Morris, Melissa MSN, RN, CPN, CHSE; Fernandez, Ana DNP, RN, CNE
Documentation in health care serves to provide an accurate record of the patient’s status and needs at a point in time. We examined if using an educational EMR (EEMR) impacted the quantity of student documentation. One group of students learned with the EEMR and another group with a paper chart. Use of the EEMR improved students’ nursing notes, VS, I & O, and MAR documentation, but the quantity of documentation by students in both cohorts was low. If you are thinking about an EEMR, or using one, be sure to watch the video and read the article.