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1. Patient Record:
Answer
- compilation of a patient's health information
- only permanent legal document that goes into detail about nurse's interaction with
patient.
2. Purpose of Records:
Answer
-Communication between disciplines
-legal documentation
-financial billing
-education
-research
-auditing/monitoring
3. EHR:
Answer electronic health record
4. Benefits of EHR:
Answer
-has immediate access for nurses, physicians, etc.
-no lost records
5. HIPPAA:
Answer
- right to privacy
- Health Insurance Portability and Accountability Act
- access to the patient record is restricted to those in the facility using it for care.
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