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Lecture Notes 124 Nurs

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Module 4
Communication, Collaboration, Safety, and Documentation
Communication: the transmission of ideas and the interactions between people. Symbols used to create
and interpret messages. The meaning of messages, ideas, emotions, and state of mind.
3 types of communication
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Logistic: the spoken word, written symbols, reading text, text messages, silence
Para logistic: verbal messages, gestures, eye contact, expression via artwork, clothing choice
Meta: context of the messages perceived and interpreted
Spoken communication can be misunderstood by observation of facial expressions or gestures. People
can see what you are thinking based on your body language and facial expression
Written communication can be misunderstood. Think of abbreviating words and people not
understanding that. Think of spelling errors in the written message leading to misinterpretation.
Lacking attention to detail and knowledge can lead to people not finding you professional.
Communication Can be
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Verbal
Therapeutic
Formal/informal communication
Written
Documentation
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Anything written or electronically generated that describes the status of the patient
Nursing documentation is a legal record
Needs to be clear
Use approved abbreviations only
Chart accurately and reflectively
This is key to patient safety as well
Safety patient safety is paramount. There are policies and procedures to help minimize the number of
errors that are made and maximize the number of errors or potential errors that are being caught
we need to be aware healthcare errors happen and be sure to document accurately and responsibly.
Nurses are encouraged to report errors to help identify how similar errors can be avoided in the future.
We can’t learn from mistakes we don’t acknowledge.
Healthcare Error Types:
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Error of commission
Error of omission
Error of execution
Types of errors
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Near miss: could be harmful but was caught before it arose
Adverse event: unintended harm comes to patient
Sentinel event: death/serious injury occurred
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