Author Question: What are some problems associated with electronic (or computerized) charting? (Select all that ... (Read 19 times)

Lisaclaire · **on:** Jul 23, 2018

What are some problems associated with electronic (or computerized) charting? (Select all that apply.)

a. Security
b. Expense of training staff
c. Legibility
d. Easy retrieval
e. New terminology

Question 2

When documenting an incident in the nurse's notes, what should the nurse include? (Select all that apply.)

a. Description of injury, including diagrams of injury placement
b. Date, time, and location of incident
c. Name of physician and family members notified
d. Chronologic order of events of the incident
e. Confirmation that an incident report was initiated

strudel15 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, B, E
Security, expensive staff training, and learning new terminology are all problems of electronic charting. Legibility and easy retrieval are advantages.

Answer to Question 2

ANS: A, B, C, D
The documentation of the initiation of an incident report should not be included in the nurse's notes. Nurse's notes are part of the legal medical record; the incident report is not. To note that an incident report was initiated is a red flag that a problem has occurred.