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

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Miscellany<br />

continued from Page 6<br />

Tech Talk Nugget<br />

First <strong>and</strong> <strong>for</strong>emost, be very aware that your knowledge of tech talk differs greatly<br />

from <strong>the</strong> public’s knowledge. The earnest nurse manager of <strong>the</strong> ICU was trying to<br />

be helpful by putting up a colorful sign in <strong>the</strong> unit, with encouraging words to <strong>the</strong><br />

anxious staff. The sign had a picture of a cartoon computer <strong>and</strong> proclaimed, “Let’s<br />

Go-Live!” The next day, a distressed visitor approached one of <strong>the</strong> nurses, indicated<br />

<strong>the</strong> sign <strong>and</strong> remarked, “That’s an awful thing to be hanging up in a hospital,<br />

especially in an intensive care unit.” The perplexed nurse didn’t know how to<br />

respond, until <strong>the</strong> visitor said with disdain, “Let’s go live!” pronouncing ‘live’ with<br />

a short ‘I’. The sign was removed without ceremony.<br />

Nutty Nugget<br />

Next, make sure you have well-trained super users, with sharp eyes <strong>and</strong> minds,<br />

who are able to carefully review <strong>the</strong> electronic record. In Meditech CS, <strong>the</strong><br />

frequency text on <strong>the</strong> nurse’s worklist can be customized as long as it is preceded<br />

by a ‘dot’ or period. The first week of <strong>the</strong> ICU go-live, a patient who was ra<strong>the</strong>r<br />

difficult to h<strong>and</strong>le <strong>and</strong> was having hallucinations had an unusual ‘dot’ frequency on<br />

his worklist. Instead of <strong>the</strong> frequency ‘.NUR’, <strong>the</strong> frequency <strong>for</strong> his activity order<br />

said, ‘.NUT’. The improper, though accurate, error was quickly corrected.<br />

I have taken <strong>the</strong>se lessons to heart, as I hope you will. In my life, experience<br />

remains <strong>the</strong> best teacher.<br />

Be a Bookworm in a New Sense<br />

By Debra Derickson<br />

I have been commuting to work using public transportation or driving <strong>for</strong> many<br />

years, <strong>and</strong> have often tried to make good use of my time by trying to read journals<br />

<strong>and</strong> newspapers, or by listening to news radio. At home, I always had some excuse<br />

<strong>for</strong> not reading very much. I would read perhaps a short article or two, but rarely<br />

would I attempt reading a long book <strong>for</strong> pleasure. Over <strong>the</strong> years, I have felt<br />

somewhat guilty about my neglect of reading books <strong>and</strong> of my ignorance of new<br />

bestsellers or <strong>the</strong> classics.<br />

Recently, my teenage daughter got an iPod MP3 player to listen to her favorite<br />

tunes, <strong>and</strong> I learned how to use one to help her figure it out. In <strong>the</strong> process of<br />

exploring this relatively new technology, I found out about audio books that I could<br />

play on <strong>the</strong> iPod as well. I promptly got my own MP3 player, subscribed to an<br />

online audio book service, <strong>and</strong> have been faithfully downloading book after book,<br />

from novels <strong>for</strong> young adults, to classic or self-improvement books, to <strong>the</strong> latest<br />

best seller. To my great surprise, I have “found” new time <strong>for</strong> books with this new<br />

tool. I listen to books during my commute to <strong>and</strong> from work, while doing household<br />

chores, while shopping <strong>for</strong> groceries or while waiting in lines or in a waiting room.<br />

Because <strong>the</strong> player is only a few inches long <strong>and</strong> weighs only a few ounces, it is so<br />

convenient to take with me wherever I go, <strong>and</strong> I find that consuming each book can<br />

go very quickly.”<br />

I don’t want to sound like a paid advertisement, but I always recommend to<br />

o<strong>the</strong>rs to consider using one of <strong>the</strong>se new audio file players <strong>for</strong> listening to audio<br />

books to enhance <strong>the</strong>ir enjoyment while making efficient use of time, being a<br />

bookworm using <strong>the</strong> sense of hearing. My next adventure will be downloading<br />

some podcasts to listen to news, stories, or music that I find of interest on <strong>the</strong> web.<br />

It’s a br<strong>and</strong> new world <strong>for</strong> me, <strong>and</strong> I encourage you explore this time saving<br />

technology <strong>for</strong> yourself. Happy listening!<br />

Page 7 • 3rd Quarter 2006<br />

continued on page 8<br />

More Member News<br />

S<strong>and</strong>ra M. Trakowski, Falls Church,<br />

VA, was quoted in CAP Today<br />

[College of American Pathologists],<br />

August 13, 2006. Pushing <strong>for</strong> nursing<br />

to be in on IT decisions. See<br />

http://www.cap.org/apps/docs/cap_<br />

today/surveys/0706PatSvy.pdf<br />

Sue Thomson, Frederick, MD., <strong>and</strong> Ruth<br />

MacCallum, Cary, IL, were quoted in<br />

Health Data Management, August<br />

2006.<br />

Michael Sutter, Champaign, IL, was<br />

interviewed <strong>for</strong> an article in Healthcare<br />

IT news <strong>and</strong> in <strong>the</strong> EMR Advisor on<br />

Carle Clinic’s EMR implementation.<br />

Research Grant Awarded:<br />

Lieutenant Colonel Caterina Lasome,<br />

Tricare Management Activity, Falls<br />

Church, VA; Colonel (retired) Nancy<br />

Staggers, PhD, RN, FAAN, University<br />

of Utah College of <strong>Nursing</strong>; <strong>and</strong><br />

Colonel (retired) Bonnie Jennings,<br />

DNSc, RN, FAAN, Health Care<br />

Consultant, Alex<strong>and</strong>ria, VA are Co-<br />

Principal Investigators <strong>for</strong> a recently<br />

awarded $3.011M, two-year research<br />

grant from <strong>the</strong> Telemedicine <strong>and</strong><br />

Advanced Technology Research Center<br />

(TATRC). The study will evaluate <strong>the</strong><br />

usability of automated clinical practice<br />

guidelines in AHLTA, <strong>the</strong> military’s<br />

global, longitudinal computerized<br />

ambulatory health record <strong>for</strong> military<br />

service members <strong>and</strong> Department of<br />

Defense beneficiaries. Clinicians will<br />

participate in h<strong>and</strong>s-on per<strong>for</strong>mance<br />

testing, leading to development of a<br />

prototype application <strong>and</strong> fur<strong>the</strong>r testing.<br />

The goals of <strong>the</strong> research are to<br />

improve clinician efficiency as well as<br />

patient care outcomes.<br />

Neat Stuff:<br />

Christen Burkeen, Occoquan, VA, <strong>and</strong><br />

Diane Struck Shelkin, Alex<strong>and</strong>ria, VA,<br />

volunteered <strong>for</strong> Habitat <strong>for</strong> Humanity<br />

in Biloxi, MS, last summer.<br />

Nancy Sharp, Be<strong>the</strong>sda, MD, is cofounder<br />

of <strong>the</strong> Nightingale Policy<br />

Group, a virtual organization to help<br />

nurses involved in public policy.<br />

Please send items <strong>for</strong> future newsletters<br />

to: Susan K. Newbold,<br />

snewbold@umaryl<strong>and</strong>.edu

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