Author Question: The computerized clinical documentation system installed in a healthcare organization has a feature ... (Read 44 times)

AEWBW · **on:** Jun 25, 2018

The computerized clinical documentation system installed in a healthcare organization has a feature that alerts staff to potential safety hazards. Which computer message should the nurse interpret as a safety warning when providing patient care?

1. Warning: Scan the bar code on the item before using for patient care
2. Warning: Click on automatic calculation before leaving the graphic sheet section
3. Warning: Leaving the computer unattended for 1 minute will result in data not being saved
4. Warning: Administering this medication exceeds the maximum safe amount of acetaminophen

Question 2

A patient asks why the nurse is playing with an iPad in the midst of providing care. What should the nurse respond to this patient?

1. I'm just typing in notes to remember what care I provided to you.
2. This is just a way for nurses to communicate instead of calling out to each other.
3. I just needed to check and make sure I did everything that you needed at this time.
4. This is a part of the computer system that is used to confidentially document your care.

Edwyer · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4

Electronic medical records have been shown to reduce errors. The record can be programmed to alert clinicians about potential medication errors such as exceeding a safe dose of acetaminophen. Scanning the bar code on an item before using for patient care will ensure that the patient is charged for the item. Clicking on automatic calculation before leaving the graphic sheet section ensures the documentation is complete. Leaving the computer unattended for 1 minute resulting in data being lost will cause the nurse to re-input the information. These are not safety hazards.

Answer to Question 2

When providing patient care the nurse should explain the computer, why and how it is used, and how the patient's confidential information is protected. The nurse is doing more than typing notes to remember what care was provided to the patient. The computerized documentation system is not a communication device used between nurses. The computer is used for more than determining if all needed care was provided.