To design and implement a decubitus ulcer risk management protocol in the electronic health record, the informatics nurse would first perform which action?
a. Build the screens in the electronic health record.
b. Determine evidence supporting decubitus ulcer risk management.
c. Develop the training program for staff.
d. Select the appropriate standardized language.
ANS: B
Collecting the evidence related to the issue is the first step in addressing a problem (remember the nursing process, the foundation of nursing practice). Based on the evidence, an assessment tool or tools and data needed from a patient perspective would be identified. The screens in the electronic record would be based on the workflow surrounding the patient assessment. A training program could not be developed until the protocol is adopted. The appropriate standardized language is selected based on what needs to be documented and what has been approved for use by the agency (e.g., ANA recognized terminologies).
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