HSAAS, August 22, 2023 - The Nursing Management Unit is committed to providing exceptional patient care, and as part of our ongoing efforts to continuously improve, we recently organised a Nursing Documentation Improvement Workshop. This workshop, led by Mdm. Ngu Hee Hung, brought together 65 nurses from various departments, including staff nurses, head nurses, nurse managers, and nursing officers, to enhance their skills and knowledge in accurate nursing documentation.

The workshop, held at the Mini Theatre of HSAAS UPM, commenced with a warm welcome speech from Mdm.Thilakaveni A/P A Ramasamy, the Head of Nursing Management Unit. She emphasised the importance of comprehensive nursing documentation in delivering high-quality patient care, setting the tone for an informative and engaging learning experience.

Throughout the workshop, participants took part in interactive sessions that covered essential aspects of nursing documentation. The introductory session provided an overview of the fundamental principles and significance of nursing documentation in healthcare settings. It served as a reminder that accurate and detailed documentation is essential for effective communication and continuity of care. The subsequent sessions focused on specific clinical documents, such as admission and discharge summaries and nursing reports. Attendees gained valuable insights and applied them to practices for creating concise and accurate reports that capture vital patient information. The importance of effective reporting during shift handovers was also emphasised to ensure seamless transition and continuity in patient care.

The workshop also delved into the creation and maintenance of nursing care plans, which play a crucial role in providing individualised patient care. Participants learned how to develop comprehensive care plans that address the specific needs of each patient, promoting holistic and personalised care delivery. Patient identification, a critical aspect of nursing documentation, was highlighted during the workshop. Attendees were educated on the potential risks associated with misidentification and provided with guidelines to ensure accurate patient identification and security. By prioritising patient identification, nurses can ensure patients' safety and reduce the likelihood of errors.

A standout feature of the workshop was the practical session on nursing audits. Participants actively engaged in hands-on activities to learn how to conduct effective audits, identify areas for improvement, and ensure compliance with documentation standards. The workshop emphasised the importance of regular nursing audits in maintaining documentation accuracy and quality.

The workshop concluded with the presentation of a nursing audit documentation report. This report showcased the findings from previous audits, highlighting the impact of accurate and comprehensive documentation on patient care outcomes. It served as a testament to the commitment of our nurses to continuous improvement in their documentation practices. At HSAAS, we believe that workshops like these are instrumental in fostering a culture of excellence in patient care. By enhancing nursing documentation practices, our nurses can make a positive impact on patient outcomes and ensure the highest standard of care.

We extend our sincerest appreciation to Mdm. Ngu Hee Hung and her team for their outstanding work and for their unwavering dedication to advancing the knowledge and skills of our nurses. Their contributions have had a lasting impact on our nursing staff, enriching their ability to provide the highest standard of care to our patients. As we continue our journey towards excellence, we remain committed to organising workshops and training programmes that enhance our nurses skills and knowledge. By prioritising accurate nursing documentation, we can provide the best possible care for our patients and uphold our commitment to their well-being.

For further information or inquiries, please contact Nursing Management Unit-HSAAS