The Care Setting Of An Intensive Care Unit ( Icu )

The clinic will use the most advanced computer, software and server systems, as well as an internet connection to optimize the EMR system. Other software and network systems will be used for quick verification, transference of patient information from other locations, and reduced administrative costs.

Adequate qualified medical staff must be present in all critical care areas caring for mechanically ventilated

The progress of my project to develop a nurse driven sepsis screening tool and an algorithm for implementation on the intensive care unit (ICU) for early identification and prompt treatment of septic patients has progressed remarkably well. I have been productive in gathering current guidelines for sepsis with the aid of my preceptor who is a critical care nurse practitioner on the ICU. With his help, I have been able to assemble key pieces of research to create a sepsis screening tool, and a treatment algorithm with sepsis resuscitation bundles. Extensive research has been conducted to integrate evidence-based practice in my project. I have also spent time with the unit educator, critical care intensivists, and my colleagues in brainstorming and collecting ideas about my project.

How Information System’s Assist: The facility states that it offers their physicians and patients access to the “latest high-tech imaging services, digital medical technology and specialized equipment.” This equipment includes the use of digital radiology imaging, digital echocardiograms and digital cardiac catheterization. The facility also uses an Electronic Medical Record system, which they claim enhances patient safety and maximizes physician connectivity. Having this equipment helps the facility differentiate itself from its

Technology permeates every domain of critical care and has contributed to rising survival rates. The technological innovation grew out of boundaries, changing all industries involved. In health care, the advancement in science and technology play an important role in almost all process from patient registration to data monitoring, from lab tests to self-care.

On august 13, 2016 I was assigned to follow one of the ICU Nurse. It was a very calm day. She had two patient one was more critical than the other. Both patients were on the ventilator because they had to be intubated the night before. The lady is obese and had gastric bypass surgery two years ago and suffering from severe sleep apnea, but the patient is non-compliance to the CPAP treatment. That was her second time being intubated. She was admitted for seizure monitoring because she was constantly having seizures the day before while she was at home. Due to the fact that she did not want to wear her CPAP machine while in the hospital, after pain medication was administered she was found unresponsive, that was the reason for her intubation the night before. Patient was on intermittent suctioning, she has sinus tachycardia . I had the opportunity to observe some of her daily care. The patient was on fentanyl but when the Dr. try to wean her out of the ventilator she stop breathing, therefore, the DR. discontinue the fentanyl temporarily in other to retest her later.

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

Cerner integrates patient information throughout all of the departments within a hospital setting. This program also has the ability to expand into other health care facilities within a community, such as long term care, hospice, and home health (Cerner, 2015). Cerner offers community hospitals solutions in their “Software as a Service” model. Cerner will host the software program, provide upgrades, and monitor performance to ensure stability. This will allow community hospitals to have a predictable cost for the software (Cerner, 2015). Another advantage of this system is the “Smart Room”. Wireless devices such as infusion pumps, and vital sign monitoring devices can access the system. This allows for instant documentation of this information into a patient chart and will alert if abnormalities are noted. Bar code scanners and carts are available as well. These items improve patient safety (Cerner, 2015). Cerner is capable of CPOE, electronic prescription transmitting, and has the ability to capture data and immunization statuses to meet reporting regulations.

Visit your local Emergency Room on any given day and you are likely to witness a sort of controlled chaos: nurses, doctors, transporters, patient care technicians, and other ancillary staff members all darting about, attempting to meet the needs of increasingly sick patients in oft-overwhelmed and overpopulated hospitals. All around, various alarms sound. IV pumps signal fluid bags about to run dry. Vital sign monitors ping at differing volumes and intensities, in an electronic demand for staff to mind the out-of-normal-range

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

Aviation first trains their pilots on simulators and case studies before allowing pilots to fly the plane by themselves. This development was created after World War II to reduce pilot error (Gibson & Singh, 2003). Aviation makes it very hard to allow their pilots to make mistakes, especially since those mistakes include potential deaths. I believe healthcare should follow the footsteps of the aviation industry. Practitioners should practice and continue to practice even throughout their careers to ensure that new techniques and skills are learned and old ones are sharpened. As the world continues to advance, so do the use of technology and different methods when implementing care. Gibson and Singh (2003) mentioned the use of “dummy medicine”. Practitioners and nurses can now practice on simulated patients and act out real life situations so that they are better prepared to handle these situations on the field. This will reduce the likelihood of medical errors or mistakes from occurring and safeguard patients from these events. Cadavers, simulated patients, three dimensional (3D) realities, and even case studies can help all healthcare providers to learn, train, and sharpen their skills so that the mistakes will be made during the training rather than on an actual patient. Even though someone may train on a simulator, does not mean they are skilled and competent to care for a living human

Critical care nurses provide advanced nursing care for patients in critical or cornary care units. The preparatin required to become a critical care nurse education wise most occupations require training in vocational schools, related on-the-job experience, or even a associates degree. The job training required however employees usually need any where from one to two years of training involving both on-the-job and informal training with experiened workers.

We will also work with VMS to create a satisfaction survey or any other information needing to be collected from your patient’s. We want to make sure that we are working together in building your telehealth program.

Our primary competitor in the inpatient domain is the incumbent solution of allocating a patient sitter position, at a cost of $10,000/bed/month. The next best solution that leverages technology is provided by AvaSure—with its AvaSys “telesitter” product. The “telesitter” is in fact a live human sitter that the hospital merely relocates into an office to watch over a collection of monitors, each showing the video feed of 8 to 12 different beds. If a patient is seen to be pulling out IV lines, getting out of bed, or otherwise needs assistance, the telesitter is trained to alert the nursing team and will try to call out via a speaker placed next to the camera – a potentially jarring experience for the patient not expecting a disembodied voice

The purpose of the analysis was to highlight potential revenue lost in the Intensive Care Unit by illustrating the lack of charges submitted and lack of a user-friendly system in place to capture the supplies used. Currently there is an unclear process that is carried out across the facility. not just in the ICU division. Each unit has a different way to capture charges, and some couldn’t speak to the process at all. The current ICU analyzed has one Assistant Nurse Manager (ANM) that charges for items by entering items used off a list that is to be filled out by the bedside nurse or charge nurse. Adding the product information into the new EMR under the patient visit charges for the high cost items. If this ANM is not working, the items did