NSG 1650 Exam 1 Test Questions and All Actual Detailed Answers.

Purpose of EHR - Answer - fast order entry - enhances communication - cost savings - decreases errors and increases storage space - allows multiple users at the same time - increases productivity What is the RN responsible for - Answer Reviewing documentation by nurse aides for all patients under their care problem-oriented medical record (POMR) - Answer - provides framework for documentation - database - problem list - care plan - progress notes - charting for entire team in same section of records Handoff report - Answer Provide accurate and timely info about the care, treatment, and services rendered Address current condition, anticipated changes, and plan of care What can communication problems cause - Answer - primary cause of half of all senitinel events - always use a standardized approach Verbal phone orders - Answer Rn MUST: - repeat the order verbatim - enter order into paper or EPIC - document it as verbal phone order - include date, time, doc name, and RN signature