How to DOCUMENT your nursing notes | Clinical Skills Series
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- Опубликовано: 3 июл 2024
- Nursing documentation in the clinical area! Todays clinical skill is on nursing documentation, a fundamental skill we use EVERY, SINGLE SHIFT. WATCH NOW as I break down key tips to help you with your nursing documentation.
⏰ Timestamps
00:00 → Nursing Documentation
01:02→ What is Nursing Documentation?
02:45→ Patient Scenario
07:07→ The Do’s & Don’ts of documentation
~Clinical Skills Series~
This series is for educational purposes only and is not intended as medical advice. All patient scenarios mentioned in this series are made up for protection of patient confidentiality. All skills are taught in line with evidence based nursing practice.
Useful Links:
Nursing and Midwifery Code of Conduct
www.nmc.org.uk/standards/code/
Th Resuscitation Council UK
www.resus.org.uk/
Remember to Like, Comment and Subscribe xx
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If you have any queries or questions, please let me know and I will try my best to answer!!
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Thank you, I’m in my first year placement I love videos can’t wait for the next series❤️
Wow! Zara. I am a student nurse and i must say that this is a life saver. Thank you so much. God bless you
Hi Zara! I am new on your platform but just a single video downloaded has encouraged me even more. Thanks a million. Rasheal from Liberia, West Africa
I'm a first-year adult nursing student on my first placement. This series has been amazing !!!!!!!! Thank you. Looking forward to the next one!!!!
Ahh so happy to hear these videos help! Best of luck with your placement xx
@@nursezara you are doing well and offer him a lot of well
Starting my first placement tomorrow. I'm watching these with the hope of it helping 😊
Excellent video!
Thank you for sharing.
Thank you so much. I am a new nurse; I find your videos extremely helpful.
New subscriber. Amazing documentation video. I'm a new RN in a Training Program, (Surgical Cardiovascular Unit). I am excited but nervous. This presentation was clean, detailed and precise. Your channel has encouraged me to be more assertive and advance my nursing skills. I will take paid classes, with my employer, to build my confidence. I will also continue to watch your videos.
Thank you so much.
amazing video so helpful!! Thank you!
Love this series and thank you for always sharing your tips with us!
Awh thank you and You are so welcome
Nice, brief and concise. It was really helpful. Specially when you give examples and clinical scenario
Thank you,
clear straight forward and cover the main points , thank you again for doing this 💙
Ahh and thank you for watching 💖 glad you enjoyed the video 💙 x
I have subscribed as I would like to see more of your next videos. I also back to re-watch your old one as well, I’m sure you know your English is amazing may I say as same as your stuff you are teaching in here 👍🤓🥰
I am a new nurse, this is soo helpful! ❤
Amazing video 👏🏿👏🏿 !
Zara, thank you so much for this nursing note. I have no clue of what I am getting myself into called nursing. your videos get me up and now I am confident in doing what I am doing. God bless you
Thankyou so much Nurse Zara!! Gotta practice for this :")
Thank you for respecting for my request .....was very useful
Thank you so much for your sharing teps with us ma'm 💖💖
So helpful!!
Thank uh Zara.. It's really very informative👍
Thank you for accepting my suggestion, It means a lot . Well explained ,appreciate your efforts 👏🏼😊
You are soo welcome 💖Happy to hear you enjoyed the video! Feel free to send in more suggestions :) x
I love your explanation
Beautiful Work ✨
Very useful and much waited
Thank youuu, so happy to hear you found it useful :) x
This is really helpful ..thank you
Fantastic teaching
Absolutely helpful video ♥️
Amazinggg 💙 makes me happy to hear this
I enjoyed it and I love the Video.❤
Very good reliable information
Thank you sister that was so helpful
Thanks for sharing Zara.
Thank you 👍
Thank you for the information.
Love from India.
Thanks Zara ..💖Appreciate your efforts..god bless
Thank youuu so much Grace 💙💙
Informative👍🏾
Well precise
Sister Zara thank you very much for your time. 😊
💙a big thank you for watching! hope you enjoyed :)
Very very helpful. Thank you for explaining and breaking it down
thank you zara ... it was really informative
Amazing! glad you found it useful :)
❤️ amazing
Thank you.
thanks for sharing
It was so informative 🤩.. great work Nurse Zara ❤️
Thank youu Hira 💙 always appreciate the love and support xx
Thank you Zara its very informative 👍
Amazing :D happy to hear it
Excellent
Great👌
Omg thank you
Thanks very much.....very useful 👍...Can you please make a video on care bundles please
Brilliant
I love this series helps me to put in practice at my placements can we run through a rough day of ward placements?
Ahh so happy to hear you enjoy these videos :)!! Ooo okay great suggestion, I can have a think! I did make a video called ''how to survive 12 hour shifts' which touches on structuring your shifts and insight into ward life aswell :) Here is the link, I hope it helps ruclips.net/video/_3CMtCBHUEo/видео.html
I like this structure but where/ how do you write in any upcoming assessments or tests that the patient needs, their fasting status, elimination or details about discharge / visitors?
Can you please do a video briefly talking about the expectations of a student nurse for each year on placement? x
Great suggestion, will deffo try and do a video on this at some point! Perhaps nearer to summer time before the new academic year starts :)
I’m from Nepal , I’m also a nurse zara sis your all videos ispire me a lot thank you
Awhh thank youuu :)
It is definitely good zara but what are your suggestions regarding the utilization of SBAR approach?
Very good vedio.
Hi zara sister I am ur new subscriber from India, me also a nurse, I like ur way of speaking keep growing 👍Lots of love from me for U❤
Thank you very much :)
Hii zara,I am malar from India ❤️ i think you are the best youtuber that I never seen before ❤️❤️❤️and I am also a nurse 😉 working as a covid nurse ❤️
Ahh Thank you so much 😇 !! Thats very kind of you to say 😄!! Always lovely to meet fellow nurses :)
Great zara nd thnk u
Hi Zara, Thank you for the video.
God bless you 💖💖
Awh thank you for the Love and Support 💖
Thanks can you documentation on personal care please
learning from your videos
RN from karachi, Pakistan
amazing 💙!!
Please do a document how to write a basic daily life what nurses or healthy workers do for a patient please
Hi Zara I found ur video so informative..!!
May I knew how a final year student from india can target the goal of uk rn
O M G💜
Thamku zara😊💐
how do you take notes for clinical nursing skills. do you take the notes from the textbook or you just study your teacher powerpoint?
I’m sorry new nurse here, what is NIL? Thanks for reply
❤
Please how do I write nursing note on recumbent positioning
Loved from Pakistan
Do you have end shift report example :-)
Dear Sister Zara.
As example, How to document if patient receiving iv dopamine by syringe pump some dose per hour.?
Nice video
thank youu
@@nursezara you’re welcome
Your vedios r interested and god bless u
thank you so much
Hai Zara...I'm a nurse and currently working in kuwait in pediatric casualty .I would like to migrate UK .can u suggest ideas to come there and work as an RN
👍👍👍❤️
I love you..i am your new fann..
:) x
Video starts from 2:08
How to write proper documentation
Tell us about your family
my first placement is tomorrow....are we gonna do this all being student nurse??
Helloo, highly unlikely as a first year student nurse :), if you haven't already check out my video on preparing for placements, hopefully it will be useful on the expectations of nursing placements ruclips.net/video/50k0JfR-5bs/видео.html
How to make a divided bed
Documentation ...nurses are not data messable anywhere anytime .... reliability is a must have for nurses.
Important information is when you are helping a person that's assigned to another nurse and you not assigned there..its job responsibilities ...finishing tasks without delay out of your assignments for that patient, not assigned to you are not your responsibility , and you can document or not document, the assigned should be documenting, you are helping out of courtesy ..... that has to be loudest spelt as injections given should be shouted loudest for the assigned to register check too many times too they might blame if they that are assigned do mistakes to their parents or don't help with empathy ..that's basic. twice recorded or no recording all would be harmful to the patients. Its always the nurse that is more empathetic or working that will be abused by the hypers not finishing their works at time ...that wouldn't finish their own works too in time. If you are smart ..be aware of such too... If you help be really careful. Only those patients that are assigned legally are your responsibility especially in a place that's busy or a day that's busy. Assignments written for you in assignment are only the responsibility . Professional ethics and legal implications are always to be adhered.
Good morning sister. I want nursing cv in uk format please providing me.
Hlw pls explain to apply msw course details and qualifications to study msw in uk
I am not sure what msw is sorry :(
🔕How is the MAP 70!? Is this info correct!? Any of it!? A BP of 130/80 has a MAP of 97 🙋🏽♀️ 👩🏾⚕️
Can you do day in my life video
I have a playlist with a couple of day in the life vlogs :) here is the link ruclips.net/video/JbKAyOCpQys/видео.html
Anyone working in banglore any nabh accredited hospital needed help Or guide
for how many patient .. u have to write reports like this in detail.. whats nurse pt ratio u get on daily basis..??
depends on the setting, if you are on a ward typically you will be writing notes for 5-6 patients. In an area such as ICU you will typically have 1-2 patients :)
Hlo mam could you tell me that masters in health and safety what jobs opportunities for me in future in uk plz reply me its urgent mam
I am not too sure on masters regarding health and safety in the UK :) perhaps looking on websites such as UCAS may help?
Hi...zara....
hello :)
Add me to your program
You are beautiful too
Sinar bubaya