Term
| What are 2 advantages of electronic charting? |
|
Definition
|
|
Term
| What are 2 disadvantages of electronic charting? |
|
Definition
Harder for more seasoned nurses to learn to use
Expensive |
|
|
Term
| What is a hand-off report? |
|
Definition
| Alerting the next caregiver about the patient's status. |
|
|
Term
| What should be told during a hand-off report? |
|
Definition
| Client progress, therapies, treatments, teaching, consultations to other disciplines, status or identified desired outcomes, changes in status, progress made toward discharge. |
|
|
Term
| What is the problem with non face-to-face hand off reporting? |
|
Definition
| Hard to understand, can't ask questions. |
|
|
Term
| What should you do for an audio report? |
|
Definition
| Write everything that is ordered down and repeat it back to whoever is on the other line for COMPLETE clarification. Write it in the physician's orders sections. You would sign, and put TO/VO. |
|
|
Term
| What is a bedside hand-off report? |
|
Definition
| Nursing coming on, off and the patient all participate. This is the definition of patient centered care. |
|
|
Term
| What are questions you ask yourself when providing EBP? |
|
Definition
Any interventions current?
Are policies/procedures current?
Am I having clinical problems? Do others experience the same problem? |
|
|
Term
|
Definition
| A prepackaged/specific set of orders that goes along with a certain diagnosis from CMS and other committees. |
|
|
Term
| According to the article in class, what is the major disadvantage of order sets? |
|
Definition
Morphine therapy causes respiratory depression. Someone who has never taken the drug is going to have an enhanced reaction to it because they do not have a tolerance for it.
THE ORDER SET IS NOT TAILORED TO YOUR SPECIFIC PATIENT. NOT ALWAYS RIGHT IN EVERY SINGLE SITUATION. |
|
|
Term
| Why is informatics limitedly used? |
|
Definition
Physician autonomy
Purchase and installation
User adoption training
Unsure about software companies
Cost of training |
|
|
Term
| Can you share a patient's health care information via email or text? |
|
Definition
| NO. Legal and ethic duty to keep their information confidential. |
|
|
Term
| If something was not documented... |
|
Definition
|
|
Term
| What kind of errors does computer reporting decrease? |
|
Definition
- Confusing handwriting
- Mistaken abbreviations
- Look alike sound alike medications |
|
|
