSa71387327
02 July 2020 20:59
@WeNurses #WeNurses less duplication
@Winn_on_Health
02 July 2020 20:59
@MHealthDez @WeNurses You're opening a whole new topic of Handover records! Your response points to a salient fact ... Many records don't get read properly, or possibly at all in some cases. It's a cause of errors & omissions, & potential patient harm #WeNurses
@WeNurses
02 July 2020 20:59
Thanks for sharing Liz #WeNurses #EBP https://twitter.com/lizcharalambou/status/1278779619454464001
@Asmaa__u
02 July 2020 21:00
Online documentation could be really useful, where we can voice our notes as this would save some time. #WeNurses
@NRCUK
02 July 2020 21:00
@MHealthDez @AgencyNurse @WeNurses @TEDTalks @Google @AmazonUK we use thousands of finance systems, tracking billions of transactions - yet we have a Credit Rating If the NHS wasn't so focused on getting paid by activity, why doesn't it create and get paid to deliver and improve our health rating... #WeNurses
@WeNurses
02 July 2020 21:00
Perhaps another #WeNurses discussion here .... handover ! https://twitter.com/Winn_on_Health/status/1278780450958446592
@WeNurses
02 July 2020 21:01
RT @Asmaa__u: Online documentation could be really useful, where we can voice our notes as this would save some time. #WeNurses
@MHealthDez
02 July 2020 21:01
@Winn_on_Health @WeNurses Exactly! I find the situation only gets worse as a person approaches discharge... Especially a complex one. #WeNurses
@lucy_uo
02 July 2020 21:01
@WeNurses If you're Dr House the cats are probably relevant....but then you will also break into people's houses to look for clues #WeNurses https://t.co/dZpxUZAudG
@WeNurses
02 July 2020 21:01
Hmmm... Will we still be talking about handwriting in 2-5-10 years time? #wenurses https://twitter.com/NRCUK/status/1278779288137981956
@WeNurses
02 July 2020 21:01
Next week we are joining forces with the amazing @Healthinfoweek #HIW2020 Health information week - Information we can trust > http://www.wecommunities.org/tweet-chats/chat-details/5520 Please do join us for another participatory CPD opportunity #WeNurses https://t.co/la54ysUATq
@captaintau
02 July 2020 21:02
@WeNurses Yes. Seriously. For confidentiality reasons I can’t elaborate but it was important to the patient. #wenurses
@Elif_MDX
02 July 2020 21:02
@WeNurses If there was a specific plan that was followed by for example a template and writing or typing up relevant information in each section provided within the template. #WeNurses
@LeilanieTacanay
02 July 2020 21:02
@WeNurses Thank you @WeNurses!!! #WeNurses
@PUNC18_laura
02 July 2020 21:03
@WeNurses Thank you for such a great informative tweet chat once again! #wenurses
@jmv127
02 July 2020 21:03
@WeNurses A change of mindset about notes. Away from the 'if its not documented it didnt happen' mantra. That makes me feel like I am writing to protect myself rather than producing a valuable record of care #wenurses
@WeNurses
02 July 2020 21:03
@captaintau in that case .... well done :) #WeNurses
@GwenWPunc19
02 July 2020 21:03
@WeNurses I love handwriting patient notes, makes me feel more valued as a student being able to reflect, knowing I've documented that specific event for that patient (always ensure countersigning as a student) #WeNurses
@MHealthDez
02 July 2020 21:03
@NRCUK @AgencyNurse @WeNurses @TEDTalks @Google @AmazonUK It all depends on the paradigm you subscribe to! Do you measure performance via cost per contact or health outcomes? One is much easier to quantify than the other! However, only one of the two actuall, really matters. #WeNurses
@SamReece16
02 July 2020 21:04
@WeNurses Not document like it's defence medicine although I understand the reasons we do document this way #wenurses
@Melissa59484575
02 July 2020 21:04
@WeNurses To have access to all forms of documentation on one system. So we are not wasting time printing that off their and obtaining that from their #WeNurses
@lucy_uo
02 July 2020 21:05
@Asmaa__u @WeNurses In the trust where we do most of our placements notes went online a year(ish) ago. It's good in that you can read everything (no bad handwriting) and search for specific things. But, especially coming up to shift end, it's difficult to get a computer #WeNurses
@AgencyNurse
02 July 2020 21:05
Thank you - what a fab tweetchat ... the next time I do a clinical shift I am going to ask for feedback on my documenting :D #WeNurses
@GwenWPunc19
02 July 2020 21:05
@WeNurses Thank you again for another great tweetchat, so informative and thought provoking! #WeNurses
@WeNurses
02 July 2020 21:06
@PUNC18_laura thank you for joining #WeNurses
@MHealthDez
02 July 2020 21:06
@WeNurses I've loved chatting and learning from you all tonight. Thank you so much! I am looking forward to talking again soon - Maybe next week if I can. #WeNurses
@Silverangel882
02 July 2020 21:06
@WeNurses Thanks for a great chat #WeNurses
@WeNurses
02 July 2020 21:06
@LeilanieTacanay and thank you for joining us too #WeNurses
@Winn_on_Health
02 July 2020 21:06
@WeNurses "Too much time" is subjective. Working in ED or spending time with a GP is an experience everyone should have. When you see & treat 10s of pts an hour you learn timeliness, brevity, specificity & accuracy v quickly #WeNurses
@SamReece16
02 July 2020 21:06
@WeNurses I used to audit the documentation for the whole department which included, paramedics, ACP, Medical staff ( all grades Inc consultants) , nurses and healthcare workers #wenurses
@WeNurses
02 July 2020 21:06
@MHealthDez thank you and thanks for joining and sharing your views and experience #WeNurses
@AgencyNurse
02 July 2020 21:07
@JaneCoomber1 well that all depends where you are ! #WeNurses
@WeNurses
02 July 2020 21:07
we have documented tonights chat here http://wecommunities.org/tweet-chats/chat-details/5521 And all other #wenurses herehttp://wecommunities.org/tweet-chats/chat-archive AND here's a handy guide on how to use post chat info :) http://wecommunities.org/blogs/2263 https://t.co/MFkDH7Aqc3
@AgencyNurse
02 July 2020 21:07
RT @WeNurses: we have documented tonights chat here http://wecommunities.org/tweet-chats/chat-details/5521 And all other #wenurses herehttp://wecommunities.org/tweet-cha…
@WeNurses
02 July 2020 21:08
@GwenWPunc19 thank you for taking part Gwen #WeNurses
@WeNurses
02 July 2020 21:08
@NicolaFrame1 Thanks for joining in :D #WeNurses
@NRCUK
02 July 2020 21:08
@lambs3 @WeNurses NHS has no concept of what MDT is really, or collaboration :( not in terms of using tech to support it :( keep trying though :) #wenurses
@WeNurses
02 July 2020 21:08
@Luminit75855243 thanks for joining us :D #WeNurses
@NRCUK
02 July 2020 21:08
RT @WeNurses: we have documented tonights chat here http://wecommunities.org/tweet-chats/chat-details/5521 And all other #wenurses herehttp://wecommunities.org/tweet-cha…
@AbigailAkinrim1
02 July 2020 21:10
RT @WeNurses: It's Thursday and it's 8pm so it must be #WeNurses .... welcome everyone ! This evenings discussion is all around documentat…
@Melissa59484575
02 July 2020 21:11
First Twitter chat with #WeNurses was great ??
@Lisaannet_
02 July 2020 21:12
@WeNurses I feel like if we had the technology we could speed up the process but we are still using pen and paper to document, which means it takes longer. Also most notes are kept in patients houses in community so difficult to provide handover to other nurses #WeNurses
@lucy_uo
02 July 2020 21:12
@WeNurses In handwritten notes crossing outs have to be readable and signed, do we need something like this for typed notes? If you click an edit button you get edited at by, but what if you're editing as you're writing? #WeNurses
@paula_kersten
02 July 2020 21:16
RT @WeNurses: QUESTION 2 What are the biggest challenges you face with respect to nursing documentation? #WeNurses https://t.co/NgUko8ya…
@Katetheresearc1
02 July 2020 21:16
RT @WeNurses: we have documented tonights chat here http://wecommunities.org/tweet-chats/chat-details/5521 And all other #wenurses herehttp://wecommunities.org/tweet-cha…
@lucy_uo
02 July 2020 21:16
@Winn_on_Health @GwenWPunc19 @WeNurses Change to appears to have slept well? It's not like you're going to wake a patient up at the end of a night shift to ask how they slept, but staff will want to know if they appeared restless, nothing could mean either #WeNurses
@BreathAndMind
02 July 2020 21:17
RT @WeNurses: QUESTION 5 Is the time spent delivering nursing care and the time spent documenting ratio right? #WeNurses https://t.co/xe…
@Melissa59484575
02 July 2020 21:17
@WeNurses First twitter chat with #WeNurses was great! CPD on a roll!
@MHealthDez
02 July 2020 21:19
@MartinHogan84 @WeNurses Clinically relevent - it's a proven de-escalation method that will prevent the use of traumatic restriant that may otherwise be used to maintain their safety. Not sure if it was legally important... but hopefully its presence means it would be read in a legal forum. #WeNurses
@BreathAndMind
02 July 2020 21:20
RT @WeNurses: we have documented tonights chat here http://wecommunities.org/tweet-chats/chat-details/5521 And all other #wenurses herehttp://wecommunities.org/tweet-cha…
@GwenWPunc19
02 July 2020 21:21
@lucy_uo @Winn_on_Health @WeNurses Yes very true, can cause restlessness and anxiety in the patient. I always used to have a little chat with the patient during the morning obs to understand how they're feeling, any concerns to be communicated in handover, etc #WeNurses
@MHealthDez
02 July 2020 21:21
@MartinHogan84 @WeNurses Clinically relevent - it's a proven de-escalation method that will prevent the use of traumatic restriant that may otherwise be used to maintain their safety. Not sure if it was legally important... but hopefully its presence means it wont be read in a legal forum. #WeNurses
@CTechTVBFY
02 July 2020 21:22
RT @WeNurses: we have documented tonights chat here http://wecommunities.org/tweet-chats/chat-details/5521 And all other #wenurses herehttp://wecommunities.org/tweet-cha…
@Winn_on_Health
02 July 2020 21:26
@GwenWPunc19 @lucy_uo @WeNurses Agree too but I don't think it's necessary to comment on a patients sleep unless it's pertinent. Good that you asked patients about their night. #WeNurses
@ChaplainsTrft
02 July 2020 21:26
RT @WeNurses: we have documented tonights chat here http://wecommunities.org/tweet-chats/chat-details/5521 And all other #wenurses herehttp://wecommunities.org/tweet-cha…
@AbigailAkinrim1
02 July 2020 21:28
RT @WeNurses: we have documented tonights chat here http://wecommunities.org/tweet-chats/chat-details/5521 And all other #wenurses herehttp://wecommunities.org/tweet-cha…
@Winn_on_Health
02 July 2020 21:34
@WeNurses We shouldn't be talking about it today! #WeNurses
@hnbarker
02 July 2020 21:37
#wenurses https://twitter.com/hnbarker/status/1278789666079195138
@kwelsh1
02 July 2020 21:42
@WeNurses #wenurses As a learning disability nurse I’d like to see documentation that is accessible for our clients. Accessible care plans / letters are essential.
@kwelsh1
02 July 2020 21:45
@WeNurses #wenurses having documented information, having the permission to share information across organisations & systems can be a barrier. Also documents that don’t reflect the needs of the clients we work with. Fitting people into systems. No flexibility to create better docs.
@kwelsh1
02 July 2020 21:47
@WeNurses #WeNurses Training & support for staff to become more confident with documenting / using IT, etc. Availability of good IT support to iron out glitches quickly. To have the right IT equipment to do the job.
@kwelsh1
02 July 2020 21:49
@WeNurses #wenurses Better use of the Summary Care Record to flag specific requirements / reasonable adjustments client may need. Better info sharing agreements between organisations / agencies.
@NicciWotton
02 July 2020 21:51
RT @WeNurses: QUESTION 6 If there was one change you could make to the way we document as nurses what would it be? #WeNurses https://t.c…
@DiverseLearners
02 July 2020 21:51
@AgencyNurse A4 Was on a fab webinar by @EPIC_eHealth that was not only looking at speech to text software that some of my clients use already) but using BOTS with it to in order to help documentation by speech and using algorithms to speed it up - commonly used phrases etc #WeNurses
@DiverseLearners
02 July 2020 21:52
#WeNurses https://twitter.com/DiverseLearners/status/1278785855159783424
@kwelsh1
02 July 2020 21:52
@WeNurses #wenurses I think I’d rather spend time with the client but acknowledge the need for documentation. Having clarity re: what MUST be documented & a process in place to follow may make it easier.
@kwelsh1
02 July 2020 21:53
@WeNurses #WeNurses No. I think we’ve moved too far away from the person to behind the screen.
@DiverseLearners
02 July 2020 21:54
#WeNurses @WeNurses https://twitter.com/DiverseLearners/status/1278792269945069581




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