Clinical And Administrative Information Systems

Nursing informatics (NI) has become a vital part of healthcare delivery and has become a defining factor in the selection, execution, and assessment of technology that supports safe, exceptional quality and patient-centered care. Nursing has become so uniform. The data in patient records has become a valuable resource and has improved assessments and overall patient care. Before the launch of nursing informatics throughout the second half of the 20th century there were not any real standards for language. The use of data restricted the function and

In order to practice as a nurse informatics or NI specialist, one must know and understand the standard to which he or she is held. The purpose and function of scopes and standards of practice for nursing informatics is to provide an overview of the specialty, assist future specialists understand their scope of practice, and practice at a competent level to guide and support nursing care. The scopes and standards of practice further provides an insight into the foundation of clinical decision making processes and cognitive concepts as the nurse moves data to wisdom in the clinical setting. As a NI specialist, the informatics nurse follows the concepts, scopes and standards of practice to guide and define their profession. This paper will further discuss the principles that guides nurse informatics specialist, the scope and standards of practice, professional performance, functional areas for nurse informatics, competencies, evolution, progress, and the future the specialty.

Nursing informatics and technology are quickly becoming the hot buzz words for nursing in the twenty-first century. While performing research for this specific paper, the observations of how far technology has come from its inception is mind boggling. When looking back to the mid 1990’s every patient had paper charting. Nurses manually charted vital signs, nursing notes, treatments and all orders were manually written in the chart. The patient’s name, insurance information, and billing items were stored electronically. Fast forward twenty plus years and everything nurses do with, for or to a patient is filed electronically. This file today is known as the electronic health record (EHR) (Lavin, Harper, & Barr, 2015). This paper will be delving into the history of nursing informatics and technology, the pros and cons for nurses and what will be the big picture for informatics and technology in nursing today and in the future. Nursing informatics and the technology that has evolved over time are changing and quickly affecting how nurses treat, communicate, plan and document everything that they do for their patients.

Informatics Certificate has decided that the 100 bed hospital that she works in would benefit

Implementation of a computer system to replace paper documentation would require the involvement of an interdisciplinary team. This team would be comprised of several members, each with a specific job. The first member selected would be a Clinical Nurse Informaticist. This team member would be charged with giving valuable input on the software needed for nurses to properly care for and chart on their patients. With the knowledge of nursing practice and informatics, this team member would very valuable in bringing the two together in the most efficient way possible. The next team

The name of their electronic monitoring system is the VitalPAC. The VitalPAC allows nurses to plug in information about their patients easily onto an iPAD. This accurately records what time treatment was giving and what dosages were given. This method helps staff members do their jobs but also holds them accountable for their actions. With electronic monitoring a timestamp records exactly when a patient received treatment. Electronic monitoring records who the caregiver was taking care of the patient and where the treatment took place. The benefits of electronic monitoring are immeasurable. “We welcome technology that improves the care we can offer, but it will never replace the face-to-face contact that our patients value” (Downey, 2015). Oswestry Orthopaedic Hospital is the first orthopaedic provider to adopt the electronic system. The system replaces all paper charts and makes everything paperless which is beneficial to the facility keeping everything organized and taking up less space. Electronic file saving also reduces the loss of records in case of a fire or other natural disaster. VitalPAC is very helpful to nurses producing an observation chart automatically and calculating an early warning score. Calculating a warning score can be very time consuming if done manually. “Recording vital signs data regularly and accurately is central

While there is a learning curve associated with moving from paper charting to on line documentation of nursing care, there are a few measures that can decrease the amount of time spent in front of the computer. In order to avoid time spent frequently logging into the system there are security features that can be used such as finger print technology and employee badge swipe technology. Instead of writing notes on paper and then recording in the computer nurses are encouraged to complete documentation at the patient bedside at the time of patient care

It is important to note that the implementation of health information technology should not add to the operational burden on the nurses but provide for improvements in patient care (Jacques& Howell,2015). Clancy states,” that the nurse informaticist play a vital role in the successful planning,design and implementation of information technology” ( 2015, p.535). The selection of this new upgraded software will be easily configured and maintained by the IT department. The nurse informatics specialist will assist with the design and implementation of an app system that integrates to an upgraded electronic health record ( EHR) that will display crucial patient information and vital alarm information to the healthcare providers healthcare certified mobile phone and also a centralized dedicated alarm monitoring area in the nurses station. This upgrade in the EHR will provide easy accessible information to help providers to prioritize patient needs as urgent and critical vs noncritical and can wait. The use of mobile devices displaying patient critcal information enables staff to effectively communicate and collaborate with other members of the health care team to respond to a crisis because of an actual life-threatening actionable alarm event. The use of this enhanced, upgraded EHR not only assist health care providers to prioritze actions and react more proficiently to alarms but it will also help to determine the appropriate treatment plan for the

With the rapid growth in the implementation and use of electronic medical records, there is an increase in how we define the role of nurses and other team member’s (Deese & Stien, 2004). Along with providing optimal care, nurses are also responsible for interpreting and accurately documenting large amounts of information. According to, (Ericksen, 2009) nursing informatics is defined as the integration of nursing, its information, and information management with information processing and communication technology to support the health of people worldwide. In this

HIS, also known as healthcare information system is a broad system used in healthcare settings. Depending on the needs of the facility, determines the complexity of the system. This can range from basic needs such as billing to the more complex which encompasses several systems that help manage every service available to the patient. Learning to use and integrate this into the nursing field is crucial to effectively care for and manage patients. In 2004, the Office of the National Coordinator (ONC) was established. This merged healthcare and IT programing in the United States. In 2008, ONC decided on terms used to identify patient’s records. Within the clinical information system, there are three different types of patient records being

A nursing technology revolution is around the corner. In recent years several advances have been made towards the implementation of various programs that help hospitals move more efficiently from ordering tests to admitting the patient into the hospitals proprietary system. In larger hospitals computers have been installed at nursing workstation so that nurses can chart information, view trending, and print lab reports. This is a long way from where nursing was 15 years ago.

The purpose of this paper is to identify and describe two health information and communication technologies (HICTs) and how they aid nurses in supporting safe, quality care, facilitating continuity of care and care coordination, and partnering with patients and families to increase participation in health care. HICT involves electronic creation, storage, exchange, and analysis of health information to advance delivery of health care. Widespread use of HICT within the healthcare industry can achieve the following goals: improve healthcare quality and safety, reduce costs and health disparities, enhance clinical research, and ensure security of patient health information (McGonigle & Mastrian, 2015). Several examples of HICTs include: electronic medical record systems, electronic prescribing, consumer health applications, and telehealth (Agency for Healthcare Research and Quality [AHRQ], 2015). Integration of HICTs in healthcare settings is valuable for all clinicians, but most importantly nurses as they are primary caregivers.

Cerner, one of the top two EHR systems in the country, was chosen by UAB when leaders in the health system decided to switch to a fully integrated health information system. As mentioned previously, the decision to choose Cerner EMR, PowerChart, as part of an integrated system fulfilled a core value of the organization and follows the trend of many institutions throughout the country. (Conn, 2013) PowerChart provides users with an integrated, clinical database that allows them to view real-time clinical data, enter orders, and ¬¬¬document in patients’ chart from multiple locations throughout the health system.

As technology has and continues to advance so will the expansion of nursing informatics. Data from (19th annual 2008 himss leadership survey, 2008) hold this statement true showing a steady increase in the implementation of technologies. As computers became smaller, it became easier and efficient for hospitals and physicians office to implement their use. (sutton, 2007)The first computers were large, expensive, and inefficient. Now, computers are compact, inexpensive, and efficient. The smaller technology allows for portability of information. PDA’s are small enough to fit in your pocket. With these small devices, you can look up a patients medication, drug interactions, side effects, and just about anything, you could think of to

The information technology is changing the world at deviate speed and evident in the healthcare system. The integration of new technologies within the system are emerging the change in nursing practice and improvement of patient safety. The purpose of this paper is to provide an overview on the implemented in nursing practice strategies and contribution of information technology to the development of new healthcare system.