Communication In Writing: Nursing
In the field of Nursing there are many forms of written communication used. Three really big examples of written communication in this discourse are charts, EMR (Electronic Medical Record) systems, and nursing articles . First, charts are one the most important for a nurse. This is what records their patients care. A patients chart is where they put the patients vitals and personal progress while they are in the hospital. These charts help nurses communicate with other nurses and doctors to effectively treat a patient.
Another form or written communication used In the nursing field are Electronic Medical Record Systems. More specific examples are systems such as Carecloud and Citrix. These are systems that not only hold the charts from the nurses but they also hold charts from doctors, different kinds if tests that were done on the patient, medication information, history and physical and even demographics of a patient for years.
Nursing articles are also really important for written communication. These nursing articles not only discuss different outcomes to a certain topic but like research articles they give you scientific facts. For example: for people in mid wife nursing, a nursing article about a specific case in water birth could be really helpful to a mid wife who is going to deliver a baby via water birth. This article could give them facts, how toos, and ideas of best ways to deliver a baby immersed. These articles are important to help give nurses enough information in order to provide top care during a patients recovery.
Intercommunications
Electronic Medical Record (EMR) Systems
EMR systems are important not only in the field of nursing but in the medical field in general. EMR systems are the systems in which the patient whole medical history is stored. AN example of a smaller EMR system is carecloud. Care cloud is mostly used in a doctors office or clinic setting. This EMR system hold office consults, medications,, testing done in the office, appointment schedules, demographics and even billing software. These systms tend to be smaller and only hold the information of a patient since the first day they started seeing the doctor in his/ her office. Bigger EMR systems such as Citrix tend to do and hold more. Citrix is usually used in a hospital setting. The reason why it is used in a hospital setting is because it can hold a lot more. In this EMR system things like demographic sheets, medication lists, testing images (x-ray imaging or MRI imaging), Progress notes, discharge summaries, Doctor consultations, and even nurses charts get held in these EMR systems within a folder called power charts. Located within this system, as well, is an emailing system pre loaded with everyone affiliated with the hospital their email address for easy contact. As well apps as " MedManager",used to keep track of medications given to the patients and medications in which they are already on or need to be changes, and " Pacs Web Connect" where X-ray, MRI, or CT images are loaded to help with easy access.
Charts
Nursing care charts are very important in the field of nursing. There charts help keep track of a patients progress and helps to diagnose a patient, as well as make a future plan of care. Charts usually have a typical format. They contain a lot of medical terminology and short handed abbreviations in which health care professionals can understand when read. Charts are made up of questions and these questions help determine what treatment is needed to give the patient the best care. The questions asked first are physical aspects such as general appearance, skin appearance, neurological symptoms (eye dilation; hand/foot movement), respiratory rates/rhythms, abdominal shape, and even urinary aspect ( color/ amount). These are the most important questions to ask first in order to affectively treat a patient and diagnose them. These observations will ultimately save their lives. The last questions filled out in the chart are the emotional and psychological aspects. These are the "How much pain are you in?" and "How are you feeling?" questions. It is imperative to get the physical aspects first to treat. For example: A nurse walks into a room to see a patient and notices the patients skin and eyes are starting to turn a yellow- ish color.. She asks the patient "how are you feeling?" and the patient says, "I feel fine," but by the color of his skin she realizes that he is jaundice. She draws some blood and does a liver function test. Jaundice is the yellowish pigment of the skin and eyes of someone who is in liver failure. Without the physical aspect of the skin and the blood work by just going off of the patients feelings she would not be able to give the right information to the doctor in order to diagnose him and treat him properly.
Nursing Articles
Nursing articles are articles written to further educate a nurse throughout their career. These articles are more professionally written and tend to be written about certain subject matter. They can be written by many nurses. For example: Birth, Bath, and Beyond: The Science and Safety of Water Immersion During Labor and Birth is an article located in The Journal of Perinatal Education. In this article it discusses the safety and and the emotion behind having a baby in water as opposed to naturally in a hospital bed with medications. This article gives thoughts, feelings, and research behind this this opinion. A good nursing article tends to give you much information such as an abstract over view of the article, the problem, and the research behind it. For example: in the article written above the abstract states "This article reviews the retrospective literature on water birth and explains newborn physiology and the protective mechanisms that prevent babies from breathing during a birth in water" (Harper, 2014). The problem/ situation being introduced in this article is whether or not water birth is safe for the baby and the mother. Behind a good article is good research. The article then goes into description of the research. The research is used from not only the United States but other countries as well. The article then goes into the framework of the maternity services protocol. this section explains that in the United Kingdom women have a choice of how they have their babies whether it is with medications or not. It then goes into explaining that all staff must have up-to-date knowledge to support women who choose water birth and that the women who choose to do this type of birth should be allowed access to a birthing pool and have staff competent in facilitating water births (Harper, 2014). The article then goes on to talk and answer many common questions about the risks of water birth such as aspiration, hypothermia, and infections from the bacteria. This section goes on to a long discussion stating that in the end if proper protocols are put into place and followed correctly that baby should not acquire any of these issues (Harper, 2014). Research is then taken from other countries. In the article it then take facts from European research such as "Statistically, water birth leads to increased relaxation and maternal satisfaction, decreased perineal trauma, decreased pain and use of pharmaceuticals, and decreased labor time" (Harper, 2014) to come up with the conclusion that, even though not a lot of studies were done, of the ones that were done water immersion, if trained properly, is safe, if not safer, than conventional ways of birth.
Intermediate Classes
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