NURS 6051 week 4 - Grade: a PDF

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NURS 6051 Transforming Nursing and Healthcare Through Information Technology Current Information and Communication Technologies Four Week Technology has an impact on our lives every day, technology seems to advance exponentially these days and healthcare and nursing a big player in the technology evolution. Various technologies tools Most of the technologies discussed in the video are known to me and have been in place for quite some time. These technologies such as an electronic bed board do most assuredly streamline the process. I work for a large hospital network and all hospitals can access each other’s bed boards so not only my hospital but others in the network so which enables some us to get direct admits from a different hospital ED if they are unable to handle the volume. Identify a Recent Adopted Information, Education, or Communication Technology Tool Used in your Specialty Area On my unit, we use a bed sensor called EarlySense. These mats placed under the patient’s mattress that connect to a bedside monitor. This system monitors Respiration rate heart hate and has a multi-level bed exit sensor. There is also a turn counter that is used to help prevent pressure ulcers and reposition patients. The system consists of the matt, the bedside monitor, there is also a hallway monitor and another at the nurse’s station. The system uses a color coded and auditory alerting. The parameter can be adjusted and set individually. Also on the hallway and nurses station monitor the nurse assigned to that pat is listed.

Reflect on how it is Used and how its Impacts the Quality of Care This system has some great benefits, the turn counter can be very helpful in a busy shift as a reminder. We still rely on the bed exit alarms and do not use the bed exit sensors on the EarlySense. I have been at this hospital a short time just started in October, so I am unsure if they were ever used and found to be unhelp, or what the reason we don’t use that feature is.

Barriers preventing increased usage Since this is used on my unit but I go little training on the system, and policies surrounding the usage. I recently fond out after the fact that you cannot adjust the parameter settings without clearing it with the responding clinician. This needs to be incorporated into the orientation process which would aid the staff in using this to their full capacity.

References American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author. McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning Staggers, N., & Thompson, C. B. (2002). The evolution of definitions for nursing informatics: a critical analysis and revised definition. Journal of the American Medical Informatics Association, 9(3), 255-261.

Christine Shuffield

The hospital I work at is a 112 hospital bed with 40 emergency room bed hospital and does not have a neurologist. We get many stroke and stoke symptom patients that walk-in or are brought in by family members. As McGonigle and Mastrian (2015) state, “If there is to be significant improvement in quality and safety outcomes in the country through the use of information technology, the designs for human-technology interfaces must be radically improved so that the technology better fits human and task requirements” (p. 244). In order to treat the stroke and stroke like patients, the hospital has become stroke certified. We created a Paulding Emergency Response Team (PERT), have formulated the response actions to meet timing criteria, and have done many training modules to support and help the stroke patient. One of the very amazing things the hospital as implemented for stoke/neurological symptoms is Specialist On Call (SOC), also called teleNeurology. We have a system in place when we have a patient with stroke like symptoms; we activate the PERT team and have the patient to CT in under 5 minutes with a neurologist on call as soon as the patient gets back to their room when they leave CT. The neurologist via televised conference call, and with the help of the patient’s nurse, examines the pt and confers with the ER doctor on staff to

discuss care of the patient. The SOC has worked so well at our facility that we are now incorporating it for psychiatric consults when we don’t have on on call psych doctor. The only issues we have run into is when the tele-equipment has not been plugged in and powers off during a conference (not a good thing). I feel like they need to implement a loud noise or command to plug in the equipment within a 10-minute window of shutting down, and a longer cord would help. As Simpson (2012) states, “Value-based care initiatives can quickly take hold because these efforts pair America's significant investment in health care with improved clinical outcomes” (p.87). References McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning. Simpson, R. L. (2012). Technology enables value-based nursing care. Nursing Administration Quarterly, 36(1), 85–87....