NURS 231 Exam 3 Questions With Verified
Answers Graded A+ 2024/2025
WEEK 11
What is an electronic medical/health record?
patient's medical record and history in database
What are the meaningful uses of EHR?
1) improve quality of care
2) increase safety
3) increase patient benefits
4) engage patients and family in healthcare
5) improve care coordination
6) maintain privacy and security
7) culminate better clinical outcomes - we have better care, patent involvement
8) increased transparency and efficiency
9) empowers individuals because they know and have access to their health
10) more data and research on health systems
What does CMS: Centers for Medicare/Medicaid System require?
a lot of transparency
What is interoperability/compatibility with EMR?
syncing the systems up and having all programs talk to each other
OR/ED computers don't talk to the other ones (historically)
Informaticists write programs and connect things together so we can increase compatibility
What are the costs of EMR?
they are a big problem
all of these informatics cost billions:
--our healthcare costs are in the trillions
--at what cost is the technology worth it?
--we (US) spend the most on healthcare and don't have the healthiest nation
How has the internet changed with healthcare?
patients are using online sources and methods to cure themselves (WebMD, google, blogs, wikipedia)
this means some patients will try to treat themselves (and fail) and come to you later in a less curable
condition
patients are going to have much more information (some incorrect) when they come to us
What are some examples and results that could come from patients having access to their computer
at the hospitals?
ex: if patient is getting a cholecystectomy, they can google that surgery to know what to expect - this
can inform people it can scare them
,ex: they can look up diagnosis, prognosis - have more questions when you are trying to teach them or
educate them
now the patients can look you up (Facebook, address, your licensure)
Why has technology changed to be at the bedside more?
it is designed to be quicker and more efficient so we don't have to wait
What is clinical decisional support?
1) it is built into computers to check what we're doing -- is that a good thing?
2) you need to scan x before you can administer y
3) flagging things ,what has changed, etc.
How does telehealth work in the health field?
--skyping with doctors or EDs, online chats
--they can tell you to come in or can just say you're find
--ambulances can Skype to ED to provide better info
--doctor's office/pharmacy may be part of a system where they automatically sense a pill box of a
geriatric patient so they know if they've taken their medicine
--they can automatically send their finger pricks to the doctor so they can monitor it
--good for people in rural areas however computer access is a problem
--the people its designed to help are the people who can't access
--anyone can benefit
Who tends to go without health care?
underprivileged, low SES
Why are simulations good for nursing students?
allows you to practice on machine, replicated scenario, dummy for practice purposes - gives you
closest possible experience without dealing with an alive person
up to 50% of clinical learning can be done on simulation
What are the benefits of a simulator?
1) good way to make mistakes and learn
2) you can ask questions - there aren't any stupid questions
3) you won't get a bad grade or get punished for messing up in lab
4) you can control the scenario
5) they pre-brief (prepare) you so you're ready (graduate assistants)
6) go through simulation
What is debriefing with a simulator?
1) reflecting after simulation
2) what went well, what could've been better
3) meaningful learning
What are biomechatronics?
example: having a veteran getting a new prosthesis arm that does what they want it to do
, combines biology, engineering and medicine
What is SMART equipment?
beds, IVs, other equipment that you can program to sync up
beds that sense pressure so we know where to rotate you
IVs with smart pumps to program what to give you
capsule endoscopies - instead of opening up people, capsules are swallowed and take pictures of
insides
What is a physician order entry?
enter their own orders so there is no interpretation orders
What is bar coding in hospitals?
patient, supplies and drugs are bar coded
What is a new way that surgeries are being performed?
robotic surgeries
What is automated dispensing in hospitals?
drugs will be dispensed based on what you enter and what you need, depending on patient
fingerprint, face sensing, passcode
very secure
you get a dose at a time
What is genomics?
study of genetic information in organisms
What are some examples of the things that can be genetically engineered?
food, organs, new manipulation of pathogens (there are germs that we don't have drugs for)
What is the human genome project?
13 billions chemical base pairs that make up the human body
we know how to manipulate it
people genetically determine things about their babies
immunotherapy
eliminate drug allergy
Answers Graded A+ 2024/2025
WEEK 11
What is an electronic medical/health record?
patient's medical record and history in database
What are the meaningful uses of EHR?
1) improve quality of care
2) increase safety
3) increase patient benefits
4) engage patients and family in healthcare
5) improve care coordination
6) maintain privacy and security
7) culminate better clinical outcomes - we have better care, patent involvement
8) increased transparency and efficiency
9) empowers individuals because they know and have access to their health
10) more data and research on health systems
What does CMS: Centers for Medicare/Medicaid System require?
a lot of transparency
What is interoperability/compatibility with EMR?
syncing the systems up and having all programs talk to each other
OR/ED computers don't talk to the other ones (historically)
Informaticists write programs and connect things together so we can increase compatibility
What are the costs of EMR?
they are a big problem
all of these informatics cost billions:
--our healthcare costs are in the trillions
--at what cost is the technology worth it?
--we (US) spend the most on healthcare and don't have the healthiest nation
How has the internet changed with healthcare?
patients are using online sources and methods to cure themselves (WebMD, google, blogs, wikipedia)
this means some patients will try to treat themselves (and fail) and come to you later in a less curable
condition
patients are going to have much more information (some incorrect) when they come to us
What are some examples and results that could come from patients having access to their computer
at the hospitals?
ex: if patient is getting a cholecystectomy, they can google that surgery to know what to expect - this
can inform people it can scare them
,ex: they can look up diagnosis, prognosis - have more questions when you are trying to teach them or
educate them
now the patients can look you up (Facebook, address, your licensure)
Why has technology changed to be at the bedside more?
it is designed to be quicker and more efficient so we don't have to wait
What is clinical decisional support?
1) it is built into computers to check what we're doing -- is that a good thing?
2) you need to scan x before you can administer y
3) flagging things ,what has changed, etc.
How does telehealth work in the health field?
--skyping with doctors or EDs, online chats
--they can tell you to come in or can just say you're find
--ambulances can Skype to ED to provide better info
--doctor's office/pharmacy may be part of a system where they automatically sense a pill box of a
geriatric patient so they know if they've taken their medicine
--they can automatically send their finger pricks to the doctor so they can monitor it
--good for people in rural areas however computer access is a problem
--the people its designed to help are the people who can't access
--anyone can benefit
Who tends to go without health care?
underprivileged, low SES
Why are simulations good for nursing students?
allows you to practice on machine, replicated scenario, dummy for practice purposes - gives you
closest possible experience without dealing with an alive person
up to 50% of clinical learning can be done on simulation
What are the benefits of a simulator?
1) good way to make mistakes and learn
2) you can ask questions - there aren't any stupid questions
3) you won't get a bad grade or get punished for messing up in lab
4) you can control the scenario
5) they pre-brief (prepare) you so you're ready (graduate assistants)
6) go through simulation
What is debriefing with a simulator?
1) reflecting after simulation
2) what went well, what could've been better
3) meaningful learning
What are biomechatronics?
example: having a veteran getting a new prosthesis arm that does what they want it to do
, combines biology, engineering and medicine
What is SMART equipment?
beds, IVs, other equipment that you can program to sync up
beds that sense pressure so we know where to rotate you
IVs with smart pumps to program what to give you
capsule endoscopies - instead of opening up people, capsules are swallowed and take pictures of
insides
What is a physician order entry?
enter their own orders so there is no interpretation orders
What is bar coding in hospitals?
patient, supplies and drugs are bar coded
What is a new way that surgeries are being performed?
robotic surgeries
What is automated dispensing in hospitals?
drugs will be dispensed based on what you enter and what you need, depending on patient
fingerprint, face sensing, passcode
very secure
you get a dose at a time
What is genomics?
study of genetic information in organisms
What are some examples of the things that can be genetically engineered?
food, organs, new manipulation of pathogens (there are germs that we don't have drugs for)
What is the human genome project?
13 billions chemical base pairs that make up the human body
we know how to manipulate it
people genetically determine things about their babies
immunotherapy
eliminate drug allergy
