NR 602 i Human Tips POST PDF

Preview

Summary

tips on how to navigate and do ihuman assignments....

Description

NR 602 iHuman Tips  MAKE SURE TO LOOK AT THE RUBRIC!!!  FYI, the cases get a bit harder as you go.  For the EMR Requirement and Management Plan Requirement of the rubric, you write that info in the patient’s EMR. On the top left of iHuman, it says "show patient record." There are multiple tabs and each one are blank. In there, you write all your findings as if you were charting on the patient in real life. This is where you would write everything for the EMR portion. and then for the "Management Plan Requirement," you would write all that you will plan to do for your patient in the "plan" tab after you choose your diagnostics. You will include what is mentioned on the rubric.  You only have 2 attempts to get 80% or higher to get full points for this part (10 points). iHuman cases are 75 points each (see rubric for the breakdown of the points). Students need to complete the first attempt of the assigned iHuman case by Wednesday 11:59pm MT. The student has the option of 1 additional attempt to improve their score by Sunday 11:59pm MT at the end of week 1. There will only be a total of 2 attempts max per each iHuman assigned case. After you submit your first attempt, the professor will generate a report and provides some feedback for your second attempt.  Do the practice cases so you get an idea on how the program works. We have 5 practice rounds with William Montgomery. The learning mode shows you everything while the testing mode will show you how it will be when you do the actual iHuman cases. Testing mode won’t show you everything. You’ll see what I mean when you do the learning modes and testing modes.  Asking a lot of questions to try to find the right ones cuts down your percentage for the history. You can get a pad of paper and pen and writing down what you ask and the answer OR take pictures/screenshots. Plan it out like a real HPI. There is no running conversation like in SH. In other words, you won’t see what questions you asked or what actions you did. Consider a complete differential and also tests that you would order to rule in/rule out those diagnoses.  After asking 5 questions, hit the “hint” button to see how many questions you are missing from each section. You get 10 hints total for each case.

 On the left side of the screen are “key findings” enter here pertinent findings such as: fever x 1 week or dysuria, etc. you’ll actually use these to categorize as “most significant active problem”, a lead diagnosis or an alternate. This will come up after the initial history taking portion. The entire health record is accessible through a tab that will also have info from a last visit (if there is one). Pro tip: copy/paste the info for PMH, FH, SH, meds/allergies from the old visit to the new visit, just update if needed. This is where you’ll enter other findings from ROS, and physical exam (though some parts of PE flow through). The treatment plan and everything will flow into the record from when you are in that portion of the case study.  Keep a record of everything that you do. It will help you on your second attempt.  It will get time consuming, but for the first attempt, ask every single question so you can find all the “good questions.” When you ask a “good question,” the program lets you know. Order all the tests you want because it will show the results. If it is not a test they recommend at this time, it will tell you that it isn’t indicated. Take note of all your findings and it will help you get a better score on your second attempt. You are graded not just on the overall performance but how many questions you ask (50 questions or less to get full credit for this part).  For the differential diagnosis section, click on whatever you want and what you think it is. The next screen after you submit your selections will show you the “correct” differential diagnosis. But then you have to determine the Lead, Must-Not-Miss, and the Alternatives.  Try to attend the debriefs on Thursdays of the IHuman case that week. The first attempt is due by Wed. then Thursday debrief, second due by Sun. You will get a lot of clues for stuff in the debrief. For the recorded version I don't think you can see the chat box but in the live you will. You get a lot from the chat box  iHuman for Week 1 - First review the week module and all of the possible issues a woman would have with her breast. In the modules it gives all the possible diagnosis.  Tips for iHuman from a Professor: On average, it should take approximately 1.5 – 2.5 hours to complete each case. Consider the iHuman cases like a ‘real’ patient visit. How many questions are asked in a ‘real’ episodic patient visit? Would we ask 100 questions? How many physical exams are conducted in a ‘real’ episodic patient

problem visit? How many differentials are considered? What diagnostics are indicated as ‘first-step’ or initial workup evaluation? What first-step or initial treatment/management is recommended per evidence-based diagnosis/assessment/evaluation and condition specific treatment/management guidelines put forth by National organizations? Our subjective assessment/history is the MOST IMPORTANT part of our visit!!!! Focus only on what is directly relevant/related to the CC/problem(s) noted and let your history guide each part of the visit (Subjective assessment, Objective assessment, Differentials, Diagnostics indicated, MOST likely diagnosis (es) based upon individual factors, and treatment/management plan. (i.e Would MS assessment be relevant for patient presenting with CC or s/s consistent with asthma?) When ordering diagnostics, it is important to know diagnostics are not indicated to ‘find’ a diagnosis. Instead, diagnostics are indicated to CONFIRM the diagnosis we suspect based upon our subjective and objective assessment findings. If we do not obtain a thorough assessment based ONLY on what is directly related/relevant, the remainder of our exam will not be relevant and our care will not be effective. Given the number of attempts to complete each iHuman case, I highly recommend you prepare/study/practice BEFORE completing an assignment for grading by FIRST completing some of the 5 clinical practice cases. Although these cases are optional, they are in Learning Mode, which means feedback/rationale is provided to you at the end of each case to help you prepare/become familiar with iHuman cases prior to completing required cases for grading. Rather than adding additional time constraints by completing practice cases, it is anticipated that this practice will prepare you and result in you being more time efficient (spend less time) when completing required/assigned cases. Completing practice cases will help you become familiar with iHuman and feedback when completing these cases will help you learn how to better focus only on what is relevant to the problem/CC. You will deepen your understanding on how to complete these visits from the feedback provided. MAKE SURE TO FOLLOW THE RUBRIC. Good luck....