Point Of Care In Nursing

In the hectic and harried environment of a hospital, a nurse or technician does not have to search for an available workstation when they can pull up an individual chart on their tablet. Medical personnel can expect to access medical records more frequently and faster than traditional paper and folder charting models. “Location no longer creates a barricade to patient data. Role-based roaming and printing means better access to records from multiple locations. Many different devices, such as tablets and mobile phones, are supported.” 3

This essay will discuss and reflect on one of the Principles of Nursing Practice and I will relate this to my practice experience. It will focus on Principle of Nursing Practice A: Dignity, humanity and equality and I will demonstrate knowledge of the Principle of Nursing Practice in my essay and investigate the professional, legal and ethical frameworks that guide nursing practice and discuss and link what I have experienced in practice to my chosen Principle.

This essay covers the Key concepts of care. In 2013 the Francis report highlighted the need for student nurses to test and experience their values and levels of care and compassion, and whilst it is seen that the failures highlighted in the report go further than a lost compassion of nursing, this exercise is to look at the key concepts of care and the principles of the 6 Cs (Care, Compassion, Courage, Communication, Competence and Commitment) which have been identified as fundamental values, although not the only ones as nurses have other core values such as organisational, professional and NHS values to work to. I have selected one of the 6 Cs (communication) for a more detailed description from which I will then provide as requested in my brief an example specific to its application in a particular service. The area I have selected to apply this to, is Dementia.

be hung. First off for electrolytes we check results to ensure what the numbers were, everything

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.

In today’s hospital environment, our main focus is placed on technology, medications and treating a diagnosis. Often patients are wheeled from one examination to another with little personal interaction received from their healthcare provider. Patients are hooked up to monitors alarming endlessly due to staff being either unavailable to silence them or not having the compassion to comfort. Technology has become so dominant in hospital settings that we have lost sight of providing the

The centralized point for the patient information is an integral segment of the clinical transformation. Once an office has transfer from paper-based records to the electronic, he or she will make the records more accessible and easy to obtain through the Tablet PC. With a Tablet PC, doctors along with other medical staff can update a patient's record even when he or she is away from his or her workstation. The Tablet PC will increase the doctor's mobility because; he or she will be able to access the information virtually anywhere, which they would not have to depend on the nurses to pull the charts.

Meaningful use has been defined as any tool or technology that adds value to improving the lot of patient care and patient administration; as a result of Meaningful Use (MU) legislation that provides incentive payments to hospitals and other providers that use certified electronic systems and encode clinical data with standardized terminologies (Dykes & Collins, 2013). It can also be defined as a set of standards that have must be adhered to by health care providers that wish to continue to receive incentives under these Medicare and Medicaid MU programs. These metrics can be found on the Centers for Medicare and Medicaid Services (CMS) website.

William Smith is a 68-year old man who was transferred to the Palliative Care ward from a surgical ward three days ago. The patient was admitted on January 26, 2013 for removal of a sacral abscess that had been a source of a lot of pain to him. Following his surgery, his future management was evaluated and it was decided that he would be transferred to the Palliative Care ward since he could not be discharged home. The palliative assessment of Smith would require the development of a suitable nursing care plan that would help deal with the condition. The nursing plan requires an understanding of the patient’s social history, medical history, physical assessment upon admission, and palliative care unit admission assessment.

In today’s complex and highly competitive environment, clinicians struggle with finding a defining edge in quality of care, patient satisfaction, and affordability. To respond to these needs physicians are looking for better tools to record information, assist in clarifying issues, provide comparative results over time, become more affordable, improve workflow and procedural process, and share information with outside partnering organizations. Clinical technologies have come a long way to help answer some of these needs. These technologies have become more precise, functional, focused and mobile. They are perceived in many circles as valuable and necessary in the practice of modern medicine. Moreover, the use of clinical

This type of technology would provide information on the general practice, medical specialty, radiology, pharmacy, and laboratory data which relates to the patient. Health care providers would be able to access patient information, diagnostic images, test results, medication, and medical history and patients would be able to access their own information with ease from their home environment (Jones & Donelle, 2011). Although electronic health records would provide little effort for health care workers to access information, there are and will continue to be challenges with the implementation of the product without a hands-on approach (Jones & Donelle,

Nursing leaders must apply critical thinking and analysis skills in order to find opportunities to improve gaps in care. Consequently, nurses with the ability to identify, understand, and influence opportunities for improvements while consistently achieving quality and safety goals have unlimited opportunities to exercise leadership (Grossman & Valiga, 2012). Lastly, nurses whom have the understanding of the complexity of leadership and the awareness that the leadership role is something every nurse can fulfill will lead nurses towards change and advancing health as the Robert Wood Johnson Foundation (RWJF) and Institute of Medicine (IOM) has campaigned for action while enhancing nurses’ contributions to delivering quality

Better coordination of care – With digital records, clinicians can more easily coordinate and track patient care across practices and facilities. For example, the Mayo Clinic2 offers a “one-stop care” system that provides the services a patient needs—office visits, testing, surgery, hospital visits—under one roof so services can be coordinated and scheduled over the course of a single visit, rather than time-consuming multiple visits. Clinicians across specialties and disciplines also collaborate on

There are many advantages with the implementation of electronic medical records for the patient. One important advantage is the ability for the patient’s medical record to be shared amongst the patients other physicians. Information that can be shared includes recent labs, diagnostic testing, and prescribed medication. Another advantage is patients are provided access to certain medical information in his or her medical record through a patient portal. This allows patients to have a more active role in their health care. One disadvantage for patients is many feel that once electronic medical records are implemented, office visits become less personal due to the medical assistant, nurse, and/or physician is too busy answering questions on a computer or tablet.

Nursing of the future builds on old technology and new innovations to continue to grow towards a common goal. Nurses are just starting to see some of the changes happening in their workplace. Laptop computers on wheels aka (Cows) have been implemented to make the recording of patient data happen at the bedside. Larry Flynn and Dave Barista (2005) reported that “Wireless networks allow nurses to continue the care to the patient and not the chart. This is where nursing informatics plays a key role in hospital based technology and implementation of such technologies.