Information Overload |
Too many notes |
Read a few notes; avoid notes from certain roles |
Notes too long |
Read only conclusions or plans |
Information w/in notes hard to find. |
Scan or skip sections; read only notes from known individuals. |
Hidden Information |
Nurses paper notes |
Get verbal report |
Logs and lists |
Learn what lists are kept and where |
Lack of Trust |
Problem list |
Type in your own problem list and copy it each time |
Medication List |
Type in your own medication list and copy it each time. |
Communication |
Giving a “hand-off’ to other providers. |
Have other provider be a mandated signer. |
Create a team plan |
One note with multiple addendums |
Decision-Making |
Tracking/trending |
Keep paper lists |
Understanding plan |
Call provider |
Patient’s response |
Review everything or ask patient. |