Question

Module 02 Discussion - Documentation and Informatics

After reading the chapter in your textbook, focus on documentation and informatics. Think about the principles of reporting and documentation. Identify and briefly discuss three challenges a nurse has in ensuring accurate and confidential documentation. Then discuss what actions a nurse can take to overcome these challenges including how informatics might make a difference.

Please make your initial post by midweek, and respond to at least two other student's post by the end of the week. Please check the Course Calendar for specific due dates.

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Answer 1

Challenges

1) Lack of time

2) Bad handwriting

3) loosing patients file and confidentiality due to handling by many health care workers

Actions to overcome

1) use of computers instead of handwritten data can save much time as the nurses can just select and click the option from the already feed data.

2) typed data is always better to read than handwritten. Bad handwritting and spelling mistakes can lead to many errors which can be prevented by computer feed data.

3) feeding data on computers and storing it with appropriate locked folder can prevent mishandling of patient file and patients confidential information.