Melissa’s name is called and she is shown to an exam room where the nurse accesses her EHR and displays it on a large monitor. As the nurse takes Melissa’s vital signs, Melissa is able to view her health information displayed on the screen and notices that she has lost another pound. She asks the nurse if her blood pressure is normal—it is. Melissa can also see that she has a fever of 101 degrees. The nurse quickly confirms Melissa’s symptoms and takes a digital image of her throat, which then appears in her EHR. She signals to Dr. Smith that Melissa is ready for examination.
Discussion Question: Which of the following in NOT a benefit of Melissa seeing her medical information as it is recorded?
Improve her understanding of her medical condition
Increase her involvement in her care
Help her clarify any miscommunication or errors regarding her current health
Ignore the information and self-diagnose and treat her condition
Review Melissa’s Story: What are the four measurements of vital signs?
Review Melissa’s Story: The nurse is responsible for all of the following EXCEPT:
Taking Melissa’s vital signs
Confirming Melissa’s symptoms
Taking a digital image of Melissa’s throat
Ordering laboratory tests
Electronic Health Record: A digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users; which may include: laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, insurance and governmental agencies and school and workplace clinics.("Health IT.gov." What Is an Electronic Health Record (EHR)? N.p., n.d. Web. 16 July 2014.)
Vital Signs: Clinical measurements – specifically pulse rate, temperature, respiration rate and blood pressure – that indicate the state of a patient’s essential body functions.("Definition of Vital Signs in English." Vital Signs: Definition of Vital Signs in Oxford Dictionary (British & World English). N.p., n.d. Web. 17 July 2014.)
Blood Pressure: The pressure of the blood within the arteries. It is produced primarily by the contraction of the heart muscle. Its measurement is recorded by two numbers. The first (systolic pressure) is measured after the heart contracts and is highest. The second (diastolic pressure) is measured before the heart contracts and is lowest.("Blood Pressure." Medterms. N.p., n.d. Web. 17 July 2014.)
Did You Know: According to the CDC, in 2013, 78% of office-based physicians used some form of electronic health record (EHR) system, up from 18% in 2001.(Hsiao, Chun-Ju, Ph.D., and Esther Hing, M.P.H. "NCHS Data Brief: Use and Characteristics of Electronic Health Record Systems Among Office-based Physician Practices: United States, 2001–2013." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 17 Jan. 2014.)