Author Question: The administrator plans to adopt electronic health records (EHRs) in the nursing home. The ... (Read 78 times)

james9437 · **on:** Jul 17, 2018

The administrator plans to adopt electronic health records (EHRs) in the nursing home.

The licensed vocational/practical nurse serving on a committee to choose one of three EHR systems should consider which system based upon the information listed?
System A: Requires the purchase of the most current computers and scanner printer
Affordable Care Act (ACA) compliant in exchanging client information/ billing
Noncompliant with some of the area hospitals current EHR systems
Requires individual traceable login
Requires extensive training for users
Quick search for research activities

System B: Uses current computers, scanner printer
Requires a special screen preventing nonusers to view information on screen
Requires individual traceable login
Minimal training required and provided by EHR provider
ACA compliant in exchanging client information/billing/quick research
Communicates with all area hospital networks

System C: Uses new computers, scanner printer, and monitor display with privacy
ACA compliant in exchanging client information/billing
Extensive training required/customers rate system performance 2/5 scale overall
Communicates with all area hospital networks
Individual nontraceable login
Limited search ability for research activities
A) System A.
B) System B.
C) System C.
D) Any of the systems is acceptable based upon the evidence.

Question 2

A client plans to go on a church missionary trip to Ethiopia. The client asks the licensed practical/vocational nurse, Where should I look for information that instructs me about what I need to do medically to be prepared for such a trip?

Which is the nurse's best response?
A) The Food and Drug Administration (FDA) provides the latest information about various immunizations dosages, side effects, and safety information.
B) The Centers for Disease Control and Prevention (CDC) provides up-to-date immunization requirements for travel to various countries outside of the United States.
C) The Health Resources and Services Administration (HRSA) provides what immunizations and resources are available to underserved areas.
D) The National Institute of Health (NIH) offers the up-to-date information about various contagious diseases and prevention measures.

deja · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

Ans: B
Feedback:
System B offers the best options when compared to the other two options. System B offers necessities for the EHR: client confidentiality/privacy, is ACA compliant, communicates with other health care facilities, and has the ability for quick research within the system for quality assurance/continuous quality improvement and research needs. System A is not an appropriate choice because it will not communicate with some of the area hospitals and this goes against the principle of ACA that facilities may communicate with one another. System C is not an appropriate choice because it has a nontraceable login so health care workers could access and perform activities leaving client's privacy vulnerable.

Answer to Question 2

Ans: B
Feedback:
The person planning a trip outside of the United States to a Third-World Country needs specific up-to-date information on immunizations needed when traveling to the specific country outside of the United States. This information is found at the CDC Web site. The CDC also provides travel advisories about food and water safety, etc. The FDA may have latest information on the vaccines and the dosages, but it does not offer the schedule recommended for specific countries. The HRSA provides services and supplies mostly to underserved areas inside of the United States and does not provide information as to what the traveler needs before going to the foreign country. The NIH may provide information about various infectious diseases and how to prevent their spread but does not offer the up-to-date immunization schedule needed for persons planning foreign travel.