The nurse enters the client’s vital signs and assessment into the electronic health record at the nurse’s
station. Which of the following systems does this best describe?
Clinical documentation system
Order entry system
Pharmacy management system
Case management system
Any clinical data collected at the bedside goes into a clinical documentation system. An electronic health
record is one example of this. Order entry systems are used to send order information to other
departments. Case management systems are used to create care plans or pathways. Pharmacy
management handles information related to medication orders.
Information Systems Communication
For healthcare information systems to work more efficiently, they must have operability
Interoperability health information technology meaningful use. This enables the systems to send and
receive data without the need for data entry or special interfaces. For this to be successful, data must
be standardized to ensure accurate transfer.
For healthcare information systems to work more efficiently, they must have interoperability. This
enables the systems to send and receive data without the need for data entry or special interfaces. For
this to be successful, data must be standardized to ensure accurate transfer.
Mobile Apps
Which phrase best describes the ability to use a video conferencing application on a cell phone?
Technology literacy
Innate knowledge
Information literacy
Health literacy
Technology literacy is the best way to describe someone’s ability to utilize a video conferencing
application on a cell phone. Information literacy would better describe how that information travels
through the mobile device. Health literacy is about understanding healthcare issues. Innate knowledge is
the knowledge someone already has.
Healthcare Information Systems
Match the task to the system that is needed:
, Patient
Case Communica
Business Order Entry Care
Manageme tions
Systems Services Support
nt Systems Systems
Systems
Submit a
bill for
reimbursem
ent
Document
the vital
signs of a
client
Request
dressing
supplies to
change a
dressing
Check the
activity
level on a
client care
pathway
Leave a
message
with the
provider
about a
client
Check for x-
ray results
Review
staffing
resources
for the unit
Check if
deep vein
, thrombosis
(DVT)
prophylaxis
is
recommend
ed after
surgery
Order
physical
therapy
services
Answer a
call light
from the
nurse’s
station
Correct answers:
Patient
Case Communica Care
Manageme tions Business Order Entry Support
Task nt Systems Systems Systems Services Systems
Submit a ✓
bill for
reimbursem
ent
Document ✓
the vital
signs of a
client
Request ✓
dressing
supplies to
change a
dressing
Check the ✓
activity
, level on a
client care
pathway
Leave a ✓
message
with the
provider
about a
client
Check for x- ✓
ray results
Review ✓
staffing
resources
for the unit
Check if ✓
DVT
prophylaxis
is
recommend
ed after
surgery
Order ✓
physical
therapy
services
Answer a ✓
call light
from the
nurse’s
station
Implementation of a New System
The informatics nurse is setting up a new instant messaging system for the unit. Which of the following
statements by the nurse administrator indicates further information is needed?
“It is required that the staff sign up and use the system.”
“It’s easy to use, no training will be needed.”
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