Nurses Notes Essay Example for Free

Nurses Notes EssayWriting stays with you throughout your entire life, though you may not believe so. Hidden in your thoughts about your future tuitioner is the idea that make-up allow be part of your profession. After doing extensive research, I now realize how much composing will be involved with my elect profession, a registered hold in. Writing in nursing can range from short, concise flora to long, detailed, complex works. Writing as a obtain contains nurses notes, documentation, written reports, health records, flowcharts, wangle-plans, narratives, and if desired, superior journals for publication. The position deep down in the field as well as plays a role with the amount of writing unavoidable to be done. The head of a department takes part in a lot more writing than a nurse. A head of a department holds a variety of duties when it comes to writing such as staff proposals, budget proposals, department operations, policies and procedures, and protocols. A nurse must be able to follow the fundamental writing standards writing clear, concise, and grammatically correct sentences, use proper punctuation, and demonstrate critical thought.Nurses ar likewise expected to learn how to present testifyation succinctly with their work being accessible to anyone who may run down it. Nurses aim to write work that can be used in both clinical aspects of objurgate and research. The field of nursing requires a nurse to be able to write swiftly and accurately. Nurses must also always be prepared to define their recorded information and writing. Records must be clear, concise, complete and accurate. The clich that is universally known, the job is not complete until the paperwork is completed is more true in health care than in any other profession, alludering to the fact that a lot of writing is done in this workforce.Types of Writing nursing as a profession contains many different types of writing. Nurses notes are records that nurses who directly care for the long-suffering, continuously record information. This includes the diligents symptoms, medications given, and scheduled procedures or activities.Documentation reflects the care the care the nurse has or has not provided to the patient. Documentation is the nurses only form of legal proof that they did or did not do something for the patient. Nurses get word at documentation as important as the actual care they are providing for their patient. Hands-on care and documentation carries equal importance in the look of a registered nurse. Documentation then becomes art of the patients medical record after the patient is either discharged or no longer living.Written reports are needed when the care of a patient is given over to another nurse. I interviewed Sharon Doll, a registered nurse at Glendive Medical come to who states that these written reports are very rare. It is highly unlikely that you as a registered nurse will pose to give the care of your patient over to a nother nurse. (Personal interview, November 23, 2012)Health records, or medical records, be of the assemblage of nurses notes. The records are held on file at the hospital and are referred to when needed. Health records consist of prescriptions prescribed to the patient, x-ray results, test results, reports, blood type, allergies and other important information about the patient that the care providers may need to be aware of. Recently, health records have transferred to being electronic, taking away from the writing perspective. Assessment check-boxes go hand-in-hand with health records as well, which are the summary of the symptoms of the patient.Flowcharts simply show the process that has been taken while caring for patients. They show the sequence in which the patient has followed. This is a concise review of the patients history and the care that was provided.Care-plans outline the nursing care that is to be provided to the patient. It is a set of actions that the nurse will take to provide the necessary care for the patient in hopes of full recovery. A care-plan consists of tierce parts definition of the problem, intervention and/or solutions, and the evaluation of success or intervention and/or solution. more times, care-plans are set out by the doctor because the doctor is not as available as the nurse. Care-plans are usually completed day-by-day and sort of run on a schedule.Narratives are important in nursing communication and important in the aspect of capturing the patients history and also the interference they received. Narratives use standard abbreviations, are not written in first person, instead they refer to themselves as the nurse, and finally, rely on the communication with others.Professional journals for publication are optional for nurses but are quite popular. Journals are a compiled of the nurses experience, clinical practices, and their theoretical approaches and/or opinions. Nurses write journals to inform their audience, prima rily formed of nursing students. Nurses journals give other people a first-hand look at their point of view and their job.If a nurse rises to the head of a department, he/she will heart more writing than that of a registered nurse. Staff proposals and budget proposals are simply directed within the department. A staff proposal consists of the duties of the staff and the expectations they are held to. Budget proposals consist of the budget throughout the department and how it will be distributed. Department operations are the operations the department can fulfill. These include the day-to-day functioning of the department. Policies and procedures review the policies by which the employees must follow and the procedures they take before handling care for a patient. Finally, protocols refer to the steps of the procedures and experiments that are conducted by the department. ReflectionMontana State University prepares students to be successful in their chosen field. MSU offers Writing 101 and also University Seminar that covers the writing aspect. I think the preparation of MSU for nursing students and writing is adapted due to the fact that the majority of the junior year in the pre-nursing major simply consists of all nursing classes. These classes will also review all aspects of nursing, including the writing that a registered nurse will complete within the profession. ConclusionOverall, I was unaware of all the writing that was needed in the profession of a registered nurse. I did not think that I would do more than simply taking nurses notes. With these findings, I am very grateful for the writing courses offered at Montana State University.