The Resource Electronic health records and nursing, Richard Gartee, Sharyl Beal

Electronic health records and nursing, Richard Gartee, Sharyl Beal

Label
Electronic health records and nursing
Title
Electronic health records and nursing
Statement of responsibility
Richard Gartee, Sharyl Beal
Creator
Contributor
Subject
Genre
Language
eng
Cataloging source
DNLM/DLC
http://library.link/vocab/creatorName
Gartee, Richard
Dewey number
610.730285
Illustrations
illustrations
Index
index present
LC call number
RT50.5
LC item number
.G37 2012
Literary form
non fiction
Nature of contents
bibliography
NLM call number
WY 18.2
http://library.link/vocab/relatedWorkOrContributorName
Beal, Sharyl
http://library.link/vocab/subjectName
  • Nursing
  • Electronic Health Records
  • Electronic Health Records
  • Nursing Records
  • Nursing Records
  • Forms and Records Control
  • Forms and Records Control
  • Patient Care Planning
  • Patient Care Planning
Label
Electronic health records and nursing, Richard Gartee, Sharyl Beal
Instantiates
Publication
Bibliography note
Includes bibliographical references and index
Contents
1. Electronic health records: an overview : Evolution of electronic health records ; Social forces driving EHR adoption ; Government response ; Meaningful use of a certified EHR ; Why electronic health records are important ; Flow of clinical information into the chart ; Inpatient charts versus outpatient charts ; Documenting at the point of care -- 2. Functional EHR systems : Format of data determines potential benefits ; Standard EHR coding systems ; Capturing and recording EHR data ; Functional benefits from codified records ; Meeting the IOM definition of an EHR -- 3. Learning medical record software : Introducing the Medcin student edition software ; EHR login ; Understanding the software ; Navigating the screen ; Data entry of clinical notes ; Adding details to the findings ; Using free text ; Introduction to using forms -- 4. Increased familiarity with the software : Applying your knowledge ; Creating your first complete encounter note ; Creating an initial chart upon admission -- 5. Data entry at the point of care : Why speed of entry is important in the EHR ; Lists and forms speed data entry ; Shortcuts that speed documentation of typical cases ; The concept of lists ; The concept of forms ; Initial intake form for an adult ; Customized forms -- 6. Electronic nursing care plans : Nursing care plans ; Bringing the EHR to nursing ; CCC system ; Standard nursing plans of care ; Individualized plans of care ; Flow of the CCC model ; The interactive nursing plan of care ; Reassess and modify plan -- 7. Understanding electronic orders : The importance of electronic orders and results ; Recording orders in the student edition ; Lab orders and reports ; Comparison of orders and results workflows ; Learning to use the search and prompt features ; Radiology orders and reports ; Medication orders ; Quick access to frequent orders ; Protocols based on diagnosis codes ; Using diagnosis to find orders and treatments -- 8. Problem lists, results management, and trending : Longitudinal records to manage clients' health ; Understanding problem lists ; Citing previous visits from problem lists ; Orders and results management ; Trending ; Visual aides to engage clients in their own healthcare -- 9. Data entry using flow sheets and anatomical drawings : Learning to use flow sheets ; Use of anatomical drawings in the EHR ; Annotated drawings as EHR data -- 10. Subacute care, nursing homes, and home care : Postdischarge nursing care ; Assessment instruments ; Nursing homes ; Resident assessment instrument ; Home health care ; OASIS ; Data the nurse needs -- 11. Using the Internet to expedite care : The impact of technology ; The Internet and the EHR ; Decision support via the web ; Understanding the Internet ; Practicing medicine online ; Telemedicine ; Entry of symptoms and history by the client ; Provider-to-patient e-mail communication ; E-visits -- 12. Using the EHR for prevention and health maintenance : Prevention and early detection ; Pediatric wellness visits ; Understanding growth charts ; Body mass index ; The importance of childhood immunizations ; Client involvement in their own healthcare ; Preventative care screening ; Client access to electronic health records ; The personal history record
Dimensions
28 cm.
Extent
xxii, 530 p.
Isbn
9780132885522
Lccn
2011019810
Other physical details
col. ill.
System control number
  • (CaMWU)u2770306-01umb_inst
  • 2627623
  • (Sirsi) i9780131383722
  • (OCoLC)779456669
Label
Electronic health records and nursing, Richard Gartee, Sharyl Beal
Publication
Bibliography note
Includes bibliographical references and index
Contents
1. Electronic health records: an overview : Evolution of electronic health records ; Social forces driving EHR adoption ; Government response ; Meaningful use of a certified EHR ; Why electronic health records are important ; Flow of clinical information into the chart ; Inpatient charts versus outpatient charts ; Documenting at the point of care -- 2. Functional EHR systems : Format of data determines potential benefits ; Standard EHR coding systems ; Capturing and recording EHR data ; Functional benefits from codified records ; Meeting the IOM definition of an EHR -- 3. Learning medical record software : Introducing the Medcin student edition software ; EHR login ; Understanding the software ; Navigating the screen ; Data entry of clinical notes ; Adding details to the findings ; Using free text ; Introduction to using forms -- 4. Increased familiarity with the software : Applying your knowledge ; Creating your first complete encounter note ; Creating an initial chart upon admission -- 5. Data entry at the point of care : Why speed of entry is important in the EHR ; Lists and forms speed data entry ; Shortcuts that speed documentation of typical cases ; The concept of lists ; The concept of forms ; Initial intake form for an adult ; Customized forms -- 6. Electronic nursing care plans : Nursing care plans ; Bringing the EHR to nursing ; CCC system ; Standard nursing plans of care ; Individualized plans of care ; Flow of the CCC model ; The interactive nursing plan of care ; Reassess and modify plan -- 7. Understanding electronic orders : The importance of electronic orders and results ; Recording orders in the student edition ; Lab orders and reports ; Comparison of orders and results workflows ; Learning to use the search and prompt features ; Radiology orders and reports ; Medication orders ; Quick access to frequent orders ; Protocols based on diagnosis codes ; Using diagnosis to find orders and treatments -- 8. Problem lists, results management, and trending : Longitudinal records to manage clients' health ; Understanding problem lists ; Citing previous visits from problem lists ; Orders and results management ; Trending ; Visual aides to engage clients in their own healthcare -- 9. Data entry using flow sheets and anatomical drawings : Learning to use flow sheets ; Use of anatomical drawings in the EHR ; Annotated drawings as EHR data -- 10. Subacute care, nursing homes, and home care : Postdischarge nursing care ; Assessment instruments ; Nursing homes ; Resident assessment instrument ; Home health care ; OASIS ; Data the nurse needs -- 11. Using the Internet to expedite care : The impact of technology ; The Internet and the EHR ; Decision support via the web ; Understanding the Internet ; Practicing medicine online ; Telemedicine ; Entry of symptoms and history by the client ; Provider-to-patient e-mail communication ; E-visits -- 12. Using the EHR for prevention and health maintenance : Prevention and early detection ; Pediatric wellness visits ; Understanding growth charts ; Body mass index ; The importance of childhood immunizations ; Client involvement in their own healthcare ; Preventative care screening ; Client access to electronic health records ; The personal history record
Dimensions
28 cm.
Extent
xxii, 530 p.
Isbn
9780132885522
Lccn
2011019810
Other physical details
col. ill.
System control number
  • (CaMWU)u2770306-01umb_inst
  • 2627623
  • (Sirsi) i9780131383722
  • (OCoLC)779456669

Library Locations

  • Albert D. Cohen Management LibraryBorrow it
    181 Freedman Crescent, Winnipeg, MB, R3T 5V4, CA
    49.807878 -97.129961
  • Architecture/Fine Arts LibraryBorrow it
    84 Curry Place, Winnipeg, MB, CA
    49.807716 -97.136226
  • Archives and Special CollectionsBorrow it
    25 Chancellors Circle (Elizabeth Dafoe Library), Room 330, Winnipeg, MB, R3T 2N2, CA
    49.809961 -97.131878
  • Bibliothèque Alfred-Monnin (Université de Saint-Boniface)Borrow it
    200, avenue de la Cathédrale, Local 2110, Winnipeg, MB, R2H 0H7, CA
    49.888861 -97.119735
  • Bill Larson Library (Grace Hospital)Borrow it
    300 Booth Drive, G-227, Winnipeg, MB, R3J 3M7, CA
    49.882400 -97.276436
  • Carolyn Sifton - Helene Fuld Library (St. Boniface General Hospital)Borrow it
    409 Tache Avenue, Winnipeg, MB, R2H 2A6, CA
    49.883388 -97.126050
  • Concordia Hospital LibraryBorrow it
    1095 Concordia Avenue, Winnipeg, MB, R2K 3S8, CA
    49.913252 -97.064683
  • Donald W. Craik Engineering LibraryBorrow it
    75B Chancellors Circle (Engineering Building E3), Room 361, Winnipeg, MB, R3T 2N2, CA
    49.809053 -97.133292
  • E.K. Williams Law LibraryBorrow it
    224 Dysart Road, Winnipeg, MB, R3T 5V4, CA
    49.811829 -97.131017
  • Eckhardt-Gramatté Music LibraryBorrow it
    136 Dafoe Road (Taché Arts Complex), Room 257, Winnipeg, MB, R3T 2N2, CA
    49.807964 -97.132222
  • Elizabeth Dafoe LibraryBorrow it
    25 Chancellors Circle, Winnipeg, MB, R3T 2N2, CA
    49.809961 -97.131878
  • Fr. H. Drake Library (St. Paul's College)Borrow it
    70 Dysart Road, Winnipeg, MB, R3T 2M6, CA
    49.810605 -97.138184
  • J.W. Crane Memorial Library (Deer Lodge Centre)Borrow it
    2109 Portage Avenue, Winnipeg, MB, R3J 0L3, CA
    49.878000 -97.235520
  • Libraries Annex (not open to the public; please see web page for details)Borrow it
    25 Chancellors Circle (in the Elizabeth Dafoe Library), Winnipeg, MB, R3T 2N2, CA
    49.809961 -97.131878
  • Neil John Maclean Health Sciences LibraryBorrow it
    727 McDermot Avenue (Brodie Centre), 200 Level, Winnipeg, MB, R3E 3P5, CA
    49.903563 -97.160554
  • Sciences and Technology LibraryBorrow it
    186 Dysart Road, Winnipeg, MB, R3T 2M8, CA
    49.811526 -97.133257
  • Seven Oaks General Hospital LibraryBorrow it
    2300 McPhillips Street, Winnipeg, MB, R2V 3M3, CA
    49.955177 -97.148865
  • Sister St. Odilon Library (Misericordia Health Centre)Borrow it
    99 Cornish Avenue, Winnipeg, MB, R3C 1A2, CA
    49.879592 -97.160425
  • St. John's College LibraryBorrow it
    92 Dysart Road, Winnipeg, MB, R3T 2M5, CA
    49.811242 -97.137156
  • Victoria General Hospital LibraryBorrow it
    2340 Pembina Highway, Winnipeg, MB, R3T 2E8, CA
    49.806755 -97.152739
  • William R Newman Library (Agriculture)Borrow it
    66 Dafoe Road, Winnipeg, MB, R3T 2R3, CA
    49.806936 -97.135525
Processing Feedback ...