2.50
Hdl Handle:
http://hdl.handle.net/10755/201649
Type:
Presentation
Title:
Maternal Child Documentation: Technology in Practice
Abstract:
(41st Biennial Convention) In an accelerated Bachelor of Science in Nursing Program, two nursing faculty supervising 14 clinical students were faced with an evaluation challenge in the maternal child clinical settings.  One pediatric institution provided remote access to the electronic health records (EHR) and limited documentation privileges.  This institution provided a three hour mandatory training session for all 14 students and their faculty.  When the training was completed, access to the EHR was enabled for student use during six twelve hour clinicals.  These same 14 students documented in the obstetrical setting utilizing charting by exception in a traditional medical record.  The training related to the obstetrical documentation was provided by the clinical instructor during orientation to the facility. The challenge presented itself when faculty began evaluating the students using a standardized clinical performance evaluation tool.  The tool’s documentation critical criteria states, “Communicates accurately verbally and in writing (charting and reporting)”.  Adaptation of the evaluation process was accomplished through close collaboration with the clinical faculty.  The students were exposed to two forms of documentation that they will encounter in practice.  This opportunity exposed students to a form of workflow streamlining and provided a technologically advanced group of students an opportunity to utilize a form of communication which they are accustomed to.
Keywords:
documentation; electronic health record; clnical performance evaluation
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMaternal Child Documentation: Technology in Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/201649-
dc.description.abstract(41st Biennial Convention) In an accelerated Bachelor of Science in Nursing Program, two nursing faculty supervising 14 clinical students were faced with an evaluation challenge in the maternal child clinical settings.  One pediatric institution provided remote access to the electronic health records (EHR) and limited documentation privileges.  This institution provided a three hour mandatory training session for all 14 students and their faculty.  When the training was completed, access to the EHR was enabled for student use during six twelve hour clinicals.  These same 14 students documented in the obstetrical setting utilizing charting by exception in a traditional medical record.  The training related to the obstetrical documentation was provided by the clinical instructor during orientation to the facility. The challenge presented itself when faculty began evaluating the students using a standardized clinical performance evaluation tool.  The tool’s documentation critical criteria states, “Communicates accurately verbally and in writing (charting and reporting)”.  Adaptation of the evaluation process was accomplished through close collaboration with the clinical faculty.  The students were exposed to two forms of documentation that they will encounter in practice.  This opportunity exposed students to a form of workflow streamlining and provided a technologically advanced group of students an opportunity to utilize a form of communication which they are accustomed to.en_GB
dc.subjectdocumentationen_GB
dc.subjectelectronic health recorden_GB
dc.subjectclnical performance evaluationen_GB
dc.date.available2012-01-11T10:45:12Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T10:45:12Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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