A nurse is reviewing the use of electronic documentation with a newly licensed nurse. Which of the following statements should the nurse make?
Electronic documenting takes approximately 10% of your time
Electronic documentation provides data that is searchable and analyzable
Electronic documentation increases paperwork
Electronic documentation should never be used to document vital signs
The Correct Answer is D
Electronic documenting takes approximately 10% of your time: This is inaccurate; electronic documentation can take varying amounts of time depending on system efficiency.
B. Electronic documentation provides data that is searchable and analyzable: One of the key benefits of electronic documentation is that it allows for easy search, retrieval, and analysis of patient data, improving decision-making and care outcomes.
C. Electronic documentation increases paperwork: This is false; electronic systems reduce the need for paper-based records.
D. Electronic documentation should never be used to document vital signs: This is incorrect; vital signs are routinely documented electronically.
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Related Questions
Correct Answer is A
Explanation
A. Continuity of Care Document (CCD): The CCD defines the standardized format for sharing patient health information across healthcare systems, ensuring continuity of care.
B. Clinical Document Architecture (CDA): This is a framework for the structure of clinical documents but does not specifically define what data are shared.
C. Electronic medical record: This refers to a digital version of a patient’s paper chart but does not define shared data.
D. Health information system: This is a broader system that manages healthcare information but does not define the data-sharing standards.
Correct Answer is C
Explanation
A. Improves quality of care: This is an advantage, not a disadvantage, of electronic records.
B. Provides real-time information: This is also an advantage.
C. Internet connectivity issues: Dependence on internet access can disrupt access to electronic records during outages or connectivity problems, making it a significant disadvantage.
D. Private and secure: Electronic records offer enhanced security through encryption and controlled access.
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