Unit 2 Communication with staff

Unit 1 Education and training
To: j.wilson@gcohospital.net
From: p.hernandez@gcohospital.net
Subject: Communications

Dr. Wilson,

A recent situation has come to my attention that raises some concerns about communication in your department. Several nurses have complained that the instructions in your plans of care are often disorganized and confusing. And Dr. Kowalski, who takes over for you during the afternoon shift change, also mentioned problems with your notes. He said that he had to gather information from several patients a second time because the records were so difficult to read.

I have reviewed your patients’ medical records and found that your notes are not concise. As you know, legible writing is vital to the health and safety of our patients. It is also absolutely necessary that you document all patient details and instructions in chronological order to avoid confusion and, possibly, disaster.

We had a near miss yesterday when Nurse Pierce almost gave a patient acetaminophen even though he is allergic. Fortunately, the patient was awake and advised her of the allergy. Next time, we might not be so lucky. Nurses should not have to make assessments about patient care. Your notes should give them comprehensive information about each patient’s status.

Regards,
Dr. Hernandez

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