Documentation and Hand-Off Communication · NCLEX Exam

A new electronic health record system is implemented; the nurse documents interventions in real-time at the point of care using a mobile device. The benefit includes:

  1. It generally takes the nurse much longer to document care.
  2. It delays the availability of information for incoming staff.
  3. Real-time, accurate documentation that supports timely hand-offs.
  4. It removes any need for a verbal hand-off between shifts.
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Correct answer: Real-time, accurate documentation that supports timely hand-offs.

Point-of-care documentation supports timeliness and accuracy, aiding hand-off and continuity of care.

Difficulty: Easy Question 17 of 20

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