OA 1 & OA 2 (1) Flashcards
Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient’s post-operative care after open-heart surgery
Provider order
Which information in a patient’s electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levels
MAR
A nurse is planning the care for a patient admitted to the hospital with COVID-19 Which list of information in the electronic medical record (EMR) will help the nurse plan the care for this patient
The patient’s laboratory results over the last 72 hours.
Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USC DI) standards
Psychotherapy notes
Operating room (OR) staff are reliant upon a manual whiteboard for patient tracking. Recently, surgeons have complained that the turnaround time between surgical cases has increased & blame the manual tracking system. An informatics nurse recommends expanding the use of the existing surgical information system (SIS). Which resolution can improve this workflow issue?
Radiofrequency identification (RFID) in patient labels
What is an effective way to reduce the risk of access to electronic protected health information (ePHI) by unauthorized users
Make sure all the users adhere to the security & confidential policy set forth by the facility.
A patient is being transferred to another hospital, however, the hospital he is being transferred to does not have access to the Electronic Health Record (EHR) since they use EPIC. How will they receive his Electronic Health Record (EHR)?
Continuity care record from AMR
When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Where should the nurse find this information?
The intake & output chart
Which act in 2009 did Meaningful Use (MU) originate
American Recovery & Reinvestment Act (ARRA) act in 2009
What is the intent of the Clinical Decision Support (CDS) System
Providing clinicians with knowledge & person-specific information.
Which government organization oversees the meaningful use program
CMS (Centers for Medicare and Medicaid Services
A Nursing Innovator & a medsurg nurse want to capture how many patients were seen in a day of 24 hours, how would they best see this
Flowsheet
Process for discovering root causes of problems & ID the solution
Root cause analysis
What should providers have on their personal mobile devices to protect them from sharing information when stolen?
Authentication & encryption
Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needs to be completed during the shift
Workflow
How does the health information exchange (HIE) improve interoperability within a healthcare organization
It allows patient information to be accessible despite where the patient is receiving care.
In a healthcare setting, there is resistance to using a new Electronic Health Record (EHR). The staff insists the prior system was much faster than navigating this new Electronic Health Record (EHR). Which method should be used to motivate staff to adopt this Electronic Health Record (EHR)
Involve staff in the implementation process.
Which statement defines electronic protected health information (ePHI)
It is the information used to specifically identify an individual.
An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet?
An unregulated network of networks
What represents privacy & security risks for telehealth technology?
Patients have the option to use the speakerphone in the telehealth apps.
A restraint committee has been assembled to oversee the need & proper usage of restraints. Which data element would this committee find least useful in this report?
Patient allergy history
What is a structured method used to analyze serious adverse events?
A root cause analysis (RCA)
Which form allows stored information in an Electronic Health Record (EHR) to be instantly searched, retrieved, combined, & reported in different ways?
Text data
Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities
To prevent medication administration errors
