A nurse is creating a list of challenges that nurses experience when using electronic charting. Which of the following should the nurse include?
Decreased amount of paperwork
Increased number of medication errors
Less time for direct client care
Provides evidence of care provided
The Correct Answer is C
The correct answer is: c. Less time for direct client care
Choice A: Decreased amount of paperwork
Reason: One of the advantages of electronic charting is that it significantly reduces the amount of paperwork. Traditional paper records require extensive manual documentation, which can be time-consuming and prone to errors. Electronic systems streamline this process, making it easier to input and retrieve patient information. Therefore, decreased paperwork is a benefit, not a challenge.
Choice B: Increased number of medication errors
Reason: Electronic charting systems are designed to reduce medication errors by providing features such as electronic prescribing, automated alerts for potential drug interactions, and barcode scanning for medication administration. These systems help ensure that the right medication is given to the right patient at the right time, thereby decreasing the likelihood of errors. Hence, increased medication errors are not typically associated with electronic charting.
Choice C: Less time for direct client care
Reason: One of the significant challenges of electronic charting is that it can be time-consuming, requiring nurses to spend a considerable amount of time on documentation. This can reduce the time available for direct patient care. Nurses often report that the demands of electronic documentation can detract from their ability to engage with patients, perform assessments, and provide hands-on care.
Choice D: Provides evidence of care provided
Reason: Providing evidence of care is a benefit of electronic charting, not a challenge. Electronic health records (EHRs) create a detailed and accurate record of the care provided, which can be easily accessed and reviewed. This documentation is crucial for legal, regulatory, and quality improvement purposes. Therefore, this option does not represent a challenge.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Identifying viruses across the world is not information that the nurse should include in the in-service on the Healthy People 2030 framework. This is not a function or a goal of the framework, but a task of other organizations, such as the World Health Organization or the Centers for Disease Control and Prevention.
Choice B reason: Monitoring nonmodifiable risk factors is not information that the nurse should include in the in-service on the Healthy People 2030 framework. This is not a focus or a priority of the framework, but a part of the assessment and evaluation of the health status and needs of the population. The framework emphasizes the social determinants of health, which are modifiable factors that affect the health and wellbeing of people and communities.
Choice C reason: Utilizing health data from the past 20 years is not information that the nurse should include in the in-service on the Healthy People 2030 framework. This is not a characteristic or a feature of the framework, but a method of developing and updating the framework. The framework is based on the best available evidence and data from various sources, including the previous iterations of the Healthy People initiative.
Choice D reason: Establishing health objectives for Americans is an information that the nurse should include in the in-service on the Healthy People 2030 framework. This is the main purpose and function of the framework, which sets data driven national objectives to improve the health and wellbeing of all people over the next decade. The framework also provides evidence-based resources, strategies, and interventions to help achieve the objectives.
Correct Answer is D
Explanation
Choice A reason: If client is uninsured the ED can decline to render services is not an information that the nurse should include in the teaching. This is a false statement that contradicts the purpose and the provision of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who requests it, regardless of their insurance status or ability to pay.
Choice B reason: The ED has the right to refuse to provide client services is not an information that the nurse should include in the teaching. This is a false statement that violates the principle and the requirement of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department has a duty to provide stabilizing treatment to any individual who has an emergency medical condition or is in active labor, unless an appropriate transfer is arranged.
Choice C reason: The ED can transfer medically unstable clients to other facilities is not an information that the nurse should include in the teaching. This is a false statement that breaches the rule and the regulation of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must not transfer an individual who has an emergency medical condition or is in active labor, unless the transfer is requested by the individual or their representative, or the transfer meets certain criteria, such as the benefits outweigh the risks, the receiving facility has agreed to accept the transfer, and the transfer is effected by qualified personnel and equipment.
Choice D reason: Clients must receive a medical screening evaluation (MSE) is an information that the nurse should include in the teaching. This is a true statement that reflects the essence and the standard of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who comes to the emergency department and requests examination or treatment for a medical condition, to determine whether or not an emergency medical condition exists
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