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Are You Using the Correct Language in Your Documentation?

CPDTime.
4m of CPD
With the advent of the digital hospital, every word we write about our patients is potentially searchable in an indelible trail of communication. Codes of conduct target use of the mediums through which we communicate. Ironically, we probably have less control than ever on where our words end up.

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With the advent of e-health and the digital hospital, every word we write about our patients is potentially searchable in an indelible trail of communication. Codes of conduct often target use of the mediums through which we communicate, yet ironically we probably have less control than ever on where our words end up. Just like our selfies. Instead, focus on the words on the screen and page, and what they say about your attitudes and personal interactions.

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  • CPDTime.
    4m of CPD

Meet the educator

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Andrew Blythe
Andrew Blythe is a writer and managing editor of QNews magazine, as well as an adjunct research fellow at Griffith University. Andrew has experience across radio, television and multimedia, as well as curriculum review and research development.
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What do others think?

235 reviews by Ausmed Learners
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TM
Tintumol Mathew
27 Jul 2020
Good read
SA
Samandeep Ahluwalia
25 Apr 2020
interesting
DC
Debra Curran
29 Aug 2021
Very interesting article to read, very well written and gave me food for thought, as I looked up the references and I learned a lot of new acronyms that ought not ever be used in patients/clients notes as is is vitally important to only ever create respectful notes on clients/patients There is a reference about patients who are comfortable with acknowledging their sexuality, and that health staff can use neutral relationship terms like ‘partner’ or ‘spouse’, as opposed to the heteronormative ‘husband’ and ‘wife. I am more than happy to go with this ; however I do find it very insulting and disturbing to be directed to now not document husband or wife and only ever refer to them as partners, as this is truly offensive to a great deal of especially older persons who regard themselves as husbands and wives and many have done so for many years and to these people to be a husband or a wife is an important title and ought be replaced by partner or spouse. Bottom Line = We need to be respectful to all persons.
Portrait of Mikal Debabe
Mikal Debabe
07 Jun 2021
Informative.
JT
Julia Taylor
20 Mar 2022
Excellent information to help in documentation
A
Ann
01 May 2022
Registered Nurse
Good to help in record documentation..
Portrait of Sharina Hussain
Sharina Hussain
27 Aug 2021
Useful resource for correct documentation.
LA
Lynette Archibald
30 May 2023
Registered Nurse
Good advice and knowledge
BH
bernie harbrow
14 Jan 2023
Registered Nurse
very important reading
AT
Anne Thorpe
15 Sep 2021
Handy reminder of the need for clarity in documentation
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