ull nursing 104 exam 2-professor Jennifer Allain – Flashcards

at the bedside of the patient

the ability to exchange information across systems

The EHR is a system that captures, processes, communicates, secures, and presents data about a patient.

1. Health Information and and data capture-information to make sound clinical decisions 2. Results management-Electronic reports of lab results and procedures. 3. Order entry and management(CPOE)-eliminates lost orders and illegible handwritting, and reduces time to fill orders 4. Decision support-reminders of preventive practices like immunization and drug alerts 5. Electronic communication and connectivity-commmunication between health care team members and other partners electronically. 6. Patient support- computer-based patient education and home monitoring. 7. Administrative processes-scheduling systems, billing and claims management, and insurance eligibility. 8. Reporting and population health management- meet public and private sector reporting requirements at the local, state, and federal level.

-data capture -storage -security

the collection and entry of data into the EHR

the physical location of the data

provides better protection of confidental health information than paper-based systems.

-Privacy is the right of an individual to keep information about themselves from being shared with anyone else. Ex: abortions -Confidentiality is the act of limiting disclosure of private matters. Information between a patient and a healthcare provider shall not be shared by the healthcare provider to anyone without a legitimate reason. -Security is the means to control access and protect inormation from accidental or intentional disclosure. Ex: a nurse must log out of a patient's information file before leaving her desk.

the privacy and security of patient data, including standard format for transmitting electronic patient information.

Telehealth is the use of telecommunication to assess, diagnose, and treat people from a distance. People form rural areas who do not have access to healthcare specialist tend to benefit more from it.

-Flowchart: shows the different steps or actions resented(box plot) -Run Chart: graph of data in time order(line graph) -Pareto Chart: breaks down big problems into parts by most important (bar) -Cause-and-Effect Diagram: organizes possible causes of problems (fishbone)

The purpose of the TJC was to help accredited organizations address specific areas of concern in regards to patient safety.

1. Improve the accuracy of patient and resident identification would eliminate transfusion errors related to patient mis-identification 2. Improve the effectiveness of communication among caregivers by reporting critical results of test and procedures on time. 3.Improve the safety of medication use by labeling meds, reduce the patient harm, and maintain communication accuracy between patient and healthcare provider. 4. Improve the safety of clinical alarm systems by making sure they are heard and responded to in a timely manner. 5. Reduce the risk of healthcare-associated infections by complying with general CDC and WHO hygiene guidelines and use evidence-based practice to prevent infections caused by multi-drug resistance organisms, blood stream infections, surgical site infections, and UTI. 6. The organization identifies safety risks in patient population (risk of suicide) 7. Universal protocol for preventing wrong site, procedure, and person surgeries by conducting a prepocedure verification process (timeout) and mark procedure site.

1. Patient-centered care: recognizes the patient as THE source of control. 2.Teamwork and collaboration: effective function between nurses and interpersonal teams. 3. Eveidence-based practice: deliver the best optimal health services using the best current evidence from clinical experts and patient preference. 4. Quality improvement: use data to monitor outcomes of care processes. 5. Safety: minimizes risk of harm to patients and providers. 6. Informatics: use information and technology to communicate, manage knowledge, reduce errors, and support decision making.

-To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century concluded that up to 98,000 patients died each year from preventable medical errors.

serious adverse events that should NEVER occur and are preventable through following evidence-based guidelines.

the unexpected occurrence involving patient death or serious injury (physical or psychological).

problem solving method that help solve how and why events occur.

-local -state -federal

tobacco-free areas like restaurants and office buildings

maintain safe meat supply in livestock as well as safe storage, preparation, and serving in restaurants.

significant funding for health and disease prevention and research

an everyday citizen appointed to support problems related to policy issues

an elected or appointed individual who has the ability to propose, affect legislation, regulations, or programs that can become actualized.

investors that have the ability to make decisions regarding their investment.

a statement of prinicples and policies that a political party or candidate bases his/her campaign on.

rules used to implement legislation and translate concepts into actions.

-Hill-Burton Act(1950) caused a boom in hospital construction -Sheppard-Towner Act(1921) provided funding for nursing services -Renal Disease Program(1972) developed a new area of nursing practices -Diagnosis-Related Groups(DRGs) (1983) reduced patient length of stay, cut costs, and reduced nursing staff. This led to the development of new nursing roles.

Judicial Legislative Executive

Made up of the US Supreme Court, federal district courts, and courts of appeal; it resolves questions regarding agency regulation that may affect policy.

Made up of Congress (Senate and H.O.R); ability to promote and originate major policy initiatives, and has the power override a presidential veto.

Office of the president and 15 executive departments; implement laws, writes regulations, and veto legislation passed by Congress.

Regulations are written sets of rules made by the executive branch that are open to the public.

These meetings are designed for individuals to "meet the candidates" and learn their platform in order for you to elect the best one.

email, fax, or telephone

professional organization designed to represent nurses around the nation (appx. 3.1 million RNs) They take firm and visible positions on large health policy issues that impact the profession greatly. Ex: Medicare/Medicaid reforms

It's an ANA program that unifies nurses' political voices across the country to enact measures to benefit health care for everyone, and defeat measure that could potentially have negative effects on healthcare system.

growing uninsured population, barriers in access to care, rapid rising costs, health professional shortages, quality and safety concerns, and the system focusing more on illness care rather than health and wellness promotion.

lack of health insurance

Medicare payments will be tied to scores on patient safety, quality outcome, and patient satisfaction surveys.

Young adults are allowed to stay on their parents healthcare plan up to the age of 26.

a team of health care professionals (nurses, physicians, dietitians, pharmacists, PTs, etc) who collaborate with one another to ensure continuous and reliable care.

nursing based on knowledge and skills acquired through basic nursing education, with an RN licence and graduate education.

-Nurse(RN): team coordinator -Physician(MD or DO): team leader; diagnosis and prescribes treatment for patient -Pharmacist(RPh): provides drug therapy for positive patient outcome -Physicians Assistant(PA): works under MD or DO supervision -Dietitian(RD or LD): provides nutritional therapy and support -Physical Therapist(PT): attend to patient needs for movement. -Speech Pathologist(SLP): communication therapy for impaired speech -Occupational Therapist(OT): motor skills -Respiratory Therapist(RT):assessment and maintenance of the clients airways (breathing therapy) -Social Worker: help clients, families, and communities address psychosocial needs as well as educate them on community resources -Chaplain: pastoral representative; attends to the spiritual and emotion need of the patient and family.

graduate or doctoral level education