Electronic Health Record
A multidisciplinary electronic record that communicates the complex process of medication administration
What is an electronic medication administration record (eMAR)
Subjective complaint, Objective findings, Assessment findings, Nursing Plan
What is SOAP note?
Births, fetal deaths, marriages, divorces
What are vital statistics?
Repeat important information
What is oral communication?
Firsthand account of a study written by the researchers involved in the study
What is a primary study?
Uses barcodes on medication packages in conjunction with the barcode on a patient's wristband to assist with ensuring the right medication is provided to the right patient at the right dose, right time, and right route
What is barcoded medication administration (BCMA)
Problem, Intervention, Evaluation
What is PIE?
Monkeypox
What is a communicable disease?
Use short sentences
What is written communication?
Includes the full text for more the 1,300 journals and uses the NLM MeSH structure
What is the CINAHL database?
Verifies the right patient in the BCMA process
What is scanning the bar code on the patient's wristband
Assumes all standards are met unless otherwise noted
What is charting by exception?
Field of science that studies health and disease in defined populations or communities
What is epidemiology?
Ability to obtain, process, and understand basic health information and services needed to make appropriate decisions
What is health literacy?
Offers a variety of free services including the NLM Mobile and the My National Center for Biotechnology Information
What is the PubMed database?
Verifies the correct documentation for administering medications
What is selecting OK?
Fluid intake, heart rate, patient's weight, Glasgow Coma Scale
What are items nurses should document?
Groups of people who share similarities because they share a common greater environment and experience similar social interactions
What is a community?
A client receives his or her cholesterol test results and decides to make lifestyle changes to improve his or her number.
What is health numeracy?
Database for systematic reviews and meta-analysis
What is the Cochran Library?
Allows a clinician (i.e, provider) to enter orders for patients by selecting the appropriate patient and the necessary order (i.e., medication, treatment, diet)
What is computerized provider order entry (CPOE)?
Altering a patient's health record
What is a criminal offense?
Practice of promoting & protecting health of populations using knowledge from nursing, social, and public health sciences
What is public health nursing?
The greatest predictor of health
What is health literacy?
1. Recognizing an information need
2. Searching for the evidence in the appropriate library databases
3. Critically analyzing the literature findings
4. Applying and implementing the search findings
5. Evaluating the results and effective of practice changes
What is the process of embarking on the quest for knowledge?