The advancement in technology solutions has led to the implementation of Electronic Medical Records (EMR) Software in hospitals. Nurses can use the robust EHR system to improve patient care delivery, reduce errors, and enhance healthcare delivery. Nurses have to make quick and accurate decisions at the point of care and the holistic patient data in EMR Software makes that possible and empowers them to work efficiently.
How can Nurses use EHR Software Technology?
Here are some ways nurses in the United States can utilize Electronic Health Records Software:
Patient Admission and Documentation
When a patient is admitted, nurses can record vital signs, medical history, allergies, and current prescriptions using electronic medical records software. Furthermore, any changes in patient conditions can be updated with progress notes. The integration of AI in EMR Software can help to automate the documentation and charting process to accurately update patient records.
Medication Administration
Some Electronic Health Records Software can be integrated with barcode scanning. This integration can help nurses verify patients before their admission and even retrieve all medical details. The eMAR (Electronic Medication Administration Record) in EHR systems can be used by nurses to keep track of patient medication and dosages. This helps to reduce any medication-related errors and ensures the right medication dose is given.
Care Plans
Care plans can be created and updated by nurses in the EMR Software system. These plans can be customized and even shared with other care team members. This ensures that everyone involved in the patient care process is well aware of aligned patient goals.
Streamlined Order Management
Through the EHR system, nurses can directly order lab tests, imaging studies, and other procedures, which expedites and reduces waiting times. The software system can be used by nurses to track orders and efficiently follow up on results.
Discharge planning
A vital part of patient care is discharge planning, which is done by nurses to facilitate a seamless transfer from the hospital to the patient’s home or another care facility. A well-planned discharge encourages patient safety, reduces the risk of readmission, and aids in continued rehabilitation. Nurses can input all vital discharge information including aftercare, and follow-up schedules in the patient’s EMR.
Key EHR Software Features that Can Benefit Nurses
The following Electronic Medical Records Software tools can be leveraged by nurses to streamline tedious tasks and enhance patient care greatly:
- Patient Information Management Tools
- Templates
- Clinical Documentation
- Medication Management
- Interoperability for care coordination
- Secure communication with providers
- Clinical Decision Support
- Data reporting and analytics
As we get to the middle of May, we should appreciate the nursing staff for their efforts and contributions to patient care in the US. May is National Nurses Month, and nurses deserve all the respect as they work relentlessly to keep communities healthier. Nurses are the backbone of healthcare and their contributions have been commendable.
