Nursing and Informatics for the 21st Century: An ... - Nice Computing

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Karen S. Martin, Omaha, NE. Monsen, K.A., Fitzsimmons, L. L., Lescenski, B. A., Lytton, A.B., Schwichtenberg, L. D. and Martin, K. (2006). A public health nursing informatics data-andpractice quality project. CIN: Computers, Informatics, Nursing,Vol. 24, (3), 152-158. Ramona E. Nelson, Allison Park, PA, and Susan K. Newbold, Columbia, MD. Nelson, R., Meyer, L, Rizzolo, M., Rutar, P., Proto, M.B., & Newbold, S. (2006). The evolution of education information systems and nurse faculty roles. Nursing Education Perspectives, Vol. 27(5) 247-253. Newbold, S. K. (2006). Twenty five years of Capital Area Roundtable on Informatics in Nursing: A national group for informatics nurses. CIN: Computer, Informatics, Nursing, Vol. 24(4), 238-239. Ting Ting Lee, Taiwan. Lee, T.T. (Aug 2006) Adopting a personal digital assistant system: application of Lewin’s change theory. Journal of Advanced Nursing, Vol. 5, p.487. Bobbie Stone, Freehold, NJ. Rose Sherman, Bobbie Stone, and Karen Anita Thornton. (April 2006). Why Take The Call? Nurse Leader Journal Bonnie L. Westra, Blaine, MN. Westra, B.L., Solomon, D., & Ashley, D. M. (2006). Use of the Omaha system data to validate Medicare required outcomes in home care. Journal of Healthcare information management, 20(3), p. 88-94. Quoted: More Member News June Clark, Newton Swansea Wales and Richard Hayward, Sturry, Kent, were featured in this article. Lack of NPfIT [National Programme for IT] involvement concerns nurses, http://www.ehealth-insider.com/news/ item.cfm?ID=1974 Loretta Schlachta-Fairchild, Frederick, MD was featured in an article, “Closing the distance between classroom and clinical. Nursing Spectrum, October 9, 2006. continued on page 7 CARING Meeting Conference Report By Amy Walker An enthusiastic Central Florida CARING group met once again on Sept. 15 at South Seminole Hospital in Longwood, Florida. Guest speaker, Sue Prince RN, MSN, Network Director for Huntsville Hospital, presented on Enhancing Communications, Efficiency, and Patient Safety. The presentation detailed the journey for Huntsville Hospital (HH) to automate the process of communication between the patient and the caregiver, caregiver to caregiver, and caregiver to support personnel. Daily, approximately 5,200 patient calls are processed through the Patient Response Center and about 8,000 requests are processed through the Advanced Patient Response Platform (APRP) at HH. These electronic tools track meaningful realtime data for care decision support based on automated rules. The measurable outcome has been improved response time to patient needs, enhanced patient safety by timely and effectively communication, promotion of a quiet and private clinical environment, and improved resource efficiency. Sue’s presentation was on point to the positive impact that nursing and advanced electronic clinical tools can have on patient outcomes and clinical practice. A thought provoking question and answer session followed the presentation. Thanks to Sue for traveling all the way from Alabama and sharing with us this valuable information. The Central Florida CARING group was also fortunate to have two nurses from the Orlando Regional Healthcare System present on Meeting the Needs of Oncology Patients Through Electronic Order Entry. Marietta Deilus, RN and Marietta Deilus Miscellany A variety of stories or items of interest. Nuggets of Wisdom By Eva Feldman Sue Prince Michele Foor, RN walked us through the electronic order management process for chemotherapy protocol orders, from physician to pharmacist to the certified oncology nurse for administration to the patient. Thanks to Marietta and Michele for taking time out of your busy implementation schedule to share your expertise with the group. The next Central Florida CARING meeting is scheduled for November 10, from 2-4 pm at South Seminole Hospital. Health First nurses will present and demo the Knowledge Based Charting and Results System. Wuesthoff Hospital nurses will demo NIC/NOC Online Documentation and Emergency Department Management Documentation. In addition, Orlando Regional Healthcare System and OptimizeIT Consulting will be hosting a WINI in Orlando on Feb 16-18, 2007. Nearly two years ago, after having been a bedside ICU nurse for twenty-some years, I was overjoyed to be pulled off staff to join the clinical side of the Information Services department. My role was to contribute the ICU perspective and help prepare the critical care areas for computerized nursing documentation. My only preparation for such a role change was being in the right place at the right time. Needless to say, I have learned much since then and would like to share a couple of nuggets of wisdom. continued on page 7 CARING • Page 6
Miscellany continued from Page 6 Tech Talk Nugget First and foremost, be very aware that your knowledge of tech talk differs greatly from the public’s knowledge. The earnest nurse manager of the ICU was trying to be helpful by putting up a colorful sign in the unit, with encouraging words to the anxious staff. The sign had a picture of a cartoon computer and proclaimed, “Let’s Go-Live!” The next day, a distressed visitor approached one of the nurses, indicated the sign and remarked, “That’s an awful thing to be hanging up in a hospital, especially in an intensive care unit.” The perplexed nurse didn’t know how to respond, until the visitor said with disdain, “Let’s go live!” pronouncing ‘live’ with a short ‘I’. The sign was removed without ceremony. Nutty Nugget Next, make sure you have well-trained super users, with sharp eyes and minds, who are able to carefully review the electronic record. In Meditech CS, the frequency text on the nurse’s worklist can be customized as long as it is preceded by a ‘dot’ or period. The first week of the ICU go-live, a patient who was rather difficult to handle and was having hallucinations had an unusual ‘dot’ frequency on his worklist. Instead of the frequency ‘.NUR’, the frequency for his activity order said, ‘.NUT’. The improper, though accurate, error was quickly corrected. I have taken these lessons to heart, as I hope you will. In my life, experience remains the best teacher. Be a Bookworm in a New Sense By Debra Derickson I have been commuting to work using public transportation or driving for many years, and have often tried to make good use of my time by trying to read journals and newspapers, or by listening to news radio. At home, I always had some excuse for not reading very much. I would read perhaps a short article or two, but rarely would I attempt reading a long book for pleasure. Over the years, I have felt somewhat guilty about my neglect of reading books and of my ignorance of new bestsellers or the classics. Recently, my teenage daughter got an iPod MP3 player to listen to her favorite tunes, and I learned how to use one to help her figure it out. In the process of exploring this relatively new technology, I found out about audio books that I could play on the iPod as well. I promptly got my own MP3 player, subscribed to an online audio book service, and have been faithfully downloading book after book, from novels for young adults, to classic or self-improvement books, to the latest best seller. To my great surprise, I have “found” new time for books with this new tool. I listen to books during my commute to and from work, while doing household chores, while shopping for groceries or while waiting in lines or in a waiting room. Because the player is only a few inches long and weighs only a few ounces, it is so convenient to take with me wherever I go, and I find that consuming each book can go very quickly.” I don’t want to sound like a paid advertisement, but I always recommend to others to consider using one of these new audio file players for listening to audio books to enhance their enjoyment while making efficient use of time, being a bookworm using the sense of hearing. My next adventure will be downloading some podcasts to listen to news, stories, or music that I find of interest on the web. It’s a brand new world for me, and I encourage you explore this time saving technology for yourself. Happy listening! Page 7 • 3rd Quarter 2006 continued on page 8 More Member News Sandra M. Trakowski, Falls Church, VA, was quoted in CAP Today [College of American Pathologists], August 13, 2006. Pushing for nursing to be in on IT decisions. See http://www.cap.org/apps/docs/cap_ today/surveys/0706PatSvy.pdf Sue Thomson, Frederick, MD., and Ruth MacCallum, Cary, IL, were quoted in Health Data Management, August 2006. Michael Sutter, Champaign, IL, was interviewed for an article in Healthcare IT news and in the EMR Advisor on Carle Clinic’s EMR implementation. Research Grant Awarded: Lieutenant Colonel Caterina Lasome, Tricare Management Activity, Falls Church, VA; Colonel (retired) Nancy Staggers, PhD, RN, FAAN, University of Utah College of Nursing; and Colonel (retired) Bonnie Jennings, DNSc, RN, FAAN, Health Care Consultant, Alexandria, VA are Co- Principal Investigators for a recently awarded $3.011M, two-year research grant from the Telemedicine and Advanced Technology Research Center (TATRC). The study will evaluate the usability of automated clinical practice guidelines in AHLTA, the military’s global, longitudinal computerized ambulatory health record for military service members and Department of Defense beneficiaries. Clinicians will participate in hands-on performance testing, leading to development of a prototype application and further testing. The goals of the research are to improve clinician efficiency as well as patient care outcomes. Neat Stuff: Christen Burkeen, Occoquan, VA, and Diane Struck Shelkin, Alexandria, VA, volunteered for Habitat for Humanity in Biloxi, MS, last summer. Nancy Sharp, Bethesda, MD, is cofounder of the Nightingale Policy Group, a virtual organization to help nurses involved in public policy. Please send items for future newsletters to: Susan K. Newbold, snewbold@umaryland.edu
Page 1 and 2: CARING Vol. 21, No. 3 3rd Quarter,
Page 3 and 4: Nursing and Informatics for the 21s
Page 5: Photo courtesy of Karl Oyri Korea,
Page 9 and 10: CARING Networking Dinner at SINI 20

Nursing and Informatics for the 21st Century: An ... - Nice Computing

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