The Electronic Health Record

“ Why can’t admitting remember to change these patients to pre-admit so that we can see the information from the emergency room in their electronic record and view their current medication?” the scribe complained to the cath leb nurse. “ I will never understand why it is so difficult to get cath lab patients transferred from an ED patient to pre-admit.” The scribe stops trying to record patient information in the electronic health record and calls the admitting department. The scribe is so frustrated because admitting has not updated the patient type listed in the electronic health record. This patient was seen a few minutes ago in the ED for an acute myocardial infarction. The patient had come into Western States Hospital with a chest pain. An EKG was ordered for the patient and the EKG showed that the patient had a STEMI. Once this diagnosis was made, the patient was emergently transferred to the cath lab. Although the electronic health record used by the facility has many features that allow care providers to access necessary patient information, the system has a few issues. The issue that caused the most headaches in the cath lab was the fact that the cath lab personnel could not view important patient information or chart new information until the admitting department changed the patient type from ED to pre-admit. Although there was a way to override the system to view the necessary information, this process was also concerning. Charting within the system was not possible even with the override, and there had been some instances where the latest information from the ED was not in the system if the system had been overridden. Time frames were also problematic. Quality measures and reporting requirements necessitate accurate times. “ Door-to-balloon times” are an important reporting measure. Without the ability to chart in real time, the time of arrival to the cath lab and the time the vessel was opened are not accurately reflected in the system. As Western States Hospital collects data to determine how long it takes cath lab staff to open a vessel once the patient is in the cath lab, the report is showing that it happens very quickly, it almost seems like the average time is unrealistic. The procedure in the cath lab is that a scribe or technician is responsible for developing everything that happens during the encounter. Without the ability to document directly into the electronic health record, the scribe or technician sends precious time contacting admitting and documenting the encounter on paper. This information must then be transferred into the electronic health record or “back charted.” At Western States Hospital the scribe calls the admitting clerk and states, “ The patient from ED room 5 is here in the cath lab and patient type is still set at ED. You do realize that I cannot do my job when you do not do yours, right? Why can’t you admitting clerks figure out how to get these patient types changed faster and do your job so that I can do mine?” The admitting clerk responds, “ I have been busy taking care of other patients and didn’t realize this was your patient that was taken to the cath lab. I do have other patients to take care of besides the one that you have in the cath lab. Just override the system so that you can view the information until I get the type changed,” to which the scribe states, “ Truly you don’t understand the ramifications of what your job entails and the problems this can cause the patient. Just make the change. Now!” The patient type is changed and the technician is now trying to document what has happened to this patient in the cath lab from memory.For more information on The Electronic Health Record check on: https://en.wikipedia.org/wiki/Electronic_health_record

DNP Role Presentation

Don't use plagiarized sources. Get Your Custom Essay on
The Electronic Health Record
Just from $13/Page
Order Essay

 

Calculate your paper price
Pages (550 words)
Approximate price: -

Why Choose Us

Quality Papers

At Acme Writers, we always aim at 100% customer satisfaction. As such, we never compromise o the quality of our homework services. Our homework helpers ensure that they craft each paper carefully to match the requirements of the instruction form.

Professional Academic Writers

With Acme Writers, every student is guaranteed high-quality, professionally written papers. We ensure that we hire individuals with high academic qualifications who can maintain our quality policy. These writers undergo further training to sharpen their writing skills, making them more competent in writing academic papers.

Affordable Prices

Our company maintains a fair pricing system for all academic writing services to ensure affordability. Our pricing system generates quotations based on the properties of individual papers.

On-Time delivery

Acme Writers guarantees all students of swift delivery of papers. We understand that time is an essential factor in the academic world. Therefore, we ensure that we deliver the paper on or before the agreed date to give students ample time for reviewing.

100% Originality

Acme Writers maintains a zero-plagiarism policy in all papers. As such, Acme Writers professional academic writers ensure that they use the students’ instructions to deliver plagiarism-free papers. We are very keen on avoiding any chance of similarities with previous papers.

Customer Support 24/7

Our customer support works around the clock to provide students with assistance or guidance at any time of the day. Students can always communicate with us through our live chat system or our email and receive instant responses. Feel free to contact us via the Chat window or support email: support@Acme Writers.

Try it now!

Calculate the price of your order

You will get a personal manager and a discount.
We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Samples

Our writers complete papers strictly according to your instructions and needs, no matter what university, college, or high school you study in.

Categories
All samples
Analysis (any type)
Argumentative essays
Dissertation/Dissertation chapter
Analysis (any type)
Advantages and disadvantages of lowering the voting age to thirteen
Undergrad. (yrs 1-2)
Political science
4
View this sample
Argumentative essays
Is euthanasia ethical or not?
Undergrad. (yrs 3-4)
Nursing
3
View this sample
Dissertation/Dissertation chapter
Videoconferencing as a teaching tool
Undergrad. (yrs 3-4)
Education
10
View this sample

Our Homework Writing Services

Acme Writers holds a reputation for being a platform that provides high-quality homework writing services. All you need to do is provide us with all the necessary requirements of the paper and wait for quality results.

Essays

Essay Writing Services

At Acme Writers, we have highly qualified academic gurus who will offer great assistance towards completing your essays. Our homework writing service providers are well-versed with all the aspects of developing high-quality and relevant essays.

Admissions

Admission and Business Papers

With Acme Writers, we will help you secure a position at your desired institution. Our essay writing services include the crafting of admissions papers. We will still help you climb your career ladder by helping you write the official papers that will help you secure a job. We will guide you on how to write an outstanding portfolio or resume.

Editing

Editing and Proofreading

Acme Writers has a professional editorial team that will help you organize your paper, paraphrase it, and eliminate any possible mistakes. Also, we will help you check on plagiarism to ensure that your final paper posses quality and originality.

Coursework

Technical papers

Acme Writers harbors professional academic writers from diverse academic disciplines. As such, we can develop homework writing services in all academic areas. The simplicity or complexity of the paper does not affect the quality of homework writing services.