How to DOCUMENT your nursing notes | Clinical Skills Series

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  • เผยแพร่เมื่อ 28 พ.ค. 2024
  • Nursing documentation in the clinical area! Todays clinical skill is on nursing documentation, a fundamental skill we use EVERY, SINGLE SHIFT. WATCH NOW as I break down key tips to help you with your nursing documentation.
    ⏰ Timestamps
    00:00 → Nursing Documentation
    01:02→ What is Nursing Documentation?
    02:45→ Patient Scenario
    07:07→ The Do’s & Don’ts of documentation
    ~Clinical Skills Series~
    This series is for educational purposes only and is not intended as medical advice. All patient scenarios mentioned in this series are made up for protection of patient confidentiality. All skills are taught in line with evidence based nursing practice.
    Useful Links:
    Nursing and Midwifery Code of Conduct
    www.nmc.org.uk/standards/code/
    Th Resuscitation Council UK
    www.resus.org.uk/
    Remember to Like, Comment and Subscribe xx
    Check out my other vlogs & videos 🎥
    1. How to give a SUCCESSFUL nursing handover | Clinical Skills Series • How to give a SUCCESSF...
    2. How to give a SBAR Handover | Clinical Skills Series
    • How to give a SBAR Han...
    3. STUDENT NURSE ESSENTIALS 2020 📚 • STUDENT NURSE ESSENTIA...
    If you have any queries or questions, please let me know and I will try my best to answer!!
    Connect with me
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    / nursezara_uk
    💬Facebook: Nurse Zara UK
    / nursezarauk
    💙 Twitter: @nursezara
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    TikTok: @zazzarax

ความคิดเห็น • 125

  • @rashealcephas6686
    @rashealcephas6686 ปีที่แล้ว +1

    Hi Zara! I am new on your platform but just a single video downloaded has encouraged me even more. Thanks a million. Rasheal from Liberia, West Africa

  • @rachelischmulian6899
    @rachelischmulian6899 3 ปีที่แล้ว +30

    I'm a first-year adult nursing student on my first placement. This series has been amazing !!!!!!!! Thank you. Looking forward to the next one!!!!

    • @nursezara
      @nursezara  3 ปีที่แล้ว +1

      Ahh so happy to hear these videos help! Best of luck with your placement xx

    • @christinaatiemo413
      @christinaatiemo413 ปีที่แล้ว +1

      @@nursezara you are doing well and offer him a lot of well

    • @NursingEncyclopedia
      @NursingEncyclopedia 7 หลายเดือนก่อน

      Starting my first placement tomorrow. I'm watching these with the hope of it helping 😊

  • @chisomchizoba-eke8332
    @chisomchizoba-eke8332 2 ปีที่แล้ว +3

    Wow! Zara. I am a student nurse and i must say that this is a life saver. Thank you so much. God bless you

  • @hjfj90
    @hjfj90 ปีที่แล้ว +2

    New subscriber. Amazing documentation video. I'm a new RN in a Training Program, (Surgical Cardiovascular Unit). I am excited but nervous. This presentation was clean, detailed and precise. Your channel has encouraged me to be more assertive and advance my nursing skills. I will take paid classes, with my employer, to build my confidence. I will also continue to watch your videos.
    Thank you so much.

  • @annjean8709
    @annjean8709 2 ปีที่แล้ว

    Excellent video!
    Thank you for sharing.

  • @researchandscientificwriti5887
    @researchandscientificwriti5887 2 ปีที่แล้ว

    Nice, brief and concise. It was really helpful. Specially when you give examples and clinical scenario

  • @alimataadjemon689
    @alimataadjemon689 2 ปีที่แล้ว +1

    Thank you, I’m in my first year placement I love videos can’t wait for the next series❤️

  • @yasmeenbaloch1664
    @yasmeenbaloch1664 10 หลายเดือนก่อน

    amazing video so helpful!! Thank you!

  • @Minerve93
    @Minerve93 ปีที่แล้ว

    Thank you so much. I am a new nurse; I find your videos extremely helpful.

  • @lilianlilian7416
    @lilianlilian7416 2 ปีที่แล้ว +5

    Zara, thank you so much for this nursing note. I have no clue of what I am getting myself into called nursing. your videos get me up and now I am confident in doing what I am doing. God bless you

  • @lenytrasmonte1483
    @lenytrasmonte1483 2 ปีที่แล้ว

    Thank you so much for your sharing teps with us ma'm 💖💖

  • @nishadimri1892
    @nishadimri1892 2 ปีที่แล้ว +1

    Thank uh Zara.. It's really very informative👍

  • @mamdaero_24
    @mamdaero_24 3 ปีที่แล้ว +22

    Love this series and thank you for always sharing your tips with us!

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      Awh thank you and You are so welcome

  • @jasmadisholihin5487
    @jasmadisholihin5487 2 ปีที่แล้ว +1

    Thankyou so much Nurse Zara!! Gotta practice for this :")

  • @chuthita
    @chuthita 3 ปีที่แล้ว +8

    Thank you,
    clear straight forward and cover the main points , thank you again for doing this 💙

    • @nursezara
      @nursezara  3 ปีที่แล้ว +1

      Ahh and thank you for watching 💖 glad you enjoyed the video 💙 x

    • @chuthita
      @chuthita 3 ปีที่แล้ว

      I have subscribed as I would like to see more of your next videos. I also back to re-watch your old one as well, I’m sure you know your English is amazing may I say as same as your stuff you are teaching in here 👍🤓🥰

  • @praveenarohith1217
    @praveenarohith1217 3 ปีที่แล้ว +1

    Thank you for respecting for my request .....was very useful

  • @maryantonetteee
    @maryantonetteee ปีที่แล้ว

    I am a new nurse, this is soo helpful! ❤

  • @uteagyeman8283
    @uteagyeman8283 2 ปีที่แล้ว

    This is really helpful ..thank you

  • @user-wg1sr3gn4j
    @user-wg1sr3gn4j 11 หลายเดือนก่อน

    Thank you sister that was so helpful

  • @kaylanorton3212
    @kaylanorton3212 หลายเดือนก่อน

    So helpful!!

  • @glorianwanja552
    @glorianwanja552 2 ปีที่แล้ว

    Amazing video 👏🏿👏🏿 !

  • @lilianokey8415
    @lilianokey8415 ปีที่แล้ว

    Thanks for sharing Zara.

  • @uppyuppykraft
    @uppyuppykraft 3 ปีที่แล้ว +1

    Very very helpful. Thank you for explaining and breaking it down

  • @katlynsmitham1215
    @katlynsmitham1215 11 หลายเดือนก่อน

    Beautiful Work ✨

  • @yolandahenry1901
    @yolandahenry1901 ปีที่แล้ว

    I love your explanation

  • @dontaywiley2898
    @dontaywiley2898 6 หลายเดือนก่อน

    I enjoyed it and I love the Video.❤

  • @tupakulapavani7921
    @tupakulapavani7921 6 หลายเดือนก่อน

    Fantastic teaching

  • @mct5968
    @mct5968 3 ปีที่แล้ว +3

    Thank you for accepting my suggestion, It means a lot . Well explained ,appreciate your efforts 👏🏼😊

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      You are soo welcome 💖Happy to hear you enjoyed the video! Feel free to send in more suggestions :) x

  • @judithmontefur9791
    @judithmontefur9791 2 ปีที่แล้ว

    Very good reliable information

  • @jaysanap
    @jaysanap 2 ปีที่แล้ว +1

    Thank you for the information.
    Love from India.

  • @roloavo7576
    @roloavo7576 2 ปีที่แล้ว +1

    Thank you 👍

  • @nipunidarshika8790
    @nipunidarshika8790 3 ปีที่แล้ว +2

    Absolutely helpful video ♥️

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      Amazinggg 💙 makes me happy to hear this

  • @israrswati249
    @israrswati249 3 ปีที่แล้ว +2

    It is definitely good zara but what are your suggestions regarding the utilization of SBAR approach?

  • @princesssha8816
    @princesssha8816 3 ปีที่แล้ว +6

    Very useful and much waited

    • @nursezara
      @nursezara  3 ปีที่แล้ว +1

      Thank youuu, so happy to hear you found it useful :) x

  • @shannoncoleman371
    @shannoncoleman371 ปีที่แล้ว

    thanks for sharing

  • @jodiannbarnes2109
    @jodiannbarnes2109 10 หลายเดือนก่อน

    Well precise

  • @charityagunya6627
    @charityagunya6627 2 ปีที่แล้ว

    Informative👍🏾

  • @amazinggrace9343
    @amazinggrace9343 3 ปีที่แล้ว +3

    Thanks Zara ..💖Appreciate your efforts..god bless

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      Thank youuu so much Grace 💙💙

  • @lisahkeslynn4031
    @lisahkeslynn4031 7 หลายเดือนก่อน

    Thanks very much.....very useful 👍...Can you please make a video on care bundles please

  • @LaLaBlahBlahh
    @LaLaBlahBlahh 3 ปีที่แล้ว +3

    I like this structure but where/ how do you write in any upcoming assessments or tests that the patient needs, their fasting status, elimination or details about discharge / visitors?

  • @natic.1971
    @natic.1971 2 ปีที่แล้ว

    Thank you.

  • @adilahmadkhan120
    @adilahmadkhan120 3 ปีที่แล้ว +3

    thank you zara ... it was really informative

    • @nursezara
      @nursezara  3 ปีที่แล้ว +1

      Amazing! glad you found it useful :)

  • @s.cyriac486
    @s.cyriac486 3 ปีที่แล้ว +9

    I love this series helps me to put in practice at my placements can we run through a rough day of ward placements?

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      Ahh so happy to hear you enjoy these videos :)!! Ooo okay great suggestion, I can have a think! I did make a video called ''how to survive 12 hour shifts' which touches on structuring your shifts and insight into ward life aswell :) Here is the link, I hope it helps th-cam.com/video/_3CMtCBHUEo/w-d-xo.html

  • @rukminig9609
    @rukminig9609 3 ปีที่แล้ว +1

    Thank you Zara its very informative 👍

    • @nursezara
      @nursezara  3 ปีที่แล้ว +1

      Amazing :D happy to hear it

  • @hirabatool6497
    @hirabatool6497 3 ปีที่แล้ว +6

    It was so informative 🤩.. great work Nurse Zara ❤️

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      Thank youu Hira 💙 always appreciate the love and support xx

  • @NursePhiri
    @NursePhiri ปีที่แล้ว

    Excellent

  • @oghenekevwe200
    @oghenekevwe200 3 ปีที่แล้ว +2

    Sister Zara thank you very much for your time. 😊

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      💙a big thank you for watching! hope you enjoyed :)

  • @muqaddasfatima6215
    @muqaddasfatima6215 2 ปีที่แล้ว

    ❤️ amazing

  • @ShermaineSheree__
    @ShermaineSheree__ 3 ปีที่แล้ว +7

    Can you please do a video briefly talking about the expectations of a student nurse for each year on placement? x

    • @nursezara
      @nursezara  3 ปีที่แล้ว +3

      Great suggestion, will deffo try and do a video on this at some point! Perhaps nearer to summer time before the new academic year starts :)

  • @ruhilaanjum346
    @ruhilaanjum346 3 ปีที่แล้ว +1

    Great👌

  • @SadafKhan-bz1uj
    @SadafKhan-bz1uj 3 ปีที่แล้ว

    Great zara nd thnk u

  • @smeraannsaju8997
    @smeraannsaju8997 3 ปีที่แล้ว +2

    Hi Zara I found ur video so informative..!!
    May I knew how a final year student from india can target the goal of uk rn

  • @kkaminib8365
    @kkaminib8365 ปีที่แล้ว

    Very good vedio.

  • @sharongeorge3622
    @sharongeorge3622 2 ปีที่แล้ว

    Brilliant

  • @stephaniemcintosh9952
    @stephaniemcintosh9952 2 ปีที่แล้ว

    Omg thank you

  • @dipikapoudel5007
    @dipikapoudel5007 3 ปีที่แล้ว +2

    I’m from Nepal , I’m also a nurse zara sis your all videos ispire me a lot thank you

    • @nursezara
      @nursezara  3 ปีที่แล้ว +1

      Awhh thank youuu :)

  • @kehindeakande2639
    @kehindeakande2639 2 ปีที่แล้ว

    Thanks can you documentation on personal care please

  • @mamiemalako2700
    @mamiemalako2700 3 ปีที่แล้ว +3

    Hi Zara, Thank you for the video.
    God bless you 💖💖

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      Awh thank you for the Love and Support 💖

  • @emmawatson5487
    @emmawatson5487 3 ปีที่แล้ว

    Hii zara,I am malar from India ❤️ i think you are the best youtuber that I never seen before ❤️❤️❤️and I am also a nurse 😉 working as a covid nurse ❤️

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      Ahh Thank you so much 😇 !! Thats very kind of you to say 😄!! Always lovely to meet fellow nurses :)

  • @gokilasaminathan2556
    @gokilasaminathan2556 3 ปีที่แล้ว +1

    Hi zara sister I am ur new subscriber from India, me also a nurse, I like ur way of speaking keep growing 👍Lots of love from me for U❤

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      Thank you very much :)

  • @rubiabts8828
    @rubiabts8828 2 ปีที่แล้ว

    Please do a document how to write a basic daily life what nurses or healthy workers do for a patient please

  • @hopemarie5357
    @hopemarie5357 2 ปีที่แล้ว

    how do you take notes for clinical nursing skills. do you take the notes from the textbook or you just study your teacher powerpoint?

  • @TajKhan-zo7jj
    @TajKhan-zo7jj 3 ปีที่แล้ว +2

    learning from your videos
    RN from karachi, Pakistan

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      amazing 💙!!

  • @shubhamsonawane5597
    @shubhamsonawane5597 2 ปีที่แล้ว

    Thamku zara😊💐

  • @bernadethsomer7207
    @bernadethsomer7207 ปีที่แล้ว

    I’m sorry new nurse here, what is NIL? Thanks for reply

  • @karinahenson1374
    @karinahenson1374 2 ปีที่แล้ว

    Do you have end shift report example :-)

  • @jeannettegoodman3577
    @jeannettegoodman3577 11 หลายเดือนก่อน

    O M G💜

  • @asabeaestella4981
    @asabeaestella4981 2 ปีที่แล้ว

    Please how do I write nursing note on recumbent positioning

  • @sirimalsilva5474
    @sirimalsilva5474 ปีที่แล้ว

    Dear Sister Zara.
    As example, How to document if patient receiving iv dopamine by syringe pump some dose per hour.?

  • @manzilmanzilsmoments6145
    @manzilmanzilsmoments6145 3 ปีที่แล้ว +1

    Hai Zara...I'm a nurse and currently working in kuwait in pediatric casualty .I would like to migrate UK .can u suggest ideas to come there and work as an RN

  • @Hamzakhan-dt3gv
    @Hamzakhan-dt3gv 3 ปีที่แล้ว +3

    Nice video

  • @musichouse3163
    @musichouse3163 3 ปีที่แล้ว +1

    👍👍👍❤️

  • @lincyreji1371
    @lincyreji1371 ปีที่แล้ว

  • @bhhaawanaghimirey
    @bhhaawanaghimirey 3 ปีที่แล้ว +3

    my first placement is tomorrow....are we gonna do this all being student nurse??

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      Helloo, highly unlikely as a first year student nurse :), if you haven't already check out my video on preparing for placements, hopefully it will be useful on the expectations of nursing placements th-cam.com/video/50k0JfR-5bs/w-d-xo.html

  • @manzilmanzilsmoments6145
    @manzilmanzilsmoments6145 3 ปีที่แล้ว

    Your vedios r interested and god bless u

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      thank you so much

  • @muqaddasfatima6215
    @muqaddasfatima6215 2 ปีที่แล้ว

    Loved from Pakistan

  • @nafisaislam5
    @nafisaislam5 3 ปีที่แล้ว

    I love you..i am your new fann..

  • @NirmalSingh-wm3yu
    @NirmalSingh-wm3yu 9 หลายเดือนก่อน

    Good morning sister. I want nursing cv in uk format please providing me.

  • @akashsryan9665
    @akashsryan9665 3 ปีที่แล้ว

    Hlw pls explain to apply msw course details and qualifications to study msw in uk

    • @nursezara
      @nursezara  3 ปีที่แล้ว +1

      I am not sure what msw is sorry :(

  • @theaccountwashackedbycriminals
    @theaccountwashackedbycriminals ปีที่แล้ว

    Documentation ...nurses are not data messable anywhere anytime .... reliability is a must have for nurses.
    Important information is when you are helping a person that's assigned to another nurse and you not assigned there..its job responsibilities ...finishing tasks without delay out of your assignments for that patient, not assigned to you are not your responsibility , and you can document or not document, the assigned should be documenting, you are helping out of courtesy ..... that has to be loudest spelt as injections given should be shouted loudest for the assigned to register check too many times too they might blame if they that are assigned do mistakes to their parents or don't help with empathy ..that's basic. twice recorded or no recording all would be harmful to the patients. Its always the nurse that is more empathetic or working that will be abused by the hypers not finishing their works at time ...that wouldn't finish their own works too in time. If you are smart ..be aware of such too... If you help be really careful. Only those patients that are assigned legally are your responsibility especially in a place that's busy or a day that's busy. Assignments written for you in assignment are only the responsibility . Professional ethics and legal implications are always to be adhered.

  • @CossyMunsanda-ck6fy
    @CossyMunsanda-ck6fy ปีที่แล้ว

    How to make a divided bed

  • @12nurse
    @12nurse ปีที่แล้ว

    How to write proper documentation

  • @JahidulIslam-ti5hq
    @JahidulIslam-ti5hq ปีที่แล้ว

    Video starts from 2:08

  • @nutchelle7777
    @nutchelle7777 5 หลายเดือนก่อน

    🔕How is the MAP 70!? Is this info correct!? Any of it!? A BP of 130/80 has a MAP of 97 🙋🏽‍♀️ 👩🏾‍⚕️

  • @bushrapendhari3456
    @bushrapendhari3456 2 ปีที่แล้ว

    Tell us about your family

  • @sheikhyasmin903
    @sheikhyasmin903 ปีที่แล้ว

    Anyone working in banglore any nabh accredited hospital needed help Or guide

  • @ItsNeerja
    @ItsNeerja 3 ปีที่แล้ว +1

    for how many patient .. u have to write reports like this in detail.. whats nurse pt ratio u get on daily basis..??

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      depends on the setting, if you are on a ward typically you will be writing notes for 5-6 patients. In an area such as ICU you will typically have 1-2 patients :)

  • @doctorblogger6396
    @doctorblogger6396 3 ปีที่แล้ว

    Can you do day in my life video

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      I have a playlist with a couple of day in the life vlogs :) here is the link th-cam.com/video/JbKAyOCpQys/w-d-xo.html

  • @Punjabikitchen83
    @Punjabikitchen83 3 ปีที่แล้ว

    Hlo mam could you tell me that masters in health and safety what jobs opportunities for me in future in uk plz reply me its urgent mam

    • @nursezara
      @nursezara  3 ปีที่แล้ว

      I am not too sure on masters regarding health and safety in the UK :) perhaps looking on websites such as UCAS may help?

  • @sneharobin3486
    @sneharobin3486 3 ปีที่แล้ว +1

    Hi...zara....

  • @yibekalbelete5842
    @yibekalbelete5842 2 ปีที่แล้ว

    You are beautiful too

  • @riinygiir
    @riinygiir 2 หลายเดือนก่อน

    Add me to your program

  • @AgusAdi-dm3cs
    @AgusAdi-dm3cs 5 หลายเดือนก่อน

    Sinar bubaya