Author Question: Physicians, nurses, and other healthcare providers within the hospital have complained that the ... (Read 37 times)

jc611 · **on:** Jul 8, 2018

Physicians, nurses, and other healthcare providers within the hospital have complained that the current documentation system is slow and that information is often not accessible when needed.

Which system would increase the speed and accuracy of provider-to-provider communication? 1. Clinical data repository
2. Point-of-care clinical documentation system
3. Handheld communication devices
4. Narrative documentation

Question 2

The nurse is about to experience the first performance appraisal of a new job. What should the nurse expect about this appraisal? Select all that apply.

1. It is the only time the nurse manager will provide positive feedback regarding the nurse's work.
2. It is a time for the manager to show support and encouragement for the nurse.
3. It is a time for the manager to initiate a discussion about any areas where the nurse needs improvement.
4. It is an opportunity for the manager to provide feedback, direction, and leadership.
5. It is a time when much of the discussion will concern competencies.

harveenkau8139 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2
Explanation: 1. A clinical data repository provides longitudinal clinical data storage of patient information and would not be practical for immediate access.
2. Communication can be improved as point-of-care clinical documentation systems are used to enhance provider-to-provider communication that is rapid and accurate. Care is documented as it is completed and is immediately accessible.
3. Handheld communication devices can be used for documentation or to search for medical information. These would be a possible component of the point-of-care system, but are not, individually, a method to enhance provider-to-provider communication.
4. Narrative documentation is slow and time intensive.

Answer to Question 2

2, 3, 4, 5
Explanation: 1. The manager should provide feedback throughout the work time, not just during performance appraisals.
2. Support and encouragement are particularly important for a beginning nurse.
3. If there are areas in which the nurse needs improvement, this is a good time for a private discussion of those needs and planning how to improve.
4. This is the global purpose of performance appraisals.
5. Competency based performance appraisals are becoming the norm.