Universitat Internacional de Catalunya - Barcelona

Advanced Clinical Records

• code 09819
• course 4
• term Semester 1
• type op
• credits 3

Module: Module MINORS (Choose one minor)

Matter: Advanced Clinical Care

Main language of instruction: Catalan

Other languages of instruction: Spanish

Head instructor

MsU Sílvia PILAR - spilar@uic.es

Office hours

The student will focus on the appointments by email.

 

Teacher of the matter:

 

Silvia Pilar spilar@uic.es

The information recorded in the patient's medical history is essential for monitoring the evolution of the patient and communication with other professionals involved in their care. At the same time serves to objectify our work as nurses for the evaluation results can then be used for research, creating future interventions for nurses.

As new technologies allow us to record data in a computerized future professionals must be able to capture the total content of the process of nursing care to platforms designed for such use without losing the essence of the message transmit or leaving the framework of the law

• Provision for learning.
• Capacity for teamwork.

1. Be able to make records based on clinical assessment of patients using scientific language, basing their actions and evaluating their interventions.
2. Be able to draw recommendations directed to the user to restore or maintain health.
3. Will use the software to record all data and to design the process of nursing care of patients.
4. Be aware of the importance of registering such written notice of their actions.

• 22. G - Use and management of information and research
• 23. B - Ability to analyze and synthesize.
• 26. G - Ability to generate knowledge from practice.
• 11. E - Establish effective communication with patients, families, social groups and partners and promote health education.
• 15. B - Work with the team of professionals as a basic unit in which uni or multidisciplinary and interdisciplinary professionals and other staff of health care are organized.
• 16. G - Know the health information systems.
• 21. B - Oral and written communication.

• Is able to make records of their actions with a clear scientific language and to other professionals.
• Is able to capture so computerized assessment, and records the process of nursing care.
• Is aware of the legal implications of all their clinical records.

• · Conceptual framework and justification of nursing records.
• · Transmission of information.
• · Registration Process * Nursing Care.
• · Ethical issues related to the registration information.
• · Legal framework.
• · Manage software gazelle for nursing records.

• . Sessions exposure class.
• · Work in groups.
• · Carrying case.
  

The methodology is the same for the part of computer records, but with smaller working groups.

There will be a part of continuous assessment through activities and exercises targeted at specific classes for the final grade (70%).

 Exercises were carried out directly in class, if the student has not attended the exercise may be deliver in two days, computing for continuous assessment note 60 % of the grade of that particular exercise .On second call work will be required to note of continuous assessment.

Final Exam (30%). 

Both parts should be approved for average.

No fees of Honor awarded for 2nd call

Notes from the field.

 Recommended bibliography for the teacher. 

E: exam date | R: revision date | 1: first session | 2: second session:

• E1 19/11/2014 10:00h
• R1 01/12/2014 10:00h
• E2 22/06/2015 08:00h
• R2 02/07/2015 10:00h