The electroni - Study guides, Class notes & Summaries

Ch. 4 Medical Documentation and The Electronic Health Record Exam Question A Graded. List three of the various types of health record systems that can be used in a medical practice. - correct answer 1. Problem- oriented Medical Record (POMR) 2. Source- oriented Record (SOR) 3. Integrated Record System The difference between an EMR and an EHR is that the ___ is an individual physician's record of the patient's care, whereas the ___ is all of the patient's records, from many different inf...

Chapter 01: Introduction to Electronic Health Records Test Bank MULTIPLE CHOICE 1. A physical collection of an individual’s healthcare information is termed: a. patient chart. b. patient record. c. electronic health record. d. EMR. e. All of the above ANS: E All of the above are collections of an individual patient’s health data. REF: p. 2|p. 8 OBJ: 1 2. Early medical documentation of present day post-traumatic stress syndrome was first seen in: a. the U.S. Civil War. b. the p...

What information below is true regarding medical records? They are legal documents What is one of the driving forces in the development of the EMR? to improve patient safety What is the Electronic Health Record? A medical record available to all healthcare delivery organizations Which of the following is NOT a basic component of an inpatient EMR? Patient appointment scheduling Allergy lists are maintained across all inpatient encounters True A Problem List...

NHA CERTIFIED ELECTRONIC RECORD SPECIALIST (CEHRS) TEST, QUALITY DOCUMENTATION AT THE PATIENT BEDSIDE EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ Paul almost entered an incorrect abbreviation into Mrs. Eaton's record. If he had already charted the information, what recommendations should Valerie give him to properly maintain the legal patient record? - -"Add an addendum to the nurse's note to indicate the DNR abbreviation was an error. Then, state Mrs. Eaton did not recall when s...

NR 446 After reviewing the electronic health record (EHR), for each potential nursing acti NR 446 After reviewing the electronic health record (EHR), for each potential nursing action, click to specify whether the action is appropriate or not appropriate when preparing and administering the prescribed heparin.‹ï‚·Admit to intensive care unitInitiate two peripheral IV linesAdminister heparin bolus IV 40 units/kgInitiate heparin IV infusion 18 units/kg/hr for 6 hours then follow heparin tit...

EMR (Electronic Medical Record) An electronic record of health-related information about an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within a single healthcare organization. *Billing *Schedule * Intraoperable EHR (Electronic Health Record) An electronic record of health-related information about a patient that conforms to nationally recognized interoperability standards and that can be created,managed, and consulted by auth...

ETA Certified Payments Professional Examination Study Guide Second Edition Prepared by The Electronic Transactions Association’s Professional Development Committee

NR 446 Review the client™s health information in the electronic health record (EHR) and th NR 446 Review the client™s health information in the electronic health record (EHR) and then identify the statements by the client that indicate a need for additional education. Select one option in each row. My pancreas has stopped being able to make insulin on its ownif I start to get shaky, I need to give myself insulinI can use the back of my arm or stomach to give myself insulinI can reuse my i...

NR 446 Pt. with wound dehiscence. Review the client™s health information in the electronic NR 446 Pt. with wound dehiscence. Review the client™s health information in the electronic health record (EHR) and then answer the question. Which statements should the nurse teach the client? Select all that apply.  œYou need to make sure you are taking deep breaths to prevent pneumonia. œYou had to receive blood to replenish blood that was lost during and after your surgery. œYou won™t ...

Electronics ETA Certification Practice Exam 1. The "triboelectric effect" causes what kind of electricity?: Static 2. The law of static electrical charges states:: like charges repel 3. Minute particles that make up all possible elements and still retain the unique chemical characteristics of the element are called _____________.: - Atoms