The Electronic Health Record

“ Why can’t admitting remember to change these patients to pre-admit so that we can see the information from the emergency room in their electronic record and view their current medication?” the scribe complained to the cath leb nurse. “ I will never understand why it is so difficult to get cath lab patients transferred from an ED patient to pre-admit.” The scribe stops trying to record patient information in the electronic health record and calls the admitting department. The scribe is so frustrated because admitting has not updated the patient type listed in the electronic health record. This patient was seen a few minutes ago in the ED for an acute myocardial infarction. The patient had come into Western States Hospital with a chest pain. An EKG was ordered for the patient and the EKG showed that the patient had a STEMI. Once this diagnosis was made, the patient was emergently transferred to the cath lab. Although the electronic health record used by the facility has many features that allow care providers to access necessary patient information, the system has a few issues. The issue that caused the most headaches in the cath lab was the fact that the cath lab personnel could not view important patient information or chart new information until the admitting department changed the patient type from ED to pre-admit. Although there was a way to override the system to view the necessary information, this process was also concerning. Charting within the system was not possible even with the override, and there had been some instances where the latest information from the ED was not in the system if the system had been overridden. Time frames were also problematic. Quality measures and reporting requirements necessitate accurate times. “ Door-to-balloon times” are an important reporting measure. Without the ability to chart in real time, the time of arrival to the cath lab and the time the vessel was opened are not accurately reflected in the system. As Western States Hospital collects data to determine how long it takes cath lab staff to open a vessel once the patient is in the cath lab, the report is showing that it happens very quickly, it almost seems like the average time is unrealistic. The procedure in the cath lab is that a scribe or technician is responsible for developing everything that happens during the encounter. Without the ability to document directly into the electronic health record, the scribe or technician sends precious time contacting admitting and documenting the encounter on paper. This information must then be transferred into the electronic health record or “back charted.” At Western States Hospital the scribe calls the admitting clerk and states, “ The patient from ED room 5 is here in the cath lab and patient type is still set at ED. You do realize that I cannot do my job when you do not do yours, right? Why can’t you admitting clerks figure out how to get these patient types changed faster and do your job so that I can do mine?” The admitting clerk responds, “ I have been busy taking care of other patients and didn’t realize this was your patient that was taken to the cath lab. I do have other patients to take care of besides the one that you have in the cath lab. Just override the system so that you can view the information until I get the type changed,” to which the scribe states, “ Truly you don’t understand the ramifications of what your job entails and the problems this can cause the patient. Just make the change. Now!” The patient type is changed and the technician is now trying to document what has happened to this patient in the cath lab from memory.

Don't use plagiarized sources. Get Your Custom Essay on
The Electronic Health Record
From $8/Page
Order Essay
TopWriters4Me
Order NOW For A 10% Discount!
Pages (550 words)
Approximate price: -

Why Choose Us

Quality Papers

Top Writers4me provides the best top-grade academic writing services in compliance with our customers’ instructions. Have your paper written by a certified professional online college homework help writer to produce only high-quality essays with zero plagiarism.

Professional Academic Writers

You can now choose from a pool of online college homework help writers. Choose your writer and have them write the best content for you.Top Writers4me has, over the years, secured a team of the most reliable, experienced, and qualified writers. You can, therefore, trust that your assignment is in good hands.

Affordable Prices

We know that students have very limited budgets. And for that, we always strive to provide only the best, most affordable online college homework help services to our customers. Our goal is to provide top-quality assignment help services to all customers at the lowest, most affordable prices.

On-Time delivery

At Topwriters4me.com, we pay strict attention to deadlines. We recommend you to check out clients’ reviews for assurance that we will complete your assignments within the set deadlines. You can, therefore, trust that your paper will be done within and before the set deadline. Until now, we have not missed a single deadline.

100% Originality

Our Topwriters4me.com homework helper experts write only 100% original and plagiarism-free content for all of our clients. We also have a Quality Assurance Department team that goes through all work submitted by our writers multiple times. You can, therefore, rest assured that any signs of plagiarized or unoriginal content will be rejected before it reaches your portal.

Customer Support 24/7

Topwriters4me.com expert writers are always available 24/7 for customers who need assistance with using our website. You don’t have to check your watch the next time you want to have your assignment written. Our customer support is always available round the clock and ready to listen to your queries. Feel free to contact us via the Chat window or support email: support@topwriters4me.com.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

For years now, Topwriters4me.com has stood as a leader in providing its customers with the best online college homework help service in the industry. And all you have to do is provide us with the details of your order. Leave everything else to us. We’ve always got you covered.

Essays

Essay Writing Services

Since we launched, Topwriters4me.com deserved the best online “college homework help status” thanks to our essay ordering, writing, and delivery process. We deliver nothing but excellence in our results. Our essay writing services include impeccable grammar, zero-plagiarism, proper structure, and conformance to guidelines.

Admissions

Admission and Business Papers

Our top-quality online college homework help services guarantee that you will be accepted into your desired university. You just need to fill out your admission and business papers, and our team of online homework help workers will handle the rest. We will help you achieve and secure the best positions in your admissions forms.

Editing

Editing and Proofreading

At Topwriters4me.com, we have a skilled writing and editing team that’s dedicated to creating, editing, and restructuring for all types of papers. Our online college homework help editing and proofreading team will check, paraphrase, and correct any grammar mistakes on your paper before submitting the final document to you.

Coursework

Technical Papers

At Topwriters4me.com, we pride ourselves in having writers in almost all fields, even the most technical ones. You never have to worry about your paper being too technical for our certified online college homework help writers to handle. Mycoursewriter's team of writers can handle even the most complex writers. We will match your paper to the most competent writer that we believe will handle your paper the best way possible.