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Nurses are not using the already built in standardized care plans in the electronic health record system of the hospital to include individualized standardized care plans to the patients’ chart based on the patients’ diagnosis or primary problem(s) upon the patients’ admission to the hospital.

(3)   The hospital recently had a visit of the Joint Commission and got penalized for the nurses not adding care plans to the patients’ chart based on the patient’s diagnosis or primary problem(s) to the already built-in individualized patient care plans in the hospital electronic health record system.

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What are the benefits of adding and documenting on individualized standardize care plan in patient’s chart? 

               ___ Set of care plans are available and nurses do not have to develop a care plan

               ___ If nurse selects and adds care plan, it will automatically populate into patient’s chart

               ___ Patient’s educational tablet is dependent on nurses’ completion of adding care plan to the

patient’s chart.

               ___ Decreases nurses’ workflow time because preset care plan

               ___Nurses do not have to do any follow up teaching on care plan

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