6. Nursing Documentation with Rosale Lobo, Assistant Professor of Nursing and Health Policy at The University of Bridgeport
In this episode of the LTC Heroes podcast, Rosale Lobo, Assistant Professor of Nursing and Health Policy, sits down with us to discuss her approach to nurse training and the importance of nursing documentation.
Nurse Training
Rosale shares that when training new nurses, she first teaches them about empathizing and understanding people. Without this foundation of interpersonal skills and an ability to see nuances about a patient, other nursing duties such as documentation become much more difficult.
Without a big picture view of your patients and knowing what qualitative data to capture, she says, nurses will struggle to understand how their documentation contributes to the overall care of their patients.
Nursing Documentation
Rosale highlights some key challenges around documentation, including that EHRs are rarely aligned with the workflow of nurses, nurses don’t have enough input in the design of EHRs, and EHRs often don’t reflect the human element of nursing.
When it comes to poor documentation habits, Rosale cites a lack of details and vague language as the main offenders. Without precision when nurses are charting, it's difficult to truly gain the big picture around a patient. This can also lead to issues in concerns with litigation and regulation.
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