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i need a response to this discussion Anderson, (2019) states that in healthcare, poor communication can cause many issues. Good communication is crucial for relaying a good understanding, correct interpretation, and perceptions received. Lack of this effective communication can lead to negativity, misunderstandings, errors, dissatisfaction, or worse. In my nursing career, I have used many types of documentation for assessment. Early on my Emergency Department (ED) career, we used what we called T-sheets, or template-based papers for documenting. These forms where separated into categories depending on chief complaint and would assist with a focus-based exam for each patient. For quick and easy use each compartment that held the paperwork corresponded to a pictogram on the side of the document tower. Personally, I liked this way of documentation. Not only would the nursing assessment be documented on it, but the physician or mid-level provider would also document from triage to discharge or disposition. It was generally 1 page front and back and stayed with the clipboard chart in a rack when not in use. These t-sheets were quick, easy, and consisted of circles or slashes with minimal writing to convey communication between nurse and provider. After t-sheets we all learned the “flavor of the month” charting system. From CPRS, to Epic, to Med Host, to Horizon, Meditech etc… the list could go on and on. The one thing that seemed to remain consistent was the Situation, Background, Assessment, Recommendation (SBAR) and Subjective, Objective, Assessment, Plan (SOAP) forms of documentation. Further on in my nursing career they added a few more letters but I always felt that these two were quite effective and never changed it up much. When I worked with Home Health, we were bound to the Outcome and Assessment Information Set (OASIS) ways of charting which developed into many updated versions throughout the years. I have utilized both written and technological forms of communication. With written documentation, it was crucial that verbal accompany to ensure effective communication and conveyance of patient status. With some Electronic Medical Records (EMRs) that is not always necessary. I worked in an ED that utilized a very specific and detailed EMR that took the click box assessment and turned it into a shift report of sorts, when a patient was to be admitted, the system would alert the receiving nurse, she would read my documentation and would call down to let me know the patient was ready for transport and would ask for any clarifying information if needed. I found that to be both risky and time-saving all at the same time. Personally, no matter which form of documentation you use, I feel that verbal confirmation is always the best bet. When I have any patient that I feel the need to convey or stress a concern about, I voice that to the receiving nurse or whomever might be working with my patient and request a verbal confirmation in return. Tone cannot be depicted in type; therefore, I am more old-school and prefer good old-fashioned verbal communications. Anderson, B. (2019). Reflecting on the communication process in health care. Part 1: clinical practice-breaking bad news. British Journal of Nursing, 28(13), 858-863. 2 Unread 2 Unread 2 Replies 2 Replies 4 Views 4 Views