S3 M5 Information Tech

Question 1

What defines meaningful use

Answer 1

Improve healthcare
Reduce disparities
Engage pt/fam
Improve coordination
Maintain privacy

Question 2

Steps in the system development lifecycle

Answer 2

Analyze/plan
Design
Test

Train
Implement
Maintain

Evaluate

Question 3

Telehealth

Answer 3

use of tech to support care

Question 4

Computerized care plan

Answer 4

Software that streamlines setting goals, listing causes and relevant interventions

Question 5

HIE

Health info exchange

Answer 5

Allows providers access to other providers info for same patient

Question 6

SOAPIER

Answer 6

Subjective
Objective
Assessment
Plan
Intervention
Evaluation
Response

Question 7

Ethical dilemma vs moral distress

Answer 7

Ethical dilemma - cant pick the best option

Moral distress - cant follow through with the best option

Question 8

Informed consent is not possible to sign if you have or are

Answer 8

Altered mental status

Minor age

Question 9

Boundary crossing
Boundary violation (involves what organization)
Sexual misconduct

Answer 9

Caution
Danger, violation of HIPPA
FORBIDDEN

Question 10

Under involvement with patient

Answer 10

Distance from PT
Fail to meet needs
Spend more time with staff than PT

Question 11

Over involvement with patient

Answer 11

Discussing personal info with pt
Tell/keep pt secrets
Assume role of “super nurse”
Spend time with pt outside of work

Question 12

Social media violations

Answer 12

Photos
Anything HIPPA related
Company badmouthing

Question 13

Board of nursing exists to protect the

Answer 13

PATIENT

Question 14

Clinical info system

Answer 14

Catch all term for EHR EMR etc.

Question 15

Super user

Answer 15

Nurse who specializes in System Support

Question 16

INS

Answer 16

Informatics Nurse Specialist
Helps with tech side of shit
Graduates degree

Question 17

SDLC

System development lifecycle

Answer 17

Analyze and plan
Design and build
Test
Train 
Implement 
Maintain
Evaluate

Question 18

Analyze and plan questions

Answer 18

What is the purpose
What are we solving
Is it useful

Question 19

Test questions

Answer 19

Unit test
Function test
Integration test
Performance test
USER ACCEPTANCE testing

Question 20

Clinical decision support system

Answer 20

like nurse advice line

variety of tools that assist healthcare team members in making decisions

Walks you through the assessment to guide you to a decision

Question 21

CDSS types

Answer 21

Computer alerts
Clinical guidelines
Focused patient data report
Documentation templates
Diagnostic support

Question 22

CDSS need to do what

Answer 22

Give right info
To the right person
Through the right channels
In the right format
At the right point in workfrlow

Question 23

Right info

Answer 23

evidence based

Question 24

Right people

Answer 24

team+patient

Question 25

right channels

Answer 25

med record mobile device patient portal

Question 26

Computer reminder system

Answer 26

Timeliness of interventions Allergy alerts Appointment alerts Teaching alerts

Question 27

Keeping info secures

Answer 27

``` Dont share passwords, dont reuse make it easy to remember but hard to guess at least 8 characters use multiple authentications use password manager ```

Question 28

Telehealth, telemedicine, telecare

Answer 28

using electronics so patients and providers can reach each other

Question 29

Alarm fatigue

Answer 29

desensitization to hearing or recognizing alarms

Question 30

Alarms are a requirement for

Answer 30

accreditation

Question 31

Sentinel even alert in terms of alarms

Answer 31

Alarms are silenced or turned down. Contributes to PT death Comes from not using correctly or not responding

Question 32

Alarms issues are associated with what nursing

Answer 32

Critical Care

Question 33

Alarms are disabled by

Answer 33

Nurses and patients/family

Question 34

Health record is a _ document

Answer 34

legal | document facts, no oppinions

Question 35

info in med records should be

Answer 35

OBJECTIVE not subjective USE QUOTES if pt refuses care, let PROVIDER know

Question 36

Document same time as

Answer 36

assessment or treatment

Question 37

Adverse event documentation is established by

Answer 37

Established by Risk management team | document what happened etc.

Question 38

How to safely chart

Answer 38

Use good passwords | Don't leave work station open, HIPPA

Question 39

How to correct mistakes in documentation

Answer 39

Narrative note of what happened why and what is going on

Question 40

Due to safeguards of med records

Answer 40

Things can not be deleted if they are, let supervisor know

Question 41

Dont use email to send

Answer 41

Personal health info | If you have to, ENCRYPT