b'NURSING HIGHLIGHTS 2022There are still some things that must be documented in the In working with our colleagues in quality, informatics and risk,appropriate places in Cerner, including detailed screenings of we continue to partner, auditing our documentation approach,patients, restraints, and pain scales, as all of these either are requiredensuring regulatory requirements are met and the quality of the for regulatory reasons, or else may lead to required action by thepatient story is reflected in the plan of care summary. nurse. Overall, however, the need to create extremely formulaic documentation through a series of extensive checkboxes has beenNursing has embraced this change, but so have providers and eliminated, freeing the nurse to use clinical skill to assess and careother clinical staff, who find it much easier to know whatsfor the patient and to spend more time doing so. happening with a patient, and where their focus needs to be to It utilizes the full clinical assessment skills of the nurse to tell the story of the patient a story that checkboxes dont always reveal.Today, the End of Shift-Plan of Care Note that the nurse help move the patient along the plan of care. The End of Shift- creates replaces the iPOC and gives all members of the Plan of Care Note workflow marries nursing care and skill withpatients care team a one-stop overview of the patients the capabilities of the EMR, while increasing interdisciplinarycurrent condition and the plan going forward.It surfacescommunicationa partnership for advancements in patient-important information, and improves the understanding of thecentered care.patients trajectory over time. The Note is present in the attending providers regular workflow, so the information from the nurse nowAdvancement of this plan of care model will take place this Spring flows to them, instead of them having to dig for the information, orfor Concord Hospital - Laconia and Concord Hospital - Franklinbe unaware of it, which is a win for patient safety. Most importantly,inpatient care units to align a single clinical documentation andit utilizes the full clinical assessment skills of the nurse to tell the plan of care practice. story of the patienta story that checkboxes dont always reveal.35'