For this assessment, I will be providing support and justification for my posters regarding the resident of the day (ROD) clinical audit results in my workplace, with plans for future clinical care outcomes to improve.
The ROD is a monthly review of the care given to residents in aged care facilities, it is documented in resident progress notes and provides a summary of the nursing care plan (NCP). In geriatric nursing, the NCP addresses and outlines the key areas of individualised care (Burhenn, Perrin and McCarthy, 2016). Currently, in my workplace, the ROD is handwritten by the registered nurse (RN) on morning shift and takes approximately 20 minutes to complete. I chose this audit as it is rarely passed with 100% compliance and it is a basic standard that should have passed easily. The Australian Nursing and Midwifery Journal discuss how aged care continues to fall short “when it comes to providing quality care” (p.10). The ROD is being documented and presented in the same way as was being taught in the year 2000 when I was training, and I believe there is a more effective and efficient way in …show more content…
All ROD documentation will be dealt with systematically, with the titles already provided on a set ROD assessment form, which will decrease the time needed to complete the ROD and increase the reliability of the data with no area missed out on review, which is currently a pitfall. Change in resident needs can easily be identified looking at last month, with each section clearly labeled. Colour-coding will be introduced which will be beneficial for quick referencing of any multidisciplinary team documentation. Making these changes will provide a more efficient and effective documentation system that will ensure the future prospect of 100% audit
The ROD is a monthly review of the care given to residents in aged care facilities, it is documented in resident progress notes and provides a summary of the nursing care plan (NCP). In geriatric nursing, the NCP addresses and outlines the key areas of individualised care (Burhenn, Perrin and McCarthy, 2016). Currently, in my workplace, the ROD is handwritten by the registered nurse (RN) on morning shift and takes approximately 20 minutes to complete. I chose this audit as it is rarely passed with 100% compliance and it is a basic standard that should have passed easily. The Australian Nursing and Midwifery Journal discuss how aged care continues to fall short “when it comes to providing quality care” (p.10). The ROD is being documented and presented in the same way as was being taught in the year 2000 when I was training, and I believe there is a more effective and efficient way in …show more content…
All ROD documentation will be dealt with systematically, with the titles already provided on a set ROD assessment form, which will decrease the time needed to complete the ROD and increase the reliability of the data with no area missed out on review, which is currently a pitfall. Change in resident needs can easily be identified looking at last month, with each section clearly labeled. Colour-coding will be introduced which will be beneficial for quick referencing of any multidisciplinary team documentation. Making these changes will provide a more efficient and effective documentation system that will ensure the future prospect of 100% audit