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Nursing EMR Overview

Nursing EMR Overview. Created by Xandora Palmisano, RN Clinical Systems Analyst Health Information System. Objective. Have fun while learning! Test your knowledge! Discover new functionalities!. Instructions. You are given a task. Pick the right menu option.

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Nursing EMR Overview

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  1. Nursing EMR Overview Created by Xandora Palmisano, RN Clinical Systems Analyst Health Information System

  2. Objective • Have fun while learning! • Test your knowledge! • Discover new functionalities!

  3. Instructions • You are given a task. • Pick the right menu option. • Links are provided for further information. Hint

  4. Task: Open the Medical Record!

  5. CORRECT!

  6. Finding Data

  7. Task : Find the Vital Signs!

  8. Click on the Vital Sign Tab!

  9. CORRECT!

  10. Note: Click YELLOW to drill down an indicator!

  11. Results are grouped for this item. Click here to return to previous screen!

  12. Task : Find Notes of all healthcare providers!

  13. Click on the “Notes” Tab!

  14. CORRECT!

  15. Note: Filter by type, view “default” display

  16. Assessment & Notes include assessment documentation.

  17. Task : Find the medication list!

  18. Click on the ‘Medication’ Tab!

  19. CORRECT!

  20. Clicking on “Medication” shows active, and discontinued Meds.

  21. Task : Find the order list!

  22. Click on the “Order History” Tab!

  23. Correct!

  24. Clicking on “Order History” shows all orders on this patient.

  25. Task : Find the lab results?

  26. Click on the “Laboratory” Tab!

  27. Correct!

  28. Note: Lifetime Summary is available

  29. Results are grouped together!

  30. You click the “Back” button to return to the previous screen(s)!

  31. Task : Find microbiology results?

  32. Click on the “Microbiology” Tab!

  33. Correct!

  34. Microbiology Report Display:

  35. Task : Find a History & Physical or Consult!

  36. Click on the “Other Reports” Tab!

  37. Correct!

  38. Filter by provider type.

  39. Task : Find documentation by body system or special categories!

  40. Click on the “Care Trends” Tab!

  41. Correct!

  42. Filter by categories

  43. Drill down e.g. Education for “learning preferences”

  44. Task : Find Care Plans!

  45. Click on the “Care Activity” Tab!

  46. Correct!

  47. Interventions, Outcomes, Plan of Care, etc.

  48. Click on the Plan of Care Tab!

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