“Internet Tools for Advanced Nursing Practice” ChaPter 24 !!!!

The next topic to remember is The Internet Tools for Advanced Nursing Practice..... I learned that Spint is the commercial pioneer of fixed wireless broadband technology. Hence it provides geographical mobility up to 35 miles. Both wireless and fixed wireless talk/internet time is usually limited to about 5-6 hours with standby time up to 1 week. A wireless application permits Internet connectivity. It also allows for Web-based clinical decision support, patient and clinician e-mail communication, and point-of-care electronic health record data entry, data sharing, and messaging, including prescription writing.

Yes many tools that help nurses and medical teams. They barely rely on this kind of tools and it safe for them. Such as for example the wireless connection.

Yes it is true that Wireless technology is electromagnetically safe. And also, Bluetooth radio technology that nowadays trend, on which wireless devices rely was found to be safe and robust even within intensive care environments.

As much that we know that the internet is increasingly an important adjunct to safe practice. The number of practical tools available on the Internet increases each year.

In retrieving some information we can retrieve it through the internet but retrieval cannot solely depend on the book marking of Web pages. They change as Web editors and designers add new information and tools.

Clinical information obtained from governmental domains is likely to be less biased than information obtained from commercial sites. The credibility of content from educational Web sites varies and is likely to be directly related to the academic quality of the university the Web site represents.

 There is a vast difference in quality among commercial Web sites. It is therefore incumbent on the clinician to evaluate the credibility of the information obtained.  

Thank you....

ChaPter 23 The Ambulatory Care Systems

Today I have learned all about ambulatory care systems. The 23^rd topics of our nursing informatics class under our instructor Mr. Karlou R. Borja. In this chapter it talks about the president of the united state Mr President George Bush. Mr. Bush created the position of a national health information technology coordinator to develop a nationwide interoperable health technology infrastructure.

Further we know that there are set of Major Goals.

The set of four major goals includes the;

·         Inform Clinical Practice. It is information tools to the point of care, especially by investing EHR systems in physician offices and hospitals.

·         Interconnect clinicians. Building an interoperable health information infrastructure, so that records follow the patient and clinicians have access and involvement in health decisions.

·         Personalize Care. Using health information technology to give consumers more access and involvement in health decisions.

·         Improve population health. Expanding capacity for public health monitoring, quality-of-care measurement and bringing research advances more quickly into medical practice.

The Ambulatory Care Information System are design to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative and clinical activities associated with the provision and use of ambulatory care services and facilities. It’s Financial Benefits

-Clients benefits need to be verified and accurate insurance information obtained.

-A correct bill must be submitted to the proper payer. There is a process of determining which payer pays which portion of the bill this is known as the Electronic or Manual System. There are two indexes include:

The Patient Master Index which is the basis for collection of all patient-related data.

Referrals also are required by many health plans when a patient is to be seen (or referred) to another healthcare provider. Codes are designed to promote uniform reporting and statistical data collection of medical procedures, supplies, products, and services.

The Nurse is a user of the data contained in automated systems, and by the Automated Systems, it helps in the management of the data and the transformation from data to information to knowledge.

That’s what I have learned about the ambulatory care information see yahh on the other post.

ChapTer 22 Community Health Application

Yes if we talk community it reflects our mind about the CHN in this community Health Application the CHN is defined as the synthesis of nursing practice and public health practice applied to promoting and preserving the health of populations.

In this topic it includes domains of management Information System this includes the four which are;

·       Public health,

·       Home health,

·       Special population community,

·       Outpatient care.

The Medicare and Medicaid Legislation

This legislation expanded the demand for homecare services and increases the information needs that created the driving force for computer systems.

The Balanced Budget Act

This was created due to the need for information moved beyond billing information, statistical information, and the tracking of clinical data.

The Public Health Challenges develops IT System for the ff:

·         Relational database,

·         Manipulation of data and electronic interfacing systems to facilitate the sharing of data

That’s all heheheh JJJJ

ChaPTer 21 Critical care ApPlicatioN

Hi yes It’s my report hehehe I try to explain to you further about this critical care application.

CRITICAL CARE NURSING is the nursing specialty that deals with human responses to life-threatening problems.

CRITICAL CARE     is the multidisciplinary health care specialty that cares for patients with acute, life threatening illness or injury.

A critically ill patient is physically unstable with real or potential life threatening health problems requiring continuous intensive assessment and intervention.

A critical care application would include the Information Technology Capabilities and Applications in Critical Care Settings and it has a lot of major capbilities this would include;

·         Process, store, and integrate physiologic and diagnostic information from various sources.

·         Present deviations, from preset ranges by an alarm or an alert.

·         Accept and store patient care documentation in a lifetime clinical repository.

·         Trend data in a graphical presentation.

·         Provide clinical decision support through alerts, alarms, and protocols.

·         Provide access to vital patient information from any location, both inside and outside of the critical care setting.

·         Comparatively evaluate patients for outcomes analysis.

·         Present clinical data based on concept-oriented views ( organize data by patient problem or by system).

A device connectivity infrastructure helps the most in the field of nursing because it makes the work of nurses easy and no hustle.

This would also include the physiologic monitoring this physiologic monitors were developed to oversee the vital signs of the astronauts. We have also the Hemodynamic monitoring this can be use to:

Measure hemodynamic parameters.

·         Closely examine cardiovascular function.

·         Evaluate cardiac pump output and volume status.

·         Recognize patterns ( arrhythmia analysis ) and extract           features.

·         Assess vascular system integrity .

·         Evaluate the patient’s physiologic response to stimuli.

·         Continuously assess respiratory gases and electrolytes.

·         Estimate cellular oxygenation.

·         Continuously evaluate glucose levels.

·         Store waveforms.

·         Automatically transmit selected data to a computerized patient database

Arrhythmia Monitors

Computerized monitoring and analysis of cardiac rhythm have proved reliable and effective in detecting potentially lethal heart rhythms.

I think that’s for now huhuhu I’m hungry… L

chaPter 20.. Practice Application (^_^)

Hi talking about the practice application  according to Graves and Corcora, nursing informatics is an evolving definition. Thus Nursing Informatics is a combination of nursing science, information science, and computer science to manage and process nursing data, information, and knowledge to support the practice of nursing and the delivery of nursing care.” And there’s a good thing about this thing the American Nurses Association offered the newest definition of nursing informatics, for the ANA Nursing Informatics is a specialty that integrates nursing science, computer science and information science to manage and communicate data, information, and a knowledge in nursing practice.

Now we talk about the domains yes there are 3 domains in here. The 3 learning domains of Informatics competencies,

·       Computer literacy skills,

·       Information literacy skills,

·       General informatics competencies.

The first one is the basic computer skills will have needed to use a word processor,

The second includes the ability to recognize the need for information and to use these information correctly,

And the last one are basic skills required for all nurses relevant to nursing informatics.

In this report it also talks about the different types of knowledge, and what are these different knowledge?  These are the;

·       uncertainty,

·       heuristics,

·       fuzzy logic,

·       expert systems,

·       decision support systems.

There are also two types of Artificial Intelligence, it includes expert system and machine learning.

Chapter 19: IMPLEMENTING AND UPGRADING CLINICAL INFORMATION SYSTEMS

What I have learnd about chapter 19 grrrrr

            I have learned that this chapter have 8 phases the phases includes:

·        Identification of the composition of the CIS management team

·         Definition of the Problem,

·         Feasibility Study,

·         Environmental Assessment,

·         Development of a Project Timeline,

·         Giving of Recommendations,

·         Documentation and Negotiation of a Project Scope Agreement and

·         Allocation of Resources.

I have also learned about CIS Steering Committee, Project Team  and also with the Departmental Team. The managers of the CIS was compose of the representatives from different areas including the

·         hospital administration,

·         nursing administration,

·         medical staff,

·         information systems,

·         major ancillary departments,

·         health information management,

·         legal affairs,

·         consultants, and

·         appointed members

The key implimentators has the task of understanding the department’s information needs and the software features and functions, merging system’s capabilities with department’s operations, participating in developing and conducting end-user education, and providing high level of support in utilization of the system

Right now i have learned that nursing informatics was very complicated grrrr.

It’s all about chapter 17( Theories-Frameworks-And-Models )

As much as I have known before I thought theories would come first befor everything in the book but nursing informatics seems just primitive in this era. As days pass by, the lessons we learned gets more interesting. Lets start with the theories, models, and frameworks – I was somehow static and curious to how such a theory came by at this new age and who the proponents were; however, when there was a mention of Philippine perspective models as well. Nothing less expected of the Philippines where nurses are competitive globally. Among the recognized theories were : the following are the model theories which include the;

•   Grave’s and Corcoran’s model
• Schwirian’s model
• Turley’s model
• Data-Information-Knowledge (DIK) model

Each of this model came up with their best description in the use of Nursing Informatics as a specialty nowadays. One of model states that NI is the intersection between the discipline-specific science (nursing) and the area of informatics. The diagram of the framework was more like that of a Venn diagram where its circles are interconnected that then forms an intangible knowledge-base. It gets more exciting to know that the Philippines is also in the race for utilizing a nurse-computer interaction to its clients. In addition to patient records and miscellaneous needs---Philippines’ NI takes into account billing and insurance, nurse personnel scheduling and policies/procedures, and other involved healthcare sectors to be digitally under its helm. These newest addition of conceptual frameworks will surely prove that nursing is an ever-changing and dynamic profession.

Theories, models, and frameworks serve as the basis of foundation of practice, approach, and will further solidify your research. And that means it will not only form as guiding principles toward patient care but will also act as the backbone of nursing science.