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Informatics in nursing practice sample paper
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Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
The data collected was over four weeks, from May 11, 2015 to June 5, 2015. Ten hours days four days a week for a total of 160 hours. The average patient volume assigned to the nurse was 8-10 per day. The method of recording was checks made on a calendar with brief notations of the conversation between the nurse and the patient care technician. CHECK (C)
Jeffery Chambers, RN worked a double shift the day before and was only able to get 6 hours of rest prior to returning to work which could have resulted in his fatigue. Also, Jeffery Chambers, RN unit was short staffed and he was managing several very sick patients. Per, The Institute of Medicine nurses that work greater than 12 hours in direct patient care, have an increased risk of patient errors (IOM, 2004). Carol Price LPN, by her own admission heard the infusion pump beeping several times and did not go in to check on the patient. Although she was not the primary nurse assigned to the patient, she was a nurse on the unit and therefore, had an established duty to care for Yolanda Pinnelas.
The real-world business situation that I will be addressing by collecting and analyzing a set of data is that of a Hospital, specifically that of the hospital staff and the patient safety interaction. I have chosen this specific business as it is my hope to utilize this degree to become a director at a local hospital. In Hospital’s there are so many aspects that one needs to look at. These aspects can be broken down into individual pieces of data that can be analyzed and provide a clear outlook of change.
While we can be pleased with many benefits that the electronic charting system and patient records keeping system have to offer, don’t you
The healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.
The American Reinvestment and Recovery Act laid out the groundwork for a program designed to equip hospitals and medical practices around the country with electronic health record systems by providing financial incentives (p. 245). However, in some markets such as long-term care facilities the transition to electronic system has been slow. Professional nurses whose careers are in long-term care in our nation will play major role in getting electronic health systems into these settings. It will take nurse advocating for these systems and continuation of research showing evidence that supports widespread adaptation of these systems, but nurse united under one cause, best practice can make anything happen.
I had to remember that my “patient” was still alive even though my computer system was not. In this situation I learned routine assessments along with the electronic health record are the best way to monitor patient outcomes. This is one of, if not the biggest, lesson the SimChart has taught me this
is a privately run home healthcare agency. Our company is operating in several locations in ten states, to date with over 40 agencies. We take confidentiality very seriously throughout all the departments of the company, making sure that the staff is aware of the policies and procedures that are put in place for assurance of our patients’ privacy. As I stated in my previous homework assignment, there are several departments within AngMar that handle different aspects of the healthcare process having the possibility of seeing patient information and there are compliance procedures set in place that are mandated by the company and the state in order to prevent any employees from sharing anyone’s private information. We work closely with Medicare and Medicaid in order to serve our patients, who are usually under a physician’s plan of care and need skilled nurses to assist them in their home (About Us, n.d.).
Using IT to reduce the number of descriptions are taking place during the same time implementation and other task occurring in the nursing unit. Challenges Experienced during an Informatics
The bedside nurse manages writing and updating the whiteboard each day using a templated board, the displayed information includes day and date, the names of the patient, bedside nurse, and primary and attending physician, family member 's phone number, diet, pain management and mobile numbers for Nurse, Charge Nurse and Nurse Assistant. This simple strategies is driving our thresholds to our benchmarks at an accelerated
Role of Graduate Nurse in Informatics are: 1) computer generated nursing care plan for each patient. 2) reminder and prompts that appear during documentation to ensure comprehensive charting. 3) help as a communication aid to other health care professionals taking care of the same patient. For example, Electronic Health Record. The role of Advanced Practice Nurses and Registered Nurses are same in Informatics regarding accessing, protecting and documenting patients Electronic Health Record(EHR).
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective.
I do believe that nurses have some ethical concerns related to nursing informatics. Even though electronic health record had made our lives easier in many ways, there are still some risks involved, such as issues with patient’s confidentiality or HIPPA. A patient’s confidentiality can be leaked in many ways, for example, a nurse who is charting on her computer and suddenly gets interrupted and leaves her screen on, which can give anyone passing by an opportunity to look into the patient’s health records. This given situation occurs a lot in the hospitals as I have witnessed it quite often myself. “The patient confidentiality issue could jeopardize a patient’s well-being and also the fundamental trust between the patient and the nurse” (Trossman,
Upon arriving to the unit this morning, I quickly realized today was going to be a chaotic day with the current patient census, and all of the new admissions. I was able to assist the night charge nurse with today’s assignments, while she helped with the code, and the day began. I informed my team that today was going to be a long day, and encouraged them to use each other and myself for help. I recommended they taking a few minutes to coordinate their work after receiving report. At 0745, when Jane informs me that the patient in 408 has fallen, I am quick to get into the room and do an assessment again.