Champlain CollegeNURSING 599 NR599 FINAL STUDY GUIDE.
NR599 FINAL STUDY GUIDE
• Ethical decision making
o The process of making informed choices about ethical dilemmas based on a set of
standards differentiating right from wrong.
o The decision making reflects an understanding of the principles and standards of ethical
decision making, as well as philosophical approaches to ethical decision making.
o It requires a systematic framework for addressing the complex and often controversial
moral questions.
• Bioethical standards
o Autonomy – freedom to do right to refuse
o Beneficence – good health and welfare of patient
o Justice – provides appropriate resources and treat everyone right
o Non-maleficence – to do no harm
o Veracity - truth
• Telehealth
o Broaden access to care, extending reach of providers through remote monitoring of patients
or by giving advice when users would not vist a professional
o Constantly evolving, never associate with less care. Nursing activity still follows same
best practice standards, off site is not wasted
POC: testing and diagnostics to be done anywhere, quick and on the spot with
immediate results
Decrease risk of errors
o Transmitting images, transmitting clinical data, providing disease prevention and
health, interactive technology in health advice, real time video,
• Medical Applications
o Mobile health: prevent medication and health promotion for educational awareness,
portable devices for monitoring offsite locations, applications to train and mobile payments
o Mobile phones, takes, smart watch, POC
o Supplemental clinical care by coaching or prompting to help patients manage their
environment: coaching conditions and weight, and staying fit
o Provide tools to organize and track health and share with provider’; blood pressure, diet,
disease management plans
,Champlain CollegeNURSING 599 NR599 FINAL STUDY GUIDE.
o Easy access to information: flu shot, drug interactions
o Help patients communicate: videoconferencing, photos of wounds
o Calculations for clinical practice: BMI, medical calculators, volume
o Interact with system: mobile access to gain
o Meet definition of data systems
Mobile platforms: compromise the intended use of the app and patient safety, radiology app
on a mobile phone limited by smaller screen size
• Medical Devices
o Anything that transforms a platform into a device
o Anything that transfers, stores, converts, displays data, without controlling or altering
the functions or parameters of any connected
High risk: dosing for medications
Low risk: finding info from dr.
o Check patient risk for liability and patient safety
o Insulin pumps, pacemakers, defib, used with HER and portals
• FDA Oversight for Medical Devices
o Assesses potential misuse or malfunction in order to reduce risk to the public
o Mobile medication applications guidance for industry and food and drug administration staff
o Regulated vs unregulated application
o App that pose a great risk to patients
• Privacy
o An important issue related to personal information, about the owner or about other
individuals, that focuses on sharing this information with others electronically and the mechanisms that
restrict access to this personal information.
o Promty and proficient to debug any errors that lead to malfunction or pt harm
o Make sure that info is reliable, up to date, and does no harm to patients
• Confidentiality
o The mandate that all personal information be safeguarded by ensuring that access is limited
to only those who are authorized to view that information.
o Major obstacle with social media because family members tape or audio record,
pictures, increase use, follow healthcare policy in unit
, Champlain CollegeNURSING 599 NR599 FINAL STUDY GUIDE.
o MUST HAVE TWO PERSON CONCENT BOTH WAYS
• Cybersecurity
o FDA role of security, overviews safety of medica devices, addressing the management
of cybersecurity risks and hospital network security
o Ensure appropriate safeguards to prevent cyberattack
o Protection and remain safe from harm NI to evaluate safety and effectiveness of new
devices and software
• Computer-aided translators
o Software applications that change content from one to language to another
o Blue phone, interpreter, bed
o Translate faster with better quality
• HIPPA
o Health information portability and accountability act
o Number one importance of patient family professional and government
o Key personal organizations that handle heath information have to have policies and
safeguards in place to protect information on paper or electronically
o Limiting record access, right to know, sign disclosures, use of passwords, right to know
o Safeguard audit and electronic audit of who has visited the chart
• ICD-10 Coding
o Shorthand for patient diagnosis to provide necessity of visit or procedure performed
o Every code must have one to respond
o IT MUST MATCH
• Evaluation and Management Coding
o Inputting information for encounter logs
o Complex, place of service, types of service and patient status
o Inpatient and outpatient settings, new patient vs established,
o New patient is one that has not been seen by the same provider in three years
o Codes are based off new vs established patients, level of complexity
o History physical and medical decision making
o Must have 12 elements in single body system, PE, HPI, ROS, PFSH, CC
NR599 FINAL STUDY GUIDE
• Ethical decision making
o The process of making informed choices about ethical dilemmas based on a set of
standards differentiating right from wrong.
o The decision making reflects an understanding of the principles and standards of ethical
decision making, as well as philosophical approaches to ethical decision making.
o It requires a systematic framework for addressing the complex and often controversial
moral questions.
• Bioethical standards
o Autonomy – freedom to do right to refuse
o Beneficence – good health and welfare of patient
o Justice – provides appropriate resources and treat everyone right
o Non-maleficence – to do no harm
o Veracity - truth
• Telehealth
o Broaden access to care, extending reach of providers through remote monitoring of patients
or by giving advice when users would not vist a professional
o Constantly evolving, never associate with less care. Nursing activity still follows same
best practice standards, off site is not wasted
POC: testing and diagnostics to be done anywhere, quick and on the spot with
immediate results
Decrease risk of errors
o Transmitting images, transmitting clinical data, providing disease prevention and
health, interactive technology in health advice, real time video,
• Medical Applications
o Mobile health: prevent medication and health promotion for educational awareness,
portable devices for monitoring offsite locations, applications to train and mobile payments
o Mobile phones, takes, smart watch, POC
o Supplemental clinical care by coaching or prompting to help patients manage their
environment: coaching conditions and weight, and staying fit
o Provide tools to organize and track health and share with provider’; blood pressure, diet,
disease management plans
,Champlain CollegeNURSING 599 NR599 FINAL STUDY GUIDE.
o Easy access to information: flu shot, drug interactions
o Help patients communicate: videoconferencing, photos of wounds
o Calculations for clinical practice: BMI, medical calculators, volume
o Interact with system: mobile access to gain
o Meet definition of data systems
Mobile platforms: compromise the intended use of the app and patient safety, radiology app
on a mobile phone limited by smaller screen size
• Medical Devices
o Anything that transforms a platform into a device
o Anything that transfers, stores, converts, displays data, without controlling or altering
the functions or parameters of any connected
High risk: dosing for medications
Low risk: finding info from dr.
o Check patient risk for liability and patient safety
o Insulin pumps, pacemakers, defib, used with HER and portals
• FDA Oversight for Medical Devices
o Assesses potential misuse or malfunction in order to reduce risk to the public
o Mobile medication applications guidance for industry and food and drug administration staff
o Regulated vs unregulated application
o App that pose a great risk to patients
• Privacy
o An important issue related to personal information, about the owner or about other
individuals, that focuses on sharing this information with others electronically and the mechanisms that
restrict access to this personal information.
o Promty and proficient to debug any errors that lead to malfunction or pt harm
o Make sure that info is reliable, up to date, and does no harm to patients
• Confidentiality
o The mandate that all personal information be safeguarded by ensuring that access is limited
to only those who are authorized to view that information.
o Major obstacle with social media because family members tape or audio record,
pictures, increase use, follow healthcare policy in unit
, Champlain CollegeNURSING 599 NR599 FINAL STUDY GUIDE.
o MUST HAVE TWO PERSON CONCENT BOTH WAYS
• Cybersecurity
o FDA role of security, overviews safety of medica devices, addressing the management
of cybersecurity risks and hospital network security
o Ensure appropriate safeguards to prevent cyberattack
o Protection and remain safe from harm NI to evaluate safety and effectiveness of new
devices and software
• Computer-aided translators
o Software applications that change content from one to language to another
o Blue phone, interpreter, bed
o Translate faster with better quality
• HIPPA
o Health information portability and accountability act
o Number one importance of patient family professional and government
o Key personal organizations that handle heath information have to have policies and
safeguards in place to protect information on paper or electronically
o Limiting record access, right to know, sign disclosures, use of passwords, right to know
o Safeguard audit and electronic audit of who has visited the chart
• ICD-10 Coding
o Shorthand for patient diagnosis to provide necessity of visit or procedure performed
o Every code must have one to respond
o IT MUST MATCH
• Evaluation and Management Coding
o Inputting information for encounter logs
o Complex, place of service, types of service and patient status
o Inpatient and outpatient settings, new patient vs established,
o New patient is one that has not been seen by the same provider in three years
o Codes are based off new vs established patients, level of complexity
o History physical and medical decision making
o Must have 12 elements in single body system, PE, HPI, ROS, PFSH, CC
