Charting - Revision history

Akelleher: /* Importance of Charting */

2024-01-23T18:15:00Z

Importance of Charting

@@ Line 1: / Line 1: @@
-==Importance of Charting==
+==Importance of Documentation in Game Tech Practice/Charting==
-While Game Techs are not providing direct medical care for patients and families, it can be argued that providing documentation of interactions is an important aspect of the profession. Not only can this provide an easy source of trackable metrics, but can help provide continuity of care for long term or frequent admission patients. Documentation can remind staff to provide formal referrals at re-admission, help carry over coping/socialization plans, and increase exposure of the role to other team members. Each hospital program has different philosophies on what is considered "chart worthy" information so you may need to advocate to have this access granted for your role. Reaching out to other social/emotional support teams such as Child Life or Creative Arts can give insight into their process and can be used as starting template. As the Game Tech profession grows, exploring and creating standards of care will become increasingly important and which may include standardization of charting.
+While Game Techs may not directly administer medical care to patients and families, the significance of documenting interactions cannot be overstated in this profession. Documentation serves as a vital component, not only for tracking metrics but also for ensuring continuity of care, particularly for long-term or frequently admitted patients. The act of charting can prompt formal referrals upon re-admission, facilitate the transition of coping and socialization plans, and raise awareness of the Game Tech role among other team members. Since each hospital program has unique perspectives on what qualifies as "chart-worthy" information, advocacy may be necessary to gain access to this aspect of the role. Consulting with other social and emotional support teams, such as Child Life or Creative Arts, can offer insights into their processes and serve as a starting point for creating templates. As the Game Tech profession evolves, establishing and adhering to standards of care, including standardized charting practices, becomes increasingly crucial.
 ==Potential Content to Chart==
-- Time Spent (both with patient and working on projects tied to them)
+* Services Provided
-- Response to interventions (change in mood/affect, verbal gratitude/excitement, increase movement/tolerances, pain levels [will need to be verbally prompted before and after intervention to effectively track])
+By systematically recording these elements, Game Techs contribute to comprehensive and informed patient care, fostering a well-documented narrative that benefits both patients and the healthcare team.
 ==Examples from Established Programs==

Agoldsnider: /* Tips */

2023-06-13T17:17:56Z

Tips

← Older revision		Revision as of 17:17, 13 June 2023
Line 75:		Line 75:
	==Tips==		==Tips==

	* If using EPIC, create ~~SartPhrases~~ for common interactions (introductions, bedsides etc) that allows you to just fill in specifics for that session and in turn saves a lot of time.		* If using EPIC, create SmartPhrases for common interactions (introductions, bedsides etc) that allows you to just fill in specifics for that session and in turn saves a lot of time.

Srafferty: /* Tips */

2023-06-13T16:52:30Z

Tips

← Older revision		Revision as of 16:52, 13 June 2023
Line 67:		Line 67:
	* Challenges/successes experienced throughout		* Challenges/successes experienced throughout
	* Intentions of further GTS intervention throughout remainder of admission		* Intentions of further GTS intervention throughout remainder of admission


	This GTS also utilizes EPIC SmartPhrases, where possible, to aid in the efficiency and consistency of documenting patient interventions. SmartPhrases will not tell the whole story and the note will typically require additional details specific to each patient for the intervention to be described. Below are examples of SmartPhrases that can be used:		This GTS also utilizes EPIC SmartPhrases, where possible, to aid in the efficiency and consistency of documenting patient interventions. SmartPhrases will not tell the whole story and the note will typically require additional details specific to each patient for the intervention to be described. Below are examples of SmartPhrases that can be used:
	[[File:SmartPhrases23.png\|center\|Connecticut Children's EPIC SmartPhrases\|~~frameless~~\|~~900x900px~~]]
			[[File:SmartPhrases23.png\|center\|Connecticut Children's EPIC SmartPhrases\|800x800px\|thumb]]

	==Tips==		==Tips==

			* If using EPIC, create SartPhrases for common interactions (introductions, bedsides etc) that allows you to just fill in specifics for that session and in turn saves a lot of time.

Srafferty at 16:42, 13 June 2023

2023-06-13T16:42:57Z

← Older revision		Revision as of 16:42, 13 June 2023
Line 69:		Line 69:

	This GTS also utilizes EPIC SmartPhrases, where possible, to aid in the efficiency and consistency of documenting patient interventions. SmartPhrases will not tell the whole story and the note will typically require additional details specific to each patient for the intervention to be described. Below are examples of SmartPhrases that can be used:		This GTS also utilizes EPIC SmartPhrases, where possible, to aid in the efficiency and consistency of documenting patient interventions. SmartPhrases will not tell the whole story and the note will typically require additional details specific to each patient for the intervention to be described. Below are examples of SmartPhrases that can be used:
	[[File:SmartPhrases23.png\|center~~\|thumb~~\|Connecticut Children's EPIC SmartPhrases]]		[[File:SmartPhrases23.png\|center\|Connecticut Children's EPIC SmartPhrases\|frameless\|900x900px]]

	==Tips==		==Tips==

Agoldsnider: /* Connecticut Children's */

2023-06-13T15:13:06Z

Connecticut Children's

← Older revision		Revision as of 15:13, 13 June 2023
Line 68:		Line 68:
	* Intentions of further GTS intervention throughout remainder of admission		* Intentions of further GTS intervention throughout remainder of admission

	This GTS also utilizes EPIC SmartPhrases, where possible, to aid in the efficiency and consistency of documenting patient interventions. Below are examples of SmartPhrases that can be used:		This GTS also utilizes EPIC SmartPhrases, where possible, to aid in the efficiency and consistency of documenting patient interventions. SmartPhrases will not tell the whole story and the note will typically require additional details specific to each patient for the intervention to be described. Below are examples of SmartPhrases that can be used:
	[[File:SmartPhrases23.png\|center\|thumb\|Connecticut Children's EPIC SmartPhrases]]		[[File:SmartPhrases23.png\|center\|thumb\|Connecticut Children's EPIC SmartPhrases]]

	==Tips==		==Tips==

Agoldsnider: /* Connecticut Children's */

2023-06-12T20:23:00Z

Connecticut Children's

← Older revision		Revision as of 20:23, 12 June 2023
Line 57:		Line 57:
	Connecticut Children's Child Life Gaming and Technology Specialist (GTS) utilizes narrative chart notes on EPIC to document their interventions with patients. The purpose of these narrative notes is to tell a story about the impact that the GTS has on the patient's care plan. These notes can be reviewed by other professionals on the patient's care team, as well as the patient's family.		Connecticut Children's Child Life Gaming and Technology Specialist (GTS) utilizes narrative chart notes on EPIC to document their interventions with patients. The purpose of these narrative notes is to tell a story about the impact that the GTS has on the patient's care plan. These notes can be reviewed by other professionals on the patient's care team, as well as the patient's family.

	Actions to hit in nearly every chart note ~~include~~:		Actions to hit in nearly every chart note at Connecticut Children's are:
	* Target(s)/goal(s) of intervention (normalization, socialization, coping, diversion, boredom, co-treat with physical/occupational therapies, assistive technology support, sibling support, etc.)		* Target(s)/goal(s) of intervention (normalization, socialization, coping, diversion, boredom, co-treat with physical/occupational therapies, assistive technology support, sibling support, etc.)
	* Where the patient was engaged (bedside, unit playroom, Family Resource Center, etc.)		* Where the patient was engaged (bedside, unit playroom, Family Resource Center, etc.)

Agoldsnider: /* Connecticut Children's */

2023-06-12T19:37:16Z

Connecticut Children's

← Older revision		Revision as of 19:37, 12 June 2023
Line 55:		Line 55:

	===Connecticut Children's===		===Connecticut Children's===
	Connecticut Children's Child Life Gaming and Technology Specialist (GTS) utilizes narrative chart notes on EPIC to document their interventions with patients. The purpose of these narrative notes is to tell a story about the impact that the GTS has on the patient's care plan. Actions to hit in every chart note include:		Connecticut Children's Child Life Gaming and Technology Specialist (GTS) utilizes narrative chart notes on EPIC to document their interventions with patients. The purpose of these narrative notes is to tell a story about the impact that the GTS has on the patient's care plan. These notes can be reviewed by other professionals on the patient's care team, as well as the patient's family.

			Actions to hit in nearly every chart note include:
	* Target(s)/goal(s) of intervention (normalization, socialization, coping, diversion, boredom, co-treat with physical/occupational therapies, assistive technology support, sibling support, etc.)		* Target(s)/goal(s) of intervention (normalization, socialization, coping, diversion, boredom, co-treat with physical/occupational therapies, assistive technology support, sibling support, etc.)
	* Where the patient was engaged (bedside, unit playroom, Family Resource Center, etc.)		* Where the patient was engaged (bedside, unit playroom, Family Resource Center, etc.)

Agoldsnider: /* Examples from Established Programs */

2023-06-12T19:35:52Z

Examples from Established Programs

← Older revision		Revision as of 19:35, 12 June 2023
Line 56:		Line 56:
	===Connecticut Children's===		===Connecticut Children's===
	Connecticut Children's Child Life Gaming and Technology Specialist (GTS) utilizes narrative chart notes on EPIC to document their interventions with patients. The purpose of these narrative notes is to tell a story about the impact that the GTS has on the patient's care plan. Actions to hit in every chart note include:		Connecticut Children's Child Life Gaming and Technology Specialist (GTS) utilizes narrative chart notes on EPIC to document their interventions with patients. The purpose of these narrative notes is to tell a story about the impact that the GTS has on the patient's care plan. Actions to hit in every chart note include:
	- Target(s)/goal(s) of intervention (normalization, socialization, coping, diversion, boredom, co-treat with physical/occupational therapies, assistive technology support, sibling support, etc.)		* Target(s)/goal(s) of intervention (normalization, socialization, coping, diversion, boredom, co-treat with physical/occupational therapies, assistive technology support, sibling support, etc.)
	- Where the patient was engaged (bedside, unit playroom, Family Resource Center, etc.)		* Where the patient was engaged (bedside, unit playroom, Family Resource Center, etc.)
	- How the patient was engaged, brief explanation of equipment used or provided throughout engagement, collaborative/co-op, or competitive session		* How the patient was engaged, brief explanation of equipment used or provided throughout engagement, collaborative/co-op, or competitive session
	- Patient's history with gaming and technology (teaching or orientation required prior to session?)		* Patient's history with gaming and technology (teaching or orientation required prior to session?)
	- Patient's affect/demeanor prior to engagement		* Patient's affect/demeanor prior to engagement
	- Patient's affect/demeanor during engagement		* Patient's affect/demeanor during engagement
	- Patient's affect/demeanor following engagement		* Patient's affect/demeanor following engagement
	- Challenges/successes experienced throughout		* Challenges/successes experienced throughout
	- Intentions of further GTS intervention throughout remainder of admission		* Intentions of further GTS intervention throughout remainder of admission

	This GTS also utilizes EPIC SmartPhrases, where possible, to aid in the efficiency and consistency of documenting patient interventions. Below are examples of SmartPhrases that can be used:		This GTS also utilizes EPIC SmartPhrases, where possible, to aid in the efficiency and consistency of documenting patient interventions. Below are examples of SmartPhrases that can be used:

Agoldsnider: /* Examples from Established Programs */

2023-06-12T19:33:16Z

Examples from Established Programs

← Older revision		Revision as of 19:33, 12 June 2023
Line 53:		Line 53:

	'''Plans:''' (Anticipate that patient will be discharged prior to additional follow-up / Will continue to follow throughout inpatient hospital course / Will continue to be available for any future needs)</blockquote>		'''Plans:''' (Anticipate that patient will be discharged prior to additional follow-up / Will continue to follow throughout inpatient hospital course / Will continue to be available for any future needs)</blockquote>

			===Connecticut Children's===
			Connecticut Children's Child Life Gaming and Technology Specialist (GTS) utilizes narrative chart notes on EPIC to document their interventions with patients. The purpose of these narrative notes is to tell a story about the impact that the GTS has on the patient's care plan. Actions to hit in every chart note include:
			- Target(s)/goal(s) of intervention (normalization, socialization, coping, diversion, boredom, co-treat with physical/occupational therapies, assistive technology support, sibling support, etc.)
			- Where the patient was engaged (bedside, unit playroom, Family Resource Center, etc.)
			- How the patient was engaged, brief explanation of equipment used or provided throughout engagement, collaborative/co-op, or competitive session
			- Patient's history with gaming and technology (teaching or orientation required prior to session?)
			- Patient's affect/demeanor prior to engagement
			- Patient's affect/demeanor during engagement
			- Patient's affect/demeanor following engagement
			- Challenges/successes experienced throughout
			- Intentions of further GTS intervention throughout remainder of admission

			This GTS also utilizes EPIC SmartPhrases, where possible, to aid in the efficiency and consistency of documenting patient interventions. Below are examples of SmartPhrases that can be used:
			[[File:SmartPhrases23.png\|center\|thumb\|Connecticut Children's EPIC SmartPhrases]]

	==Tips==		==Tips==

Brad103 at 17:19, 30 May 2023

2023-05-30T17:19:01Z

← Older revision		Revision as of 17:19, 30 May 2023
Line 30:		Line 30:
	Upstate Golisano Children's Hospital charts using EPIC and game techs use a combination of manual charting and smart notes. All interactions are documented using drop down menus, or fill in the blanks. If interactions are more complex, a detailed manually written note is included in the session summary section.		Upstate Golisano Children's Hospital charts using EPIC and game techs use a combination of manual charting and smart notes. All interactions are documented using drop down menus, or fill in the blanks. If interactions are more complex, a detailed manually written note is included in the session summary section.

	''(~~optional notes are in italic,~~ choices are in parenthesis)''<blockquote>		''(choices are in parenthesis)''<blockquote>'''Gaming & Technology Specialist Progress Note:'''
	~~===== <big>~~Gaming & Technology Specialist Progress Note:~~</big> =====~~
	'''Session Type:''' (Introduction and overview of services / Offer of game play session / PlayStation game play session / Xbox game play session / Nintendo Switch game play session / Technology Assistance/Maintenance).		'''Session Type:''' (Introduction and overview of services / Offer of game play session / PlayStation game play session / Xbox game play session / Nintendo Switch game play session / Technology Assistance/Maintenance).

Line 48:		Line 48:
	'''Technical Issues:''' Gaming & Technology Specialist was asked to visit patient room to assist with the gaming system. Patient was having trouble getting the (system / controller) working. This writer resolved the issues (and replaced the (system / controller) with a working one.) This writer confirmed the system was working correctly before leaving the room. This writer will continue to assist for any future needs.		'''Technical Issues:''' Gaming & Technology Specialist was asked to visit patient room to assist with the gaming system. Patient was having trouble getting the (system / controller) working. This writer resolved the issues (and replaced the (system / controller) with a working one.) This writer confirmed the system was working correctly before leaving the room. This writer will continue to assist for any future needs.

	Patient ~~continued playing after~~ this writer ~~left the room~~.		Optional: Patient and ___ thanked this writer for (game session / game delivery / technical assistance).

	Patient ~~and ___ thanked~~ this writer ~~for (game session / game delivery / technical assistance)~~.		Optional: Patient continued playing after this writer left the room.

	'''Plans:''' (Anticipate that patient will be discharged prior to additional follow-up / Will continue to follow throughout inpatient hospital course / Will continue to be available for any future needs)</blockquote>		'''Plans:''' (Anticipate that patient will be discharged prior to additional follow-up / Will continue to follow throughout inpatient hospital course / Will continue to be available for any future needs)</blockquote>

	==Tips==		==Tips==