Process Recordings

  1. Anyone else have to do this? Sit down with a patient and have a "therapeutic conversation," then later type out everything that was said, the body language used by both patient and SN during the interview, then your evaluation of yourself, whether you asked the "right" questions or not. I'm a little intimidated by this...I hate making an ass out of myself in front of other people. lol
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  2. 24 Comments

  3. by   rstewart
    I would guess that most of us have had to do process recordings. They are, of course, more of an exercise in "story telling" than therapeutic communication. Fortunately, this means we can always "succeed"----the nursing student in less than an hour can make a breakthrough and establish a theraeutic relationship that RNs, Social Workers, Psychiatrists could not in days or even weeks previously. lol. Damn we were good as students....wonder where we lose those valuable skills? lol Maybe it happens after a patient or two says, "If you repeat what I just told you one more time, I'm gonna kick your butt."
  4. by   memphispanda
    We had to do that. Just once. They told us it didn't really matter if we were successful or not, just that we were able to identify the types of communication we used, and where our strengths and weaknesses were.
  5. by   emily_mom
    We have had to do it every semester and get assignments on it occassionally with scenarios. Most people just make them up.

    Kristy
  6. by   ShandyLynnRN
    Originally posted by memphispanda
    We had to do that. Just once. They told us it didn't really matter if we were successful or not, just that we were able to identify the types of communication we used, and where our strengths and weaknesses were.
    Me too. I haven't even THOUGHT about process recordings since then! It is amazing what we do in school that we never use in the workplace. I occasionally do think about therapeutic communication, but for the most part, I just talk to the patients in normal comversation. I did my process recording on my OB mom, and she was very helpful, but also told me it was the most "stupid thing" she had ever heard, lol.
  7. by   louloubell1
    Oh my goodness, I hated process recordings. I had a particularly foul mouthed patient during my psych rotation, and I always felt like I was writing some kind of X-rated movie script when I had to sit down & type it all out. :imbar
  8. by   CountrifiedRN
    We had to do them for every clinical day in psych. Try writing up a process recording with a pt who has "flight of ideas". It made my head spin!

    Hated doing PR's, I'd even rather do a (gasp!) CARE PLAN!!!!
  9. by   Ortho_RN
    We have to do one every semester, and the conversation has to be longer and longer.. BLAH.. I think they are stupid... "Tell me more about that" Whatever hehe
  10. by   EmeraldNYL
    I HATE process recordings! We have to do them for psych and then do a case study on all of them. I feel ackward going up to patients and asking them if I can talk to them, kinda like asking someone out on a date or something!
  11. by   CountrifiedRN
    We weren't supposed to ask them or let them know, or write anything in front of them. We were just supposed to strike up a seemingly normal conversation, and use our communication techniques, remember everything, then write it up later.
  12. by   kimmicoobug
    Process recordings suck! I had to do them all of my first year, and usually made them up. I prefer the method that we use in our second year. One of our competencies is about therapeutic communication and we write in paragraph form about the therapeutic exchange and if we were successful or not. So, in a way we grade ourselves. When I had to do those dreaded assignments I was told that I had no clue as to what therapeutic communication is because it wasn't textbook, I guess. Now, my instructors say I do just fine with therapeutic communication. Really, how therapeutic can it be for a patient when the SN goes in nervous because they have to think of a cheesy conversation to come up with. I prefer these therapeutic exchanges to come about naturally, not staged.
  13. by   essarge
    LOL!! Do I rememer that! We had an "exam" where we watched a video and had to write verbatum everything that was said along with body language etc. I got an 89 on mine and didn't have a clue what to write. Like others, I haven't thought about it in a long time!!
  14. by   NurseDixie
    We have to do one process recording this semester and our instructor told us that the best time to do it is during our dialysis rotation. We will have time to do a lot of talking to the patients on that day.

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