The first step in defining the assignment purpose is to ensure that all information is supported by facts and an analysis of available information. Depending on the assignment, the nurse may need to produce information regarding a medical condition, an interpretation of diagnostic tests, medical diagnosis, or a medical opinion. Specific details about the patient and the current state of medical knowledge should be included in the document.
The second step is to research and determine the relevance of the document. Writing for the Nursing Assignment Service is a collaborative effort between the client and the nursing assistant. The role of the nursing assistant will be to make sure that the document reflects the best medical practice and treatment options for the patient or procedure.
Once the documentation process is underway, the nurse must make sure that the nursing assistant has received authorization from the patient or administrator. The client or nursing administration must agree that the document should be used in the assignment.
Additionally, the document must be legible and fairly accurate. The nurse must keep all the correct abbreviations and procedures consistent throughout the document. Moreover, the nursing assistant must choose a font that is easy to read at a large size and for reading on a computer screen.
The third step in the documentation process is the creation of the summary of work. This section contains a few sentences summarizing the day’s activities. All of the major sections of the document should be included in this section. The summary should summarize the major items completed during the nursing assignment.
Once this section is completed, the nursing assistant must prepare the remainder of the document. These activities include documenting the patient’s disposition, identification of complications, evaluation of the patient, diagnosis of the patient, management of the patient, recommendations for future treatment, testing for complications, and diagnosis of the patient. The nursing assistant should prepare a written synopsis that includes all of these actions taken.
The fourth step in the process is to gather the basic knowledge of the patient. Although the nursing assistant cannot determine the outcome of the assignment, the nursing assistant can provide the most accurate and reliable documentation of the patient’s condition and health care needs.
Some healthcare organizations assign the assignment to the nursing assistant only and do not require them to work directly with the client. The document does not need to be as detailed as it is in a formal nursing facility setting. However, the nursing assistant should carefully review and document the assignment on their own.
For example, if the assignment is to simply complete an exam for the patient, then the nursing assistant will not need to record the patient’s medical history. However, if the assignment is to provide a detailed assessment of the patient’s condition, then the nursing assistant should review the patient’s medical history and note any and all pertinent information. Any items not covered in the assessment should be documented.
A nursing assignment that is completed with the aid of a comprehensive and effective documentation process can result in a better understanding and assessment of the condition of the patient. Writing for a nursing assignment involves a thorough understanding of the culture and language of the patient. When this cultural knowledge is combined with the knowledge and skills that the nurse has developed through years of experience, the nurse can provide the best care possible.
Understanding the assignment purpose is just the first step in effectively completing a nursing assignment. The assignment is complete when the written document isaccurately completed and the interpretation accurately reflected. Once the nursing assignment is complete, it is equally important to review the document and correct any inaccurate information.