Physical assessment on a routine basis

 

As nurses we complete physical assessment on a routine basis, even though they are typically focused assessments. What type of technology have you seen utilized in your assessment process that assists in your effectiveness to communicate findings both orally and written format? If no technology, how do you ensure effective communication for assessment findings?

Sample Solution

In the current healthcare climate, technology has become an increasingly important tool for nurses to facilitate effective communication of physical assessment findings. This includes utilizing online portals such as Electronic Health Records (EHRs) which allow access to information quickly and securely while also providing a centralized location where all data can be stored and analyzed in real-time – helping improve both accuracy and efficiency when dealing with patient data (American Academy of Nursing [AAN], 2018). Additionally, there are other technologies such as telemedicine and medical imaging that have provided new ways for nurses to remotely monitor patients or provide remote consultation services if needed (AAN, 2018).

As far as communication itself is concerned, certain software programs can help streamline this process by automatically generating results from assessments conducted – allowing practitioners to easily share them with colleagues or patients without having to manually enter the data into their systems every time a new assessment needs to be completed (AAN, 2018). Furthermore, some EHR systems come equipped with built-in mobile applications which allow clinicians access patient records on-the-go via their laptop/tablet device – making it much easier than before stay informed about any updates regarding a particular case regardless of one’s location.

When technology is not available however, nurses still need ensure they effectively communicate assessments findings in order provide quality care. This can done through providing detailed descriptions when speaking directly with patients or writing comprehensive notes that include important information related diagnosis and treatment options when consulting with peers. Regardless of how the message is being conveyed though it should always focus on conveying accurate information in a respectful manner so that everyone involved understands what has been said.

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