EHR
What does EHR stand for?
Electronic Health Record
What can be everyday medical devices that can be used at home.
smartwatches, fitness trackers such as the Fitbit Charge and ect..
When documenting in an EHR, this phrase should never be used because it's vague and lacks clinical detail.
What is “normal”
What is the purpose of HIPPA, and why is it important.
Health Insurance Portability and Accountability Act, is a law that protects the privacy and security of your personal health information. It ensures that medical records are kept confidential, gives patients the right to access and control their health data, and sets rules for how healthcare providers share information.
An EHR system is used to create a ________ digital health record for each client.
Single
What is the device where nurses and doctors check vital signs
Electronic vital sign monitors
Before signing off a chart entry, you should always do this to ensure accuracy and compliance.
What is reviewing or proofreading the documentation?
To protect patient privacy, this common facility policy limits who can view or share patient health information, aligning with HIPAA standards.
What is a confidentiality policy?
What act outlines the use of Electronic Health Records?
HITECH Act
What are things of the body that an app can track.
Heart rate, Breathing, sleeping, Mental health symptoms
This is the only person who should chart under a given login or username in an electronic medical record system.
Who is the assigned user or account holder?
Your hospital receives a patient who happens to be a very known celebrity in sports. Everybody is freaking out about this and says you should post a picture of him, and caption where you work so others can visit! Do you follow this and why?
No, this is invading privacy! Even though he is very public to civilians you still have to respect HIPPA and the patient's privacy.
What method is used by healthcare professionals to order medications?
ePrescribing
What is worn by someone at risk of sudden cardiac death?
Cardioveter Defibrillator
If a coworker asks you to log in to the EHR so they can chart under your credentials, you should respond by doing this.
What is refuse and report it per policy?
Under HIPAA, this set of safeguards requires healthcare organizations to control access to electronic protected health information (ePHI) through measures like passwords and role-based access.
What are administrative safeguards?
What system is recommended to address patient safety and reduce errors during the administration of medicines?
Barcode Medication Administration
Name 5 types of Patient monitoring equipment
Sphygmomanometer, Pulse oximeter, Glucose meter, scale, Thermometer,
Leaving blanks or missing entries in online charts can be dangerous because it may imply this in legal reviews.
What is incomplete or negligent care?
This type of policy ensures all employees receive training on HIPAA, infection control, and workplace safety as part of their orientation.
What is an employee onboarding or training policy?