Nursing Documentation and Technology

ErrFreeMercury5226 avatar
ErrFreeMercury5226
·
·
Download

Start Quiz

Study Flashcards

24 Questions

What is the primary purpose of using computer-generated client documentation in nursing?

To enhance the quality of patient care through accurate and efficient documentation

What is one of the benefits of using electronic medical records (EMRs) and computer-based patient records (CPRs)?

Enhanced data analysis for research

How can computers be used in nursing diagnosis?

To generate a list of possible diagnoses for a patient with certain signs and symptoms

What is one of the uses of informatics in nursing planning?

To display recommended interventions for selected diagnoses and expected outcomes

How can computers be used in nursing implementation?

To record interventions and patient information

What is one of the uses of informatics in nursing evaluation?

To compare large amounts of patient data to identify outcomes

What is one of the roles of nurse administrators in using informatics?

To define the cost of nursing services

What is one of the primary ways that informatics has changed nursing practice?

Through documentation

What is one of the benefits of using informatics in nursing administration?

Facilitation of nursing processes

In what area of nursing practice can informatics be applied to define the cost of nursing services?

Administration

What is an example of an application of Nursing Informatics in nursing practice for nurses?

Work lists to remind staff of planned nursing interventions

In what area of nursing practice can informatics be applied to develop computer-assisted instruction?

Education

What is a benefit of using informatics in nursing practice?

Improving care coordination

In what area of nursing practice can informatics be applied to monitor patient data?

Clinical Practice

What is an application of Nursing Informatics in nursing research?

Data gathering

What is another term used to describe Health Informatics?

Health Informatics

What is a use of informatics in nursing education?

Interactive video technology

What is a benefit of using informatics in nursing research?

To find trends in aggregate data

What is an example of a clinical alert system?

A system that alerts pharmacy and health staff to incompatible drug prescriptions

How can informatics be used in a physician's clinic?

To manage every aspect of patient care

What is tele-health?

The use of digital information and communication technologies to access health care services

What is an example of a use of informatics in patient education?

Teaching patients effective symptom management

What is a use of informatics in cost analysis?

To analyze cost trends for budget purposes

What is a use of informatics in nursing research?

To use Statistical Package of Social Sciences (SPSS)

Study Notes

Computer-Generated Client Documentation

  • Electronic Medical Record (EMR) and Computer-Based Patient Record (CPR) enhance documentation by nurses.
  • Monitoring devices record vital signs and measurements directly into the client record (EMR).

Nursing Care Plans and Critical Pathways

  • Computer-generated nursing care plans and critical pathways facilitate care planning.
  • Automatic billing for supplies or procedures is linked to nursing documentation.
  • Reminders and prompts ensure comprehensive charting.

Data Analysis and Research

  • Provision of data enables research on relationships between data elements and nursing outcomes.
  • Identifying optimal nursing care is facilitated through data analysis.

Clinical Implementation

  • Computers are used in:
    • Assessment
    • Patient Monitoring
    • Documentation
    • Telemedicine

Uses of Informatics in Nursing

Diagnosis

  • Computers generate lists of possible diagnoses for patients with specific signs and symptoms.
  • Retrieval and review of patient records according to nursing diagnosis is facilitated.

Planning

  • Computer programs display recommended interventions for selected diagnoses and expected outcomes.

Implementation

  • Computers record interventions and patient information, communicating with other departments.

Evaluation

  • Computers compare large amounts of patient data to identify outcomes.
  • Information from other healthcare members is used to determine future actions and discharge planning.

Uses of Informatics in Nursing Administration

  • Informatics is used to:
    • Define the cost of nursing services
    • Evaluate quality assurance and outcomes analysis
    • Demonstrate cost effectiveness and find trends for budget purposes
    • Facilitate nursing processes
    • Justify roles of each hospital employee
    • Automate staff scheduling

Applications of Nursing Informatics

  • Nursing Informatics can be applied to:
    • Clinical Practice
    • Administration
    • Education
    • Research
    • Patients Education
    • Clinical Alert System
    • Patient Data
    • Tele-health

Introduction

  • Informatics has changed nursing practice through documentation and care coordination.
  • Tracking staffing, workflow, and communication can improve nursing processes.

This quiz covers the use of technology in nursing documentation, including electronic medical records, computer-based patient records, and computer-generated care plans and critical pathways.

Make Your Own Quizzes and Flashcards

Convert your notes into interactive study material.

Get started for free

More Quizzes Like This

Use Quizgecko on...
Browser
Browser