Electronic medical record Study guides, Class notes & Summaries

The minimum necessary rule is based on sound current practice that protected health information should NOT be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a function. What does this mean? a. Staff members are allowed to access any medical record without restriction b. Providers should develop safeguards to prevent unauthorized access to protected health information. c. Practices should only provide minimum necessary information to patients. d....

Prophecy Medical Surgical Telemetry Questions and Answers 2023/24 Score A+. 1. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities, What percentage of body surface area should the nurse document in the electronic medical record (EMR)? • 9 % • 18 % • 36 % • 45 % • Rational- according to the rule of nines, the anterior and posterior surfaces ...

A nurse is assisting with the care of a client who has a terminal illness. The client practices Orthodox Judaism. Which of the following actions should the nurse take? ANS: Assure the client that a family member will stay with the body after death RAT: The nurse should assure the client that a family member will remain with the body until burial A nurse is caring for a client who is receiving telemetry. which of the following ECG findings should the nurse report to the charge nurse? PR inter...

Medical Record - correct answer -A complete physical collection of an individual's healthcare information. Health Record - correct answer -A combination of all the health information and documents of a single individual. Administrative Information - correct answer -Information used by the front office staff and billing staff to maintain appointments and bill insurance companies. Electronic Medical Record (EMR) - correct answer -An electronic patient record created by a medical practice...

1. Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-operative care after open-heart surgery Provider orders 2. Which information in a patient's electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levels MAR 3. A nurse is planning the care for a patient admitted to the hospital with COVID-19 Which list of information in the electronic medi...

Electronic Medical Records Mid Term Prediction Exam Questions. _______ is used within electronic health records to access current information about a disease or condition. - correct answer Clinical decision support What are some common libraries that built in the practice management software to perform functions within various applications? - correct answer -Alerts -Fee schedule -Reports -Insurance company -Code tables Records are filed by _______ in a hospital setting. - correct ...

WGU D220 Pre-Assessment (Latest 2023/ 2024 Update) Information Technology in Nursing Practice | Questions and Verified Answers| 100% Correct| Grade A Q: Pharmacy adds a field into the medication administration record to document the lot number when a chemo medication is administered, but fails to communicate this to the nurse responsible for the medication administration documentation. What is a consequence of this action? Answer: Pharmacy cannot determine if there is a problem with a m...

_______ is used within electronic health records to access current information about a disease or condition. - Answer Clinical decision support What are some common libraries that built in the practice management software to perform functions within various applications? - Answer -Alerts -Fee schedule -Reports -Insurance company -Code tables Records are filed by _______ in a hospital setting. - Answer medical record name A care provider determines the extent of the PE b...

2023 NGN HESI PN EXIT EXAM V3 110 QUESTIOAn adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities. What percentage of body surface area should the nurse document in the electronic medical record (EMR)? • 9 % • 18 % • 36 % • 45 % • Rational: according to the rule of nines, the anterior and posterior surfaces of one lower extremity is designated a...

NCCT ELECTRONIC MEDICAL RECORD (EMR) ELECTRONIC HEALTH RECORD (EHR) Exam Questions and Answers Which of the following is an advantage of using the EHR eligibility tool? A. It auto-populates patient demographics. B. It replaces insurance authorization. C. Office wait times to see the provider are reduced. D. Real time eligibility and benefits are available. - Answer-Real time eligibility and benefits are available. —Rationale EHR eligibility tool is used to verify the benefits and eli...