Use electronic health records in nursing

Use electronic health records to document nursing assessment, diagnosis, interventions and outcomes based on comparable nursing classification systems and nursing taxonomy.

work with electronic health records in nursing
use of electronic health records in nursing
document nursing assessment electronically
electronic health records use in nursing
electronic health-records use in nursing
using electronic health records in nursing

skill/competence

sector-specific

Use electronic health records in nursing is an essential skill of the following occupations:

Specialist nurse: Specialist nurses promote and restore people’s health, and diagnose and care within a specific branch of the nursing field. Examples of such specialist nursing jobs include but are not restricted to; ambulatory care nurse, advanced practice nurse, cardiac nurse, dental nurse, community health nurse, forensic nurse, gastroenterology nurse, hospice and palliative care nurse, paediatric nurse, public health nurse, rehabilitation nurse, renal nurse and school nurse. Specialist nurses are general care nurses prepared beyond the level of a nurse generalist and authorised to practice as specialists with specific expertise in a branch of the nursing field.
 
Advanced nurse practitioner: Advanced nurse practitioners are in charge of promoting and restoring patients` health, provide diagnosis and care in advanced settings, coordinating care within areas of chronic disease management, providing integrated care, and supervising assigned team members. Advanced nurse practitioners are general care nurses who have acquired an expert knowledge base, complex decision making skills and clinical competencies for expanded clinical practice on advanced level.
Nurse responsible for general care: Nurses responsible for general care are in charge of promoting and restoring patients` health by providing physical and psychological support to patients, friends, and families. They also supervise assigned team members.

Use electronic health records in nursing is optional for these occupations. This means knowing this skill may be an asset for career advancement if you are in one of these occupations.

Nurse assistant: Nurse assistants provide basic patient care under direction of nursing staff. They perform duties such as feed, bathe, dress, groom, move patients or change linens and may transfer or transport patients.

References

1. Use electronic health records in nursing – ESCO