A patient has a pus-filled lesion on her lower leg accompanied by a fever. The nurse believes the patient may have methicillin-resistant Staphylococcus aureus (MRSA), which can be easily spread through physical contact appropriate personal protective equipment (PPE) is not wain. Where, within the clinical information system, should the nurse record this precaution to ensure that others will wear the appropriate PPE when interacting with this patient?
The pharmacy information system
The electronic documentation section
The radiology information system
The laboratory information system
The Correct Answer is B
A. The pharmacy information system – This system is for medication management, not patient isolation or PPE documentation.
B. The electronic documentation section – Isolation precautions are documented here so all healthcare personnel are aware and can use the required PPE.
C. The radiology information system – This is for imaging records, not for documenting infection control measures.
D. The laboratory information system – This system stores lab results, not isolation or PPE documentation.
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Correct Answer is D
Explanation
A. Risk-management system. – This system focuses on identifying and mitigating risks in healthcare but does not provide discharge timing information.
B. Electronic documentation. – While it contains patient information, it does not directly provide an overview of discharge timing unless explicitly documented by staff.
C. Financial system. – This system manages billing and financial data but does not track or provide information on patient discharge timelines.
D. Admission/discharge/transfer system. – This system manages patient flow, including admissions, discharges, and transfers, and would provide the most accurate and up-to-date information regarding the anticipated discharge time for a patient.
Correct Answer is D
Explanation
A. The attending physician training the residents should assume the responsibility for this situation. – While training is important, responsibility should not solely fall on the attending physician; it's a shared duty among all staff.
B. The EHR maintained by the IT department, and their expertise is recommended. – IT support is valuable, but the clinical staff should also be involved in reviewing the EHR data for clinical relevance.
C. The residents involved should be responsible for reporting how they entered data. – While residents should be accountable for their entries, the issue of systemic inconsistencies goes beyond individual responsibility.
D. The EHR records all entries' key logs, and these entries can be traced to the initial mistake. – This option highlights the importance of auditing the EHR to track errors back to their source, enabling corrective actions to be taken.