S3 M5 Information Tech Flashcards

1
Q

What defines meaningful use

A
Improve healthcare
Reduce disparities
Engage pt/fam
Improve coordination
Maintain privacy
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2
Q

Steps in the system development lifecycle

A

Analyze/plan
Design
Test

Train
Implement
Maintain

Evaluate

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3
Q

Telehealth

A

use of tech to support care

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4
Q

Computerized care plan

A

Software that streamlines setting goals, listing causes and relevant interventions

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5
Q

HIE

Health info exchange

A

Allows providers access to other providers info for same patient

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6
Q

SOAPIER

A
Subjective
Objective
Assessment
Plan
Intervention
Evaluation
Response
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7
Q

Ethical dilemma vs moral distress

A

Ethical dilemma - cant pick the best option

Moral distress - cant follow through with the best option

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8
Q

Informed consent is not possible to sign if you have or are

A

Altered mental status

Minor age

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9
Q

Boundary crossing
Boundary violation (involves what organization)
Sexual misconduct

A

Caution
Danger, violation of HIPPA
FORBIDDEN

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10
Q

Under involvement with patient

A

Distance from PT
Fail to meet needs
Spend more time with staff than PT

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11
Q

Over involvement with patient

A

Discussing personal info with pt
Tell/keep pt secrets
Assume role of “super nurse”
Spend time with pt outside of work

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12
Q

Social media violations

A

Photos
Anything HIPPA related
Company badmouthing

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13
Q

Board of nursing exists to protect the

A

PATIENT

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14
Q

Clinical info system

A

Catch all term for EHR EMR etc.

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15
Q

Super user

A

Nurse who specializes in System Support

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16
Q

INS

A

Informatics Nurse Specialist
Helps with tech side of shit
Graduates degree

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17
Q

SDLC

System development lifecycle

A
Analyze and plan
Design and build
Test
Train 
Implement 
Maintain
Evaluate
18
Q

Analyze and plan questions

A

What is the purpose
What are we solving
Is it useful

19
Q

Test questions

A
Unit test
Function test
Integration test
Performance test
USER ACCEPTANCE testing
20
Q

Clinical decision support system

A

like nurse advice line

variety of tools that assist healthcare team members in making decisions

Walks you through the assessment to guide you to a decision

21
Q

CDSS types

A
Computer alerts
Clinical guidelines
Focused patient data report
Documentation templates
Diagnostic support
22
Q

CDSS need to do what

A
Give right info
To the right person
Through the right channels
In the right format
At the right point in workfrlow
23
Q

Right info

A

evidence based

24
Q

Right people

A

team+patient

25
Q

right channels

A

med record
mobile device
patient portal

26
Q

Computer reminder system

A

Timeliness of interventions
Allergy alerts
Appointment alerts
Teaching alerts

27
Q

Keeping info secures

A
Dont share passwords, dont reuse
make it easy to remember but hard to guess
at least 8 characters
use multiple authentications
use password manager
28
Q

Telehealth, telemedicine, telecare

A

using electronics so patients and providers can reach each other

29
Q

Alarm fatigue

A

desensitization to hearing or recognizing alarms

30
Q

Alarms are a requirement for

A

accreditation

31
Q

Sentinel even alert in terms of alarms

A

Alarms are silenced or turned down.
Contributes to PT death

Comes from not using correctly or not responding

32
Q

Alarms issues are associated with what nursing

A

Critical Care

33
Q

Alarms are disabled by

A

Nurses and patients/family

34
Q

Health record is a _ document

A

legal

document facts, no oppinions

35
Q

info in med records should be

A

OBJECTIVE
not subjective

USE QUOTES if pt refuses care, let PROVIDER know

36
Q

Document same time as

A

assessment or treatment

37
Q

Adverse event documentation is established by

A

Established by Risk management team

document what happened etc.

38
Q

How to safely chart

A

Use good passwords

Don’t leave work station open, HIPPA

39
Q

How to correct mistakes in documentation

A

Narrative note of what happened why and what is going on

40
Q

Due to safeguards of med records

A

Things can not be deleted

if they are, let supervisor know

41
Q

Dont use email to send

A

Personal health info

If you have to, ENCRYPT