DCE tips for success PDF

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1 Shadow Health (SH) Assignments Tips for Success 1.) Use only Google Chrome browser, other browsers do not work with SH and the text to talk feature will only work in Chrome. All other programs should be closed when running Shadow Health as it is similar to gaming software and uses a lot of computer resources. 2.) Register for Shadow Health using the access code from the Walden Bookstore via the link in the Blackboard classroom. 3.) Complete the orientation in Shadow Health to ensure aspects of the program are understood. Do not wait to get started as there is a learning curve and exams may take longer than the posted estimates depending on technology and Internet availability. 4.) Be sure to read and understand the rubric so you know how you are being graded. Rubrics are located in Course Information within the Blackboard Course. 5.) Complete the reading and weekly information in the course. Think about questions you would ask the patient – writing them down will help you as you move through the exam. Refer to the text for guidance and suggested questions to ensure a thorough assessment. 6.) Complete the assignment thoroughly. See below for documentation help. 7.) Review the overview for subjective and objective assessment. Make note of areas that are missing or need to be improved. REOPEN the assignment so you can address the missing areas of assessment. You DO NOT need to keep starting a new assignment each time changes need to be made. It will save you time to re-open and add to the assignment. 8.) Once the assignment is complete, be sure to submit the assignment for grading. Please note: If you complete more than one attempt you must select the attempt you wish to submit for grading. It is the student’s responsibility to submit the correct assignment for grading. Faculty will not search through attempts when grading. 9.) The Blackboard grade book will not indicate an assignment has been submitted as SH and Blackboard to not communicate. Faculty will go into SH, grade the assignment, and place feedback and the grade in the Blackboard grade book. 10). Shadow Health grades are partially calculated using the Digital Clinical Experience (DCE) score (See the grading rubrics in the Blackboard course for details.). The DCE is calculated by Shadow Health and is based on the questions and areas assessed. Documentation Help: As you can see from the rubric, you are graded on narrative documentation as well as your overall DCE score. For the highest chance of obtaining all points, follow the advice below. 1.) Make sure you know where to record the narrative documentation. It can look a little different in each exam. This screen shot shows where the narrative documentation is located in the Health History:

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Use the shift assessment tab and fill documentation in on each of the required boxes. Here is an example of the location of the narrative documentation in the body system exams:

2.) Once you end the exam you can check your documentation and see the Model Documentation or documentation prompts. The overview page provides your overall score, click on documentation on the left-hand side.

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This will take you to where you can review your documentation and the Model Documentation or documentation prompts. 3.) The example below demonstrates the screen appearance when reviewing the documentation. Student documentation will appear on the left and the Model Documentation or documentation prompts will appear on the right.

Notes Student Documentation

Model Documentation Example of Subjective Data: Head: Reports headaches that occur weekly with reading in the past year. The headache lasts a few hours and is relieved with acetaminophen and sleep. Headaches are described as a “tight and throbbing feeling behind the eyes.” Denies head and neck trauma, brain cancer, migraines, seizures, dizziness, hearing loss, and syncope. Ears: Denies difficulty hearing, tinnitus, ear pain, discharge, and loss of balance. Denies history of chronic otitis media and perforated tympanic membrane. Eyes: Complains of blurred vision associated with . . . . .

Subjective: Subjective information is information the patient or care giver tells you. It is information related to the illness and or review of systems. This is also the type of information related to the PQRST (See Jarvis text for additional information about this topic.) of the current illness or issue. All subjective information should be together and not mixed with objective data.

Example of Objective Data: Head: Normocephalic, atraumatic with no masses to palpation. Full distribution of hair on scalp, coarse hair noted on lateral face, chin, and upper lip. Eyebrows intact. Facial expression relaxed and symmetric without tics or drooping. No maxillary or frontal sinus tenderness. TMJ vertical and lateral movements smooth and symmetric. No clicking or crepitus. Ears: Normal shape without deformities, Darwin tubercle,

4 redness or scaling. Auditory canals without edema or erythema. Tympanic membranes bilaterally pearly gray and intact with cone of light and bony landmarks visualized. No lesions noted. Hearing intact to whisper test.

Objective: Objective information is the data measured, felt, heard, assessed, and/or smelled during the assessment. In other words, all the objective findings of the exam. Objective information should be documented all together in one place and not mixed with subjective information.

4.) Finally, compare your documentation with the model documentation. DO NOT copy the model documentation or examples from the text or SH. This is plagiarism and disciplinary action will be taken. Instead, use the Model Documentation from Shadow Health and the sample documentation in the text as guides to make sure you are covering the required pieces of the assessment. 5.) Document in a clear, concise manor. Keep subjective and objective information separate and always begin with subjective information. (See the definition of subjective and objective data in the student documentation in the photo above). This is a foundation of documentation and is necessary for ease of review of notes and communication. 6.) Lastly, have fun, make the most of the learning experience. Shadow Health is a place to learn and explore in a safe environment. Documentation may not be perfect and that is fine. It takes time to get phrasing and elements correct. The main thing is that you are learning....