Your Facility Is Using a Paper-Based Record

question 40

Multiple Choice

Your facility is using a paper-based record. The HIM department has decided to switch from an integrated record to a completely source-oriented record, postdischarge. You are responsible for training the staff members who assemble the records into the correct order. Which of the following must exist in order to implement this change?

• A) All documentation must be changed to reflect the new order.
• B) Except for physician's orders, physicians and nurses cannot document on the same page.
• C) Nothing has to change; the way the clinicians document information is irrelevant to the chart order.
• D) Physicians and nurses must document on the same page.

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Definitions:

Industrial Democracy

A system of governance in an organization where all stakeholders, including employees, have a say in decision-making processes.

Democratic Principles

The fundamental guidelines that promote equality, freedom, and justice within societies, often associated with the practice of voting and majority rule.

Labor Union

An organization formed by workers to protect and advance their rights and interests through collective bargaining.

Dismissal

The act of terminating an employee's contract by the employer, often due to redundancy, misconduct, or other workplace issues.