Question

A widowed 85-year-old male is transported to the emergency room for a fractured hip after found dazed and semi-oriented in his home by a visiting neighbor. The triage nurse receives the emergency medical service phone call that the client is 20 minutes out. The nurse uses the client's name to search within the HIE record locator service to access essential information. The nurse is able to find one unique client based on the emergency medical service–reported client name and address. After logging in to the HIE, the emergency room nurse views information provided by the client’s primary care physician and cardiologist, the client’s pharmacy, the public health registry, the laboratory results on last international normalized ratio (INR), and chemistry and hematology results. An older hospital record is also found on this client and this information is retrieved to help prepare for the client. On the client's arrival, the nurse and the emergency physician find the client unable to state allergies and some of the medications, so they use the information from the HIE to verify past history. The nurse verifies with the client the information and uses the provider data repository to contact the pharmacy on recent dosing protocols for the client's anticoagulant. They are able to complete assessments and examine current status and route the client to the radiology department for additional testing. Describe the standard healthcare information the nurse will be able to find through the HIE. Describe the types of services the triage nurse and emergency physician could use after accessing the HIE.

Answer 1