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. The hospital should program the computers to require two-factor authentication when logging in to the protected health information system. – Two-factor authentication strengthens security by requiring an additional form of verification. However, it doesn't directly prevent the issue of leaving accounts logged in or saving passwords.
B. The hospital should install anti-virus software on all the computers. – Anti-virus software protects against malware but does not address issues related to account security or auto-login risks.
C. The hospital should program the computers to automatically log each employee in and out of the protected health information system. – Automatically logging users in and out sounds efficient but could create privacy issues if left unattended.
D. The hospital should remove the option to allow employees to save their login credentials on all the computers. – Disabling the option to save login credentials would prevent the next user from accessing a previous user’s account, directly addressing the issue of unintended access when one user leaves a station.
Correct Answer is D
Explanation
A. Quality-assurance. – This system evaluates performance and compliance but does not manage the direct entry of patient data into the EHR.
B. Computerized provider order entry. – This system allows providers to enter orders for tests and medications but is not primarily for uploading vital signs or laboratory results.
C. Results-reporting. – This system focuses on reporting laboratory results but does not handle the initial entry of vitals and results into the EHR.
D. Electronic documentation. – This system is designed for entering and managing patient data, including vital signs and laboratory results, directly into the EHR.