#WeAHPs - Thursday 25th January 2018 8pm (GMT Standard Time) AHP's role in documenting the patient story

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Hosted by WeAHPs using #WeAHPs

This chat is guest hosted by @voice4health @AliciaRidout

The Situation:

Allied Health Professionals lead system improvements in the NHS

1Allied Health Professionals (AHPs) are very well placed to positively influence public health in the UK:

 – 170,000 AHPs in the UK deliver over 4 Million client/ patient interactions per week

– AHPs work across NHS, Social Care, Education, Private and Voluntary Sectors

– Discuss healthy lifestyles and wellbeing within their assessments

 – Work across the life-course in a wide range of specialties

– Use evidence based behaviour approaches

– Deploy interventions which develop ongoing relationships and rapport with patients

As a result, the way in which Physiotherapy and other Allied HealthProfessional (AHP) services are delivered are undergoing important and exciting changes which are leading whole system improvements across the NHS.

1 Source: Presentation by Anna Lowe @annalowephysio #Expo17NHS spotted on @weAHPs

AHP services are being expanded and redesigned. More AHPs are being recruited to address the demand on community services. Some will remain within acute (hospital) care treating patients on the wards. However, increasingly therapists are being deployed away from centralised hospital departments into community clinics. In addition, vanguard projects within the NHS are looking at skill mixing the primary care workforce. In the future more AHPs will work within primary care practices where for instance,18-33% of general practice workload is diagnosis and treatment of conditions and symptoms, which are musculoskeletal in nature e.g. orthopaedic, pain and rheumatology conditions.This approach ensures that the patients see the right professional at the right time. It has many benefits for the patients and the healthcare system including more rapid access to the specialty, effective treatment, a reduction in the need for investigations and lower rates of prescribing of pain killers etc.

Implication and purpose of the chat:

An aspect of the care that AHPs give is the time taken to record the patient story within clinical documentation in line with record keeping guidance. As for all healthcare professionals, clinical documentation takes up a significant proportion of AHP clinical time The volume of clinical documentation has grown over time as a result of:


  • Multi-skilled teams taking on many of the roles that used to be undertaken exclusively by doctors; these require specific documentation
  • Complicated conditions and therapies requiring the support of multi-disciplinary teams across complex care pathways need to be documented and communicated rather than just describing what they did.
  • Long, complicated medical histories and complex needs – all of which need to be documented and communicated to the multidisciplinary teams
  • The change in caring culture, whereby patients/parents/carers are now seen as partners in care, involves more communication than used to be required in a paternalistic medical environment

To accommodate the growth in demand for AHP services in hospital and in primary care there is a need to maximise investment in the front-line services and reduce/release administration workload and backlogs.  The use of technology has the potential to support this goal by streamlining back office administration and providing ‘self-service’ solutions for therapists at the point of care.

Questions 

  • Are there areas of care that AHPs document rather than others?
  • How much time do you spend doing patient record keeping?
  • Which bits of the patient record keeping do you tend to do most of e.g.  assessments, treatment plans?
  • What elements of patient record keeping are the biggest challenges for you?
  • What things (if any) tend to be missing from the patient record and how do you overcome this?
  • How does completing patient documentation impact on the time you spend with your patients?
  • How does completing patient documentation impact on you going home at the end of your working day?
  • If you use an electronic patient record has this helped or hindered your documentation of patient care?
  • What tips and tricks do you have for making patient documentation easier?
  • Has anyone used speech recognition/speech to text technology to do patient documentation? If so, how did you find it?


About our guest hosts

Nuance Healthcare Solutions (@voice4health) enhance the production and management of clinical documentation by simplifying how nurses interact with technology. Nuance speech recognition solutions turn voice into text three to four times faster than typing, recognise clinical language and enable voice navigation of clinical systems including the patient electronic health records anywhere, anytime on any device. Now nurses can focus on capturing the patient story and get back to caring for their patients.

Benefits of Nuance Healthcare Solutions:

  • Reduce the administrative burden of clinical documentation improving nurse productivity by 10-15% per day.  That’s at least another 30 -60 minutes per day freed up or more time with your patients. (Based upon a University of Dusseldorf JMI study, Alder Hey Speech toText report Nursing Times report )
  • Reduce paper-flow, backlog of letters, referrals and discharge notes and reduce document turnaround time.
  • Puts the patient back at the centre-of-care, improving communication and transparency with patients and their experience and feeling of well-being
  • Document the care record of the consultation with the patient in real-time improving accuracy, data gathering, decision making and patient safety





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 Chat Summary

 

Question 1 asked about the area of care that AHP's document:









 Question 2 was a poll question asking how long AHP's spend on documentation:



Question 3 asked which bits of documentation people spent most time on:








 

Question 4 asked about challenges:













 Question 5 asked about missing documentation:







Question 6 adressed time:









Question 7 was another poll question:



Question 8 asked about electronic patient records:














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 #WeAHPs transcript

 
@WeAHPs
25 January 2018 20:00
Welcome to #WeAHPs everyone, the chat tonight is hosted by @NaomiMcVey @JKFillingham and @HelenOwen3
@WeAHPs
25 January 2018 20:00
We’re also joined by @voice4health @AliciaRidout #WeAHPs
@WeAHPs
25 January 2018 20:00
We’ve got lots of great questions ready to stimulate discussion tonight! #WeAHPs
@WeAHPs
25 January 2018 20:00
Remember to include the hashtag #WeAHPs in all your tweets https://t.co/A3irmbtqBu
@WeAHPs
25 January 2018 20:01
So, who’s joining in to #WeAHPs? Say hello and where you’re joining from today!
@HelenOwen3
25 January 2018 20:01
#hello from #Wolverhampton #WeAHPs
@AideenPhysio
25 January 2018 20:02
Going to attempt to juggle #AllOurHealth and #WeAHPs tweetchats tonight, here goes...
@rhianlast
25 January 2018 20:03
RT @AideenPhysio: Going to attempt to juggle #AllOurHealth and #WeAHPs tweetchats tonight, here goes...
@AgencyNurse
25 January 2018 20:03
Hi just listening in this evening - interested in the topic #WeAHPs
@WeAHPs
25 January 2018 20:03
@AideenPhysio Great to have you joining the discussion! #weahps
@SallyPCovPhys
25 January 2018 20:03
@WeAHPs Hello from Tamworth area #WeAHPs - primarily lurking as not a clinician!
@NRCUK
25 January 2018 20:03
@AideenPhysio me too #WeAHPs #AllOurHealth :)
@SuzanneRastrick
25 January 2018 20:04
@WeAHPs Good evening #WeAHPs from Dorset!
@JanetThomas47
25 January 2018 20:04
Evening - looking forwards to the chat #weahps
@AliciaRidout
25 January 2018 20:04
@WeAHPs Evening all! Few techy probs here but fingers crossed ?? #WeAHPs
@WeAHPs
25 January 2018 20:06
Great to have so many of you here! Without further ado: Q1: Are there areas of care that AHPs document rather than other areas of care? #WeAHPs https://t.co/gRjWH5kQXI
@WeAHPs
25 January 2018 20:07
@mrs_t_rob Great to have you here! Make sure you include the hashtag #weahps so we can all follow the conversation
@paulawoods5
25 January 2018 20:07
Evening from a cold and wet Lichfield.Hoping to join in in between serving and eating dinner #WeAHPs
@JanetThomas47
25 January 2018 20:08
@paulawoods5 Don't let it go cold! #WeAHPs
@NRCUK
25 January 2018 20:08
@WeAHPs there must be..... if there wasn't then there wouldn't be such a big drive to demonstrate the value? #WeAHPs #AHPsIntoAction
@JanetThomas47
25 January 2018 20:08
@WeAHPs A question that is easy but at the same time difficult to answer.... #WeAHPs
@HelenOwen3
25 January 2018 20:09
From my perspective, more functional evaluation, patient motivation/expectations/goals + planning after the initial subjective #weahps
@SallyPCovPhys
25 January 2018 20:10
#weahps - don't we document what we do - so our unique contribution to patient journeys?
@JanetThomas47
25 January 2018 20:10
I document all types of things but probably based on mobility inextricably linked to persons personal goals and outcomes #weahps
@HelenOwen3
25 January 2018 20:10
@JanetThomas47 @WeAHPs It'll be interesting to see this from different specialities even within the professions... know in resp was much more treatment based #weahps
@SallyPCovPhys
25 January 2018 20:10
@HelenOwen3 #WeAHPs - is it the detail that we note?
@AliciaRidout
25 January 2018 20:11
@HelenOwen3 Agreed. And collaborative goal setting and reviews focused on strengths #WeAHPs
@WeAHPs
25 January 2018 20:12
How many hours do you spend doing patient record keeping a day? #weahps
@JanetThomas47
25 January 2018 20:12
@HelenOwen3 @WeAHPs Agreed - I work with frailer older adults so their hopes and expectations are really important alongside more technical Ax #weahps
@AliciaRidout
25 January 2018 20:13
RT @WeAHPs: How many hours do you spend doing patient record keeping a day? #weahps
@WeAHPs
25 January 2018 20:13
Q3: Q3: Which bits of the patient record keeping do you tend to most of e.g. assessments, treatment plans? #WeAHPs
@JanetThomas47
25 January 2018 20:14
@WeAHPs I've never counted but it is a time consuming necessity. #weahps
@SallyPCovPhys
25 January 2018 20:14
@JanetThomas47 @HelenOwen3 @WeAHPs #WeAHPs - do we document carer involvement and views more fully?
@paulawoods5
25 January 2018 20:14
Wonder what the variation would be for a WTE in MSK? #weahps https://twitter.com/weahps/status/956620713246560257
@HelenOwen3
25 January 2018 20:15
@SallyPCovPhys @JanetThomas47 @WeAHPs I know I don't tend to unless it's a patient goal specifically... or back when did inpatients as discharge planning, but more part of MDT #weahps
@AliciaRidout
25 January 2018 20:15
RT @SallyPCovPhys: @JanetThomas47 @HelenOwen3 @WeAHPs #WeAHPs - do we document carer involvement and views more fully?
@JanetThomas47
25 January 2018 20:15
@WeAHPs All equally. Full Ax documented then Rx plans and SOAP notes plus outcome measures and personal outcomes all in paper format at the moment. #WeAHPs
@WeAHPs
25 January 2018 20:16
Do any other professions use structures such as SOAP for their notes? #WeAHPs https://twitter.com/JanetThomas47/status/956621688426426368
@jloweNHS
25 January 2018 20:16
@WeAHPs #SLT from @SHSCFT - also looking out for @AHPs4PH ??#WeAHPs
@JanetThomas47
25 January 2018 20:17
@HelenOwen3 @SallyPCovPhys @WeAHPs We have integrated MDT notes so is often documented but not necessarily as part of PT section. #weahps
@HelenOwen3
25 January 2018 20:17
@JanetThomas47 @WeAHPs I think my assessment and analysis tend to be the bulkier parts for me #WeAHPs
@AliciaRidout
25 January 2018 20:18
@JanetThomas47 @WeAHPs Discussed wi CYP AHPs yesterday in Leeds. Integrated therapy teams trying to record EHC plans across 3 tech system and paper! #WeAHPs
@SallyPCovPhys
25 January 2018 20:18
@JanetThomas47 @HelenOwen3 @WeAHPs Would you if it wasn't recorded by colleagues? #WeAHPs
@paulawoods5
25 January 2018 20:19
@JanetThomas47 @WeAHPs Agree Janet but although it’s an impt time consuming necessity adequate time often not allocated for it #weahps
@AideenPhysio
25 January 2018 20:19
@HelenOwen3 @JanetThomas47 @WeAHPs I agree, if someone had to take over a patient from me these are the bits I would want to be clear on so they don't have to repeat, and the pt is less likely to be able to inform them of #WeAHPs
@WeAHPs
25 January 2018 20:20
Some of you already moving onto Q4! Q4: What elements of patient record keeping are the biggest challenge for you? #WeAHPs https://t.co/T8EKEb6lOo
@jloweNHS
25 January 2018 20:21
@paulawoods5 @JanetThomas47 @WeAHPs Often IT systems not equipped for it, leading to even more time consumed - I also find lots of duplication in paperwork I have to submit #WeAHPs
@AideenPhysio
25 January 2018 20:21
Balance between leaving time for notes and fitting more Ax/Rx that I would ideally do, I end up having to catch up on notes later and forget some detail #WeAHPs
@SallyPCovPhys
25 January 2018 20:22
@WeAHPs #WeAHPs - legibility! too rushed if I remember rightly... links to @paulawoods5 comment re time taken
@JanetThomas47
25 January 2018 20:22
@SallyPCovPhys @HelenOwen3 @WeAHPs depends on circumstances. recent Ax I was the person in the MDT who picked up on carer stress. Often though I'm not first to see pt so already asked so I don't repeat! #weahps
@AliciaRidout
25 January 2018 20:23
@jloweNHS @paulawoods5 @JanetThomas47 @WeAHPs Soap notes lost in one stream of daily MDT entries.... #WeAHPs
@JanetThomas47
25 January 2018 20:24
@SallyPCovPhys @WeAHPs @paulawoods5 Not a specific element but rather - as already highlighted - time to fully complete. #weahps
@AideenPhysio
25 January 2018 20:25
I want to be engaged with the patient sitting in front of me, but at the same times I need to make note of what they're saying. I try to be mindful not to look at my screen too much while we talk! #WeAHPs
@jloweNHS
25 January 2018 20:25
@WeAHPs and from another perspective - often find record keeping no space to record qualitative data rather than quant - important to tell the 'story' of the patient not just numbers! #WeAHPs
@JanetThomas47
25 January 2018 20:25
@SallyPCovPhys @WeAHPs @paulawoods5 You have seen my handwriting then ?? And a need to write things fully as abbreviations list getting smaller and smaller #weahps
@WeAHPs
25 January 2018 20:25
Interesting comment regarding time vs patient contact - how do you balance that? #WeAHPs
@WeAHPs
25 January 2018 20:26
#WeAHPs https://twitter.com/jloweNHS/status/956623946329280518
@AliciaRidout
25 January 2018 20:27
@JanetThomas47 @SallyPCovPhys @WeAHPs @paulawoods5 Not all electronic?? #WeAHPs
@AideenPhysio
25 January 2018 20:27
On pt once said to me that their doctor did really 'see' them because they didn't look off the screen once! Paperless is great but we can't forget its the patient not the screen that we need to see! #WeAHPs
@JanetThomas47
25 January 2018 20:27
@jloweNHS @WeAHPs Our first section is patients account - we start with their 'story' and everything leads from there #weahps
@paulawoods5
25 January 2018 20:28
@SallyPCovPhys @WeAHPs Anyone who undertakes IO RCA knows that note legibility and content vital. Definitely makes you more conscious of you own notes. #weahps
@WeAHPs
25 January 2018 20:28
#WeAHPs https://twitter.com/JAGBooth/status/956624645951811585
@JanetThomas47
25 January 2018 20:28
@AliciaRidout @SallyPCovPhys @WeAHPs @paulawoods5 All paper for me at present! #weahps
@HelenOwen3
25 January 2018 20:28
@paulawoods5 @SallyPCovPhys @WeAHPs Sometimes I find other people's abbreviations confusing (of course, completely ignoring that I use some too!) #WeAHPs
@JanetThomas47
25 January 2018 20:29
@paulawoods5 @SallyPCovPhys @WeAHPs IO RCA ????? #weahps
@jloweNHS
25 January 2018 20:29
Patient at the heart and start, middle and end of their journey with us #WeAHPs https://twitter.com/JanetThomas47/status/956624594672201728
@HelenOwen3
25 January 2018 20:30
RT @jloweNHS: Patient at the heart and start, middle and end of their journey with us #WeAHPs https://twitter.com/JanetThomas47/status/956624594672201728
@SallyPCovPhys
25 January 2018 20:30
@HelenOwen3 @paulawoods5 @WeAHPs classic! #WeAHPs
@voice4health
25 January 2018 20:30
#WeAHPs Would be really good to know what proportion of notes are structured (i.e. simple box filling) vs telling patient story...@JanetThomas47
@WeAHPs
25 January 2018 20:30
Q5: What things, if any, tend to be missing from the patient record and how do you overcome this? #WeAHPs https://t.co/V7v73YWbkm
@JanetThomas47
25 January 2018 20:31
Regular notes audits for us across the physio team allow us to realise our own issues with note keeping! #weahps
@WeAHPs
25 January 2018 20:32
@JanetThomas47 Every level/grade? #weahps
@JanetThomas47
25 January 2018 20:32
@WeAHPs We have proforma so hope nothing missing! #weahps
@WeAHPs
25 January 2018 20:32
#weahps https://twitter.com/paulawoods5/status/956625525795098624
@JanetThomas47
25 January 2018 20:33
@WeAHPs Small team but yes - from B3 to B7 all audit a selection of each other's notes #weahps
@paulawoods5
25 January 2018 20:33
@WeAHPs Oops ?? #weahps
@SallyPCovPhys
25 January 2018 20:34
@JanetThomas47 @WeAHPs #WeAHPs - does that constrain you or lead you to not include information when the patient is atypical?
@sbreen71
25 January 2018 20:34
Watching in from NI #WeAHPs
@WeAHPs
25 January 2018 20:35
Great point here - there isn't a 'normal' patient, can we exactly standardise patient records? #weahps https://twitter.com/SallyPCovPhys/status/956626339611791362
@JanetThomas47
25 January 2018 20:36
@voice4health We have a box for patient account ?? We have all undertaken Good conversations training and undertake discussions on personal outcomes Not a proportion but underpinning all rehab #weahps
@WeAHPs
25 January 2018 20:37
Q6: How does completing patient documentation impact on the time you spend with your patients? #WeAHPs https://t.co/erhvSJCiMK
@AliciaRidout
25 January 2018 20:38
RT @WeAHPs: Q6: How does completing patient documentation impact on the time you spend with your patients? #WeAHPs https://t.co/erhvSJCiMK
@JanetThomas47
25 January 2018 20:38
@SallyPCovPhys @WeAHPs Not really - all older adults are atypical ;) Just we have headings for outcomes, goals, problems, plans as well as assessment headings etc. #weahps
@WeAHPs
25 January 2018 20:38
Think some of you have already touched on this! What is your natural priority? What strategies do you use to balance it? #weahps
@WeAHPs
25 January 2018 20:39
Interesting thought here - do you agree? #weahps https://twitter.com/poole_moores/status/956627381799800837
@jloweNHS
25 January 2018 20:39
@WeAHPs We don't have a standardised note format so different professions inputting differently - can lead to missing information which is frustrating for patient/AHP #WeAHPs
@WeAHPs
25 January 2018 20:40
@jloweNHS What would help minimise that? #weahps
@JanetThomas47
25 January 2018 20:40
@WeAHPs It's all part of patient care, contact and rehab. Without notes how could we review and progress? #weahps
@jloweNHS
25 January 2018 20:41
@WeAHPs Try to 'plan ahead' where I can and block out time in my diary for report writing/admin - normally things come up but at least some 'wiggle room'! #WeAHPs
@JanetThomas47
25 January 2018 20:41
@WeAHPs Copy of POA often held in our notes for information #weahps
@AliciaRidout
25 January 2018 20:41
@WeAHPs We find clinicians dont always realize the art of the possible using tech to move transactional paperwork online to free time F:F #WeAHPs
@WeAHPs
25 January 2018 20:42
@poole_moores And to you! #WeAHPs
@jloweNHS
25 January 2018 20:43
@WeAHPs Using a standardised note format like SOAP - and space in notes to write about context of patient would be helpful and should be a priority. Maybe I will suggest a note audit ?? #WeAHPs
@HelenOwen3
25 January 2018 20:43
@WeAHPs I think in outpatients it's assumed unless otherwise stated if they've independently attended the appointment #weahps
@JanetThomas47
25 January 2018 20:43
@WeAHPs @poole_moores I've had my haggis tonight of course! #weahps
@voice4health
25 January 2018 20:44
RT @JanetThomas47: @WeAHPs It's all part of patient care, contact and rehab. Without notes how could we review and progress? #weahps
@WeAHPs
25 January 2018 20:44
Q7: does completing patient documentation impact on you going home at the end of the working day? #weahps
@GeoDunn81
25 January 2018 20:44
@WeAHPs Hello from Cheshire #WeAHPs
@WeAHPs
25 January 2018 20:45
#WeAHPs https://twitter.com/DadofEllieDosh/status/956628599154663424
@JanetThomas47
25 January 2018 20:45
@jloweNHS @WeAHPs We do them 6 monthly. huge improvements when we started them years ago! #weahps
@WeAHPs
25 January 2018 20:45
@GeoDunn81 Hello! #WeAHPs
@JanetThomas47
25 January 2018 20:46
@WeAHPs I'd love to say no, but in truth I was writing notes after my finish time today! #weahps
@voice4health
25 January 2018 20:46
RT @WeAHPs: How many hours do you spend doing patient record keeping a day? #weahps
@SurgeryFoot
25 January 2018 20:46
@WeAHPs Hello! Waiting in Piccadilly station for the train to Euston. I’m a final examiner for a Podiatric Surgery pupil’s exam in Newham early tomorrow. Good luck to the candidate! #podiatricsurgery #WeAHPs ??
@jloweNHS
25 January 2018 20:47
@WeAHPs I also have a work plan that states 50% clinical, 40% administration, 10% other #WeAHPs
@WeAHPs
25 January 2018 20:47
And this means letters, communications about patients etc. as well as the standard medical notes #WeAHPs
@AliciaRidout
25 January 2018 20:47
RT @jloweNHS: @WeAHPs I also have a work plan that states 50% clinical, 40% administration, 10% other #WeAHPs
@WeAHPs
25 January 2018 20:48
@jloweNHS Is it that split in practice? (what's the 'other'?) #WeAHPs
@WeAHPs
25 January 2018 20:48
#WeAHPs https://twitter.com/GeoDunn81/status/956629715992895488
@WeAHPs
25 January 2018 20:49
#WeAHPs https://twitter.com/sarah_judge/status/956629979424481280
@HelenOwen3
25 January 2018 20:49
@sarah_judge @WeAHPs Except when different systems aren't linked up :( #WeAHPs
@sarah_judge
25 January 2018 20:50
@SallyPCovPhys @WeAHPs @paulawoods5 One of the biggest winners with our EPR was no issues reading handwriting #WeAHPs
@AliciaRidout
25 January 2018 20:50
@WeAHPs And emails to patients and carers/family members here or abroad? #WeAHPs
@JanetThomas47
25 January 2018 20:51
@WeAHPs @jloweNHS My role includes non clinical but clinical assumes note keeping and patient admin as well? #weahps
@jloweNHS
25 January 2018 20:51
@WeAHPs I would say a bit more 60%, 30% 10% - 'other' includes mandatory training, CPD, time negotiated for internal projects - I run B5 peer supervision group for example #WeAHPs
@GeoDunn81
25 January 2018 20:51
@WeAHPs It’s always likely to be time pressures as biggest issues, especially in busy MDT clinic with numbers waiting. Difficult to resolve. #WeAHPs
@WeAHPs
25 January 2018 20:51
Nearly half of people voting in the poll say that documentation impacts on going home What can help with this? #WeAHPs
@sarah_judge
25 January 2018 20:51
@HelenOwen3 @WeAHPs We have one EPR across the Trust which is a huge benefits. Difficulty in operating across community/acute tho #WeAHPs
@WeAHPs
25 January 2018 20:52
#WeAHPs https://twitter.com/Mimmjp/status/956630551280091137
@AliciaRidout
25 January 2018 20:52
RT @WeAHPs: Nearly half of people voting in the poll say that documentation impacts on going home What can help with this? #WeAHPs
@WeAHPs
25 January 2018 20:53
Any strategies to help with time management? #WeAHPs
@JanetThomas47
25 January 2018 20:53
@sarah_judge @SallyPCovPhys @WeAHPs @paulawoods5 Any issues with typing speeds though? #weahps
@HelenOwen3
25 January 2018 20:53
@WeAHPs We have a couple of admin slots booked out at the end of each clinic for catching up with notes/patient letters #WeAHPs
@sarah_judge
25 January 2018 20:53
@JanetThomas47 @SallyPCovPhys @WeAHPs @paulawoods5 For some yes, but lots of improvement quickly! #WeAHPs
@SallyPCovPhys
25 January 2018 20:54
@JanetThomas47 @sarah_judge @WeAHPs @paulawoods5 There wouldn’t be for me!!! One thing I am good at ?? #weahps
@HelenOwen3
25 January 2018 20:54
@JanetThomas47 @sarah_judge @SallyPCovPhys @WeAHPs @paulawoods5 Recently switched to EPR and varies massively within the team. Personally I love it! Quicker on keyboard than handwriting and don't have to look away from patient unlike when handwriting. But know that's completely the reverse for some #weahps
@GeoDunn81
25 January 2018 20:55
@WeAHPs Important documents are accurate especially if review is with other member of staff . Repeatability and reproducibility always an issue. In Woundcare important we have good notes to assess progress and prevent disasters. #WeAHPs
@sarah_judge
25 January 2018 20:55
@WeAHPs Even pre-EPR it was something my boss was adamant about. Finish your docs before going home, but must not delay home. Timely documentation v important. #WeAHPs
@HelenOwen3
25 January 2018 20:55
@JanetThomas47 @sarah_judge @SallyPCovPhys @WeAHPs @paulawoods5 Interesting comment from colleague this morning wondering if it'd be more useful clinically to have training in touch typing than a specific treatment modality/condition #WeAHPs
@AideenPhysio
25 January 2018 20:55
@WeAHPs Now that we're paperless have a template for each body part which I just copy, paste and then fill in the blanks! Saves loads of time #WeAHPs
@WeAHPs
25 January 2018 20:56
You've beaten us there! Q8: If you use electronic patient record, has this helped or hindered your documentation of patient care? #WeAHPs https://t.co/CYvWPmQzuf
@helenlouwray
25 January 2018 20:56
@WeAHPs What is frustrating is that this important and time consuming part of our work is not captured in data (not on our system) #weAHPs
@CastleDaisy
25 January 2018 20:57
RT @WeAHPs: Nearly half of people voting in the poll say that documentation impacts on going home What can help with this? #WeAHPs
@JanetThomas47
25 January 2018 20:57
@HelenOwen3 @sarah_judge @SallyPCovPhys @WeAHPs @paulawoods5 Ha ha! I did have typing lessons a school but can't touch type in afriad :( #weahps
@WeAHPs
25 January 2018 20:57
#WeAHPs https://twitter.com/sarah_judge/status/956632103650840577
@JanetThomas47
25 January 2018 20:57
@HelenOwen3 @sarah_judge @SallyPCovPhys @WeAHPs @paulawoods5 As that tweet shows! #weahps
@sarah_judge
25 January 2018 20:58
@JanetThomas47 @HelenOwen3 @SallyPCovPhys @WeAHPs @paulawoods5 We did send a typing tutor programme around pre-training! #WeAHPs
@WeAHPs
25 January 2018 20:58
#WeAHPs https://twitter.com/Mimmjp/status/956632235276472320
@HelenOwen3
25 January 2018 20:58
@sarah_judge @JanetThomas47 @SallyPCovPhys @WeAHPs @paulawoods5 Did it work? #WeAHPs
@poole_moores
25 January 2018 20:59
@WeAHPs #WeAHPs As SLTs I think / hope we’re good at the #WMTYScot questions eg personal goal recording/setting
@WeAHPs
25 January 2018 21:00
Well, that's an hour everyone! Thank you to you all for joining in #WeAHPs tonight - great conversations! Feel free to carry them on and respond to the polls. We'll get the pre-chat info up soon #WeAHPs
@sarah_judge
25 January 2018 21:00
@HelenOwen3 @JanetThomas47 @SallyPCovPhys @WeAHPs @paulawoods5 Do think there’s a discussion to be had about digital record keeping during training at HIEs. Different mindset to paper notes #WeAHPs
@HelenOwen3
25 January 2018 21:01
@sarah_judge @JanetThomas47 @SallyPCovPhys @WeAHPs @paulawoods5 Will it be something that's normalised as EPR becomes the norm? #WeAHPs
@AliciaRidout
25 January 2018 21:02
@sarah_judge @HelenOwen3 @JanetThomas47 @SallyPCovPhys @WeAHPs @paulawoods5 Medical students in Leeds get that already... #WeAHPs
@SallyPCovPhys
25 January 2018 21:02
@sarah_judge @HelenOwen3 @JanetThomas47 @WeAHPs @paulawoods5 I'd be interested to know how you think we could do that when everyone has different systems. Record taking is truly a challenge for this reason anyway! #WeAHPs
@sarah_judge
25 January 2018 21:02
@WeAHPs Sorry! Helped in the long term. Initially hard, different mindset required as much info elsewhere in record. Many challenges but once up to speed it is overwhelmingly beneficial #WeAHPs #slightlybiased
@AliciaRidout
25 January 2018 21:02
@WeAHPs Thx guys ??#WeAHPs
@moragdb
25 January 2018 21:03
@WeAHPs #WeAHPs definitely has improved patient safety and improved care
@SallyPCovPhys
25 January 2018 21:03
@sarah_judge @HelenOwen3 @JanetThomas47 @WeAHPs @paulawoods5 #WeAHPs - oops last tweet sounded grumpy - wasn't meant to be.. just curious how - ideas welcomed!
@sarah_judge
25 January 2018 21:04
@SallyPCovPhys @HelenOwen3 @JanetThomas47 @WeAHPs @paulawoods5 Principles of SOAP still the same but less need to have ‘own’ social history for example, everyone can contribute. #WeAHPs
@JanetThomas47
25 January 2018 21:04
@sarah_judge @HelenOwen3 @SallyPCovPhys @WeAHPs @paulawoods5 Difficulty is that my HEI sends students to more than 7 NHS boards all with differing systems Can only be really covered on placement #weahps
@sarah_judge
25 January 2018 21:04
@HelenOwen3 @JanetThomas47 @SallyPCovPhys @WeAHPs @paulawoods5 I imagine so but there’s a few years of transition yet #WeAHPs
@SallyPCovPhys
25 January 2018 21:05
@JanetThomas47 @sarah_judge @HelenOwen3 @WeAHPs @paulawoods5 #WeAHPs - my thinking @JanetThomas47 as we send students all over from Coventry @CUPhysios
@SallyPCovPhys
25 January 2018 21:09
@sarah_judge @JanetThomas47 @HelenOwen3 @WeAHPs @paulawoods5 @CUPhysios #WeAHPs - we do talk about it but definitel… https://twitter.com/i/web/status/956635116109029377
@SallyPCovPhys
25 January 2018 21:09
#weahps - Thank you everyone, Wave goodnight
@Airedaleahps
25 January 2018 21:20
RT @WeAHPs: Well, that's an hour everyone! Thank you to you all for joining in #WeAHPs tonight - great conversations! Feel free to carry th…
@Airedaleahps
25 January 2018 21:21
RT @WeAHPs: Q7: does completing patient documentation impact on you going home at the end of the working day? #weahps
@mrs_t_rob
25 January 2018 21:23
@WeAHPs #WeAHPs I’m not sure the two are always a direct correlation ie I know services which report high documenta… https://twitter.com/i/web/status/956638779707744262
@poole_moores
25 January 2018 21:28
#WeAHPs so engrossed in the chat my cuppa’s gone stone cold! But thanks - it’s good to talk ?? https://t.co/h58mpKIoh5




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