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