Informatic Skills In Nursing

Although EMR’s may be taking over the medical world, paper medical charts remain the most well recognized form for keeping medical records. There are however some things within paper charts that some medical personnel might argue make it a primitive aspect of the medical field. One argument in itself is that the abundance of paper that is utilized in paper charting doesn’t stand up to the “green” society we aspire to live in today. “Paper charting used to take so long, the papers would always get unorganized, they took up so much room in the nurses’ station and the worst was waiting for a doctor to finish with a chart so I could chart what I needed to” (Brittney Guggino LPN, 2012). Another acknowledged concern with paper medical charts is the illegible handwriting of clinicians, which is a common, longstanding problem. Being unable to read orders clearly creates an added risk when dealing with patients treatments, medications etc. Paper charts may be familiar but they come with many downfalls and it’s these downfalls which may sway a person’s decision in the opposite direction in regards to the

Discuss an original presentation to introduce the new EMR system to staff on you unit. In your Presentation:

Informatics is a specialty in the nursing field that is combined with certain science. As stated by ANA (2008) “nursing informatics (NI) is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice” (p. 65). ANA further focus on the functional areas rather than the role that guides the scope of practice within NI. These functional areas include: “administration, leadership, and management; analysis; compliance and integrity management; consultation; coordination, facilitation, and integration; development; educational and professional development; research and evaluation; policy development and advocacy; and telehealth” (CCN, 2015, para. 1). With these functional areas in mind, a nursing informatics specialist can perform proficiently, depending on the specific task. Hence, the purpose of this paper is to summarize the result of an interview with a NI specialist and analyze the differences and similarities between the interviewee’s functional areas with that of scholarly ones.

I can understand how frustrating it can be switching from paper charting to electronic charting. I had it easy upon the switching. I worked at a facility that did paper charted. However I had to go to another facility in nursing clinicals that had already institutionalized computer charting. Therefore when my facility did the switch, I had already had the training that was needing. A lot of other nurses complained about the computer charting at first. I can understand. It seems like when I get used to a specific way of charting; it gets changed. We either go to a new program or something gets added. This causes us to have to learn a new method of charting a certain way after being accustomed to charting a

The electronic medical records has helped improved overall patient care . Allowing simple real-time charting for nurses has made charting more accurate and efficient.It allows for insurance to be billing to more efficient. Doctors can view a whole life time of health care information in one spot and review results quickly.

The use of informatics and technology have been really helpful in eliminating the use of paper in documenting care, however; it also came with its own challenges. At the nursing facility where I work we still use paper for medication administration record (MAR) but we use point click care (PCC) for all other documentations like the nursing notes, skin assessment and SBAR. The impact that these changes has on my practice is the fact it makes charting easier as oppose to writing, it also makes the information immediately available for the health care team.

Patient’s information is kept confidential and less likely to have a breach the HIPPA law. Having regular charting system, things can easily get lost. Pages can come out of the chart without knowing really knowing or noticing; personnel’s handwriting may not be legible, which cause confusing for other staff and billing, and the list can go on. With the electronic medical records, the need for paper would be less.

The scenario selected for this evaluation project focuses on the electronic health record. The scenario involves patient documentation, clinical decision support, and performing nursing notes. The project involves evaluation and implementation of EHR. The electronic health record and clinical decision support are not only relevant to my current organization but also are particular interest of mine. The electronic health record has helped to reduce the amount of paper which was a nightmare to maintain with the number of new patients being admitted daily. The electronic health record has also reduced the amount of missed documentation and errors. Any clinician can testify to the wasted time and poor communication among providers that sometimes results because antiquated paper records still predominate in our offices and on the hospital wards (Shortliffe, E. H., Tang, P. C., & Deimer, D. E., 1991). The clinical decision support system has been a great assistance to clinicians. Nurses, health visitors and midwives, as the largest group of healthcare professionals, record and generate most of the information used to maintain and improve patient care (Levy, S., & Heyes, B., 2012). Clinical support systems (CDSS) integrate information (ideally from high-quality research studies) with the

In Med Surg I, I was assigned to Harford Memorial Hospital. I was really excited to be back in the hospital setting after fourteen years of working in an outpatient surgical center. I previously worked in the Intensive Care unit at Fallston General Hospital for ten years as a critical care tech so I was really looking forward to caring for patients in the hospital setting. I was assigned two patients for which I had to perform a level two assessment on as well as their care. It was a rude awakening for me to discover that the nurses had to wear a phone and that it constantly rang while they were in the patient’s room trying to care for them. Also, all medical information and treatment was now in the computer and you had to scan their identification band and search for information throughout their chart. It appeared to me that some of the nurses never once looked their patient in the eye when they spoke to them, instead they stared at the computer. It made me feel a little uncomfortable the nurses’ main focus seemed to be on the computer and not on the patient lying in the bed. Brown (2011) agrees that individuals are continuously challenged with advancements in technology that can

Nursing informatics is a branch of nursing or area of specialty that concentrates on finding ways to improve data management and communication in nursing with the sole objective of improving efficiency, reduction of health costs, and enhancement of the quality of patient care (Murphy, 2010). It is also described as a growing area of nursing specialty that combines computer science, information technology, and nursing science in the management and processing of nursing information, data, and knowledge with the sole objective of supporting nursing practice and research. Various nursing theorists have formulated various theoretical frameworks or models related to nursing informatics (Wager, Lee, & Glaser, 2013), and they are defined as a

Technology in our age today has been emerging, and as the years advance it is certain that it will continue to facilitate the world that we live in on many different scales. In relation to medical care and advancement, technology can be used in many ways to enhance healthcare delivery and patient care. Through technology communication within the interdisciplinary teams of a patient which sometimes involves various specialties, is highly facilitated. Medical records are now easily shared within the team of specialist. For example, records such as specialty doctor's recommendations and laboratory records arrive faster at the primary care physician fingertip. This helps immensely in the providers decision making process for sometimes very time sensitive, lifesaving treatments preferences. Technology also helps to improve health care delivery and patient care because it has played a major role in decreasing the rates of preventable medical errors that are sometimes costly to patient lives. In an article published by the Internatinal Journal of Health

Sir, can you please step up to the glass, put your palm on the screen and follow the directions from the computer? This is where our future lies…in biometrics, computers, and science. Soon there will be no need to fill out tedious paperwork, to try to remember medications or past medical history. I know it exists in hospitals across America, I have seen it in action many times. Are we as nurses changing with the times? What is nursing informatics? Why is it important to me? How do I rate on the nursing informatics knowledge scale? What is my plan to increase my knowledge base? These questions should be at the forefront of every nurse’s thoughts. The information age has come crashing down on us from every possible angle in our lives, it

When you look at how nursing documentation affects patient outcomes consider all the benefits of informatics. Electronic charting systems allows for automation in patient safety issues. This automation can be prompts that forces a nurse to address things like abuse history, and many other requirements from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and if the nurses document, there is a history of abuse, the system can automatically send a referral to a department to follow up on the nurses charting. The clinical systems store valuable information, and re-populates, this information on later admissions. An example of this valuable information, would be a patient with the diagnosis of methicillin-resistant staph

Technology and innovation have transformed the way people function personally and professionally. In the past, writing and mailing a letter was standard but now most people send electronic messages and text messages to phones. Healthcare has been changing tremendously as well, not only are paper charts and records becoming obsolete, but now many facilities are sharing test results, visit information details, and prescribed drug lists. This move into the digital age has helped improve healthcare by cutting costs in the long-term, increasing efficiency with decreased wait times, and reducing medical errors. This evolving technology expansion, commonly referred to as nursing informatics has created many

Electronic medical records had a great impact in the ushering in of the age of Nursing Informatics. (Himss, 2010)EMRS present healthcare professionals with the ability to retrieve and organize data in a quick and efficient approach. With information so readily available, patient safety increases and we know that patient cost goes down. This happens because patient medications, allergies, history, demographic, and treatment information is more collectively available.