The Health Records Of Nurses And Other Health Workers Essay

Socially, recording and reporting are veritable tools on the hands of nurses and other health workers because they show a compilation of well rounded record of their patients’ trip through services and encourages the continuation of care for the patients within and between services. Nurses should be careful, precise, reliable while carrying out this particular duty because any step in wrong direction can bring death, shame, conflict between the doctor or nurse and the clients. They are to be kept secret according to the ethics of nursing regardless of the tool used in recording and reporting. Application in my Current Workplace Nurses in my workplace run a shift, and a particular shift is completed, a verbal report to the succeeding shift is given showing the overall conditions and the therapy the patient had taken so far. Support services give written reports describing the outcomes of diagnostic test. We make use of hospital record or chart which permanently documents the patient’s health records in the hospital. After each clinic visit, information about why the patient sought medical care, diagnostic tests, the physician’s diagnosis and choice of therapy is recorded and whenever the patient come back after discharge from the hospital, it is revisited and used as a basis for diagnosis for medical assessment. Current Related Researches Nwagwu Adanma Solomon, a lecturer at the School of Nursing, Owerri studied the characteristics of a valid recording and reporting. SheShow MoreRelatedAn Electronic Health Record ( Ehr )1160 Words   |  5 Pagesas an Electronic Health Record (EHR). The EHR also includes treatment, physical examination, and investigations. It is sustained and maintained over time by the medical provider and often includes all the key administrative information. Electronic Medical Records include the regular medical and clinical information collected by physicians, hospital and other care workers. There are four main benefits of EMRs. One, an EMR tracks data over a length of time. Secondly, EMRs help health care providers distinguishRead MoreAdopting New Technologies in Nursing1370 Words   |  6 Pagesevolving spectrum. Nurses must take great strides in learning and adapting to new technologies to meet the standards of the health care system. One significant change that has occurred throughout the last few years is the transition from paper charting to utilizing electronic health record (EHR) systems. This technological change is a major development that has the potential to significantly impact the nursing role and overall health care system. While electronic health records deem to be very beneficialRead MoreWe Can, But Dare We?1018 Words   |  5 Pagesimportant that future healthcare workers understand the many rewards and challeng es technology can bring to the workplace. First developed in 1993 by IBM, smartphones quickly took the market by storm. Providing users the ability to access large databases directories at the tip of their fingers. This is critical in the medical field because it allows healthcare workers to access the information needed to provide patients with the care they deserve. Physicians, nurses, and technicians can use this technologyRead MoreA Team Of Health Workers From Different Specialised Backgrounds Providing Healthcare845 Words   |  4 Pagesteam of health workers from different specialised backgrounds providing healthcare is commonly referred to as Inter-professional practice, also known as collaborative practice. This type of practice is the collective pooling of skills and knowledge from diverse professionals and specialists and is imperative for the improvement of health outcomes. Inter-professional practice occurs throughout all health care facilities, within numerous teams. Individual roles and responsibilities of health care workersRead MoreDescribe the Roles and Responsibilities of Personnel in Relation to Infection Prevention and Control in a Health or Social Care Setting963 Words   |  4 Pagesresponsibilities of personnel in relation to infection prevention and control in a health or social care setting In every Health and social care setting, each person has a certain responsibility. Each care worker should be responsible for their own actions with regard to protecting themselves and others from infection. Throughout this essay I will be discussing the roles and responsibilities of care and non-care workers, managers and specialist personnel. In every work place there should be policiesRead MoreElectronic Health Record : The Electronic Healthcare System1487 Words   |  6 Pagesphones, laptops, and other electronics, which all have affected how people live their lives. Technology is also a large part of the healthcare system today. There are many electronics and technologies that are used in health care such as electronic health record, medication bar code scanning, electronic documentation, telenursing, and there are many more forms of technology that impact nursing. One technology that stands out is the electronic health record. The electronic health record, also referredRead MoreThe Electronic Health Record1534 Words   |  7 PagesThe Electronic Health Record Introduction In the modern world technology is everywhere and it affects everyone’s daily life. People are constantly attached to cell phones, laptops, and other electronics, which all have affected how people live their lives. Technology is also a large part of the healthcare system today. There are many electronics and technologies that are used in health care, such as electronic health record, medication bar code scanning, electronic documentation, telenursing, andRead MoreThe Impact of Information Systems and Computer Technology on Nursing Practice1019 Words   |  4 PagesTechnology has on the Practice of Nursing Health care technology has developed to the point where one can rapidly and precisely access and track expenses, trends, and patient care information. Use of this information is vital to the success of health care organizations and practices. The present state of health care information systems technology and the force of new technologies on nurses and nursing care will be looked at here. For more than thirty years, health care information systems have been constructedRead MoreNegative Effects Of Social Media1683 Words   |  7 Pagestechnology opens the doors to so many new ideas and job opportunities, and healthcare delivery has become a center of focus for technology. Social media is continuously growing and changed the way and improved the everyday activities with respect to health. Devices like smartphones, computers, tablets and program systems that we use in the medical field have benefited us in so many different ways to easier managing tasks and even help the healthcare pro fessionals to improve the healthcare delivery.Read MoreThe Role Of Nurses During The Healthcare System862 Words   |  4 PagesColleague Feedback The role of nurses is very important and vital in the transformation of the health care system and they always take initiations to keep up with the changes made by the government and the organization for the provision of quality care to the patients. In order to keep up with the changings, nurses are acquiring higher education and fulfilling the demands of the reformed health care. Nurses are performing different roles in the betterment of the reformed health care as mentioned in the