The Effects of Information Technology on Perioperative ... - AORN

EXAMINATIONCONTINUING EDUCATION PROGRAM<strong>The</strong> <strong>Effects</strong> <strong>of</strong> <strong>Information</strong><strong>Technology</strong> on Perioperative Nursing2.8www.aorn.org/CEPURPOSE/GOALTo educate perioperative nurses about ways that perioperative nursing and theperioperative work setting are affected by advances in health care informationtechnology (IT).OBJECTIVES1. Describe the benefits in implementing health care IT.2. Identify problems associated with implementing health care IT.3. Discuss skills nurses need to successfully incorporate IT into nursing practice.4. Identify perioperative practice roles related to IT.5. Discuss the Perioperative Nursing Data Set (PNDS) as part <strong>of</strong> the electronichealth record (EHR).<strong>The</strong> Examination and Learner Evaluation are printed here for your convenience.To receive continuing education credit, you must complete the Examinationand Learner Evaluation online at http://www.aorn.org/CE.QUESTIONS1. According to the US Department <strong>of</strong> Health andHuman Services Health <strong>Information</strong> <strong>Technology</strong>Department, IT will be increasingly used to improvethe quality <strong>of</strong> health care and1. reduce costs.2. decrease medication administration errors.3. reduce time spent on paperwork.4. increase management efficacy.5. allow affordable access to health care.a. 2 and 3 b. 1, 4, and 5c. 1, 2, 3, and 4 d. 1, 2, 3, 4, and 52. Findings <strong>of</strong> a Royal College <strong>of</strong> Physicians’ Surveyindicated that many IT systems1. address everyday nursing practice.2. are designed on medical models.3. do not address nursing aspects <strong>of</strong> patient care.4. are not effective tools for nurses.a. 1 and 2 b. 2 and 3c. 3 and 4 d. 2, 3, and 43. Skills identified by the <strong>Technology</strong> InformaticsGuiding Education Reform initiative that areneeded to successfully integrate health care ITinto nursing practice include1. attitude and awareness skills.2. computer skills.3. informatics.4. information literacy.5. s<strong>of</strong>tware code writing.a. 1 and 5 b. 2, 3 and 4c. 1, 2, 3, and 4 d. 1, 2, 3, 4, and 5© AORN, Inc, 2010 November 2010 Vol 92 No 5 ● AORN Journal 541

November 2010 Vol 92 No 5 CE EXAMINATION4. _____________________________ combinesnursing science with computer, information, andcognitive sciences to address the study and management<strong>of</strong> health care data.a. A perioperative nurse educatorb. An informatics nurse specialistc. A perioperative clinical nurse specialistd. A robotics nurse specialist5. According to the Joint Commission, adverseevents that may be associated with implementation<strong>of</strong> health care IT include1. compromised safety and effectiveness if theEHR is not properly designed, implemented, orinstalled.2. creation <strong>of</strong> new work processes, which couldinitially impede surgical case flow.3. impaired safety and effectiveness <strong>of</strong> care ifstaff members do not receive proper training.4. reduced speed <strong>of</strong> perioperative workflow duringthe IT learning process.a. 1 and 2 b. 3 and 4c. 2, 3, and 4 d. 1, 2, 3, and 46. Use <strong>of</strong> a national EHR will promote sharing <strong>of</strong>health care data, which will facilitate the use <strong>of</strong>best practices and standards among health careproviders.a. true b. false7. <strong>The</strong> PNDS gives perioperative nurses1. a foundation on which to base perioperativenursing research and evaluation <strong>of</strong> patientoutcomes.2. a universal language for perioperative nursingpractice and education.3. a framework to standardize documentation.4. a legal resource for malpractice cases.5. data about the contributions <strong>of</strong> nurses to patientoutcomes in the perioperative arena.a. 1 and 4 b. 2, 4, and 5c. 1, 2, 3, and 5 d. 1, 2, 3, 4, and 58. Data in the EHR that is based on the PNDS canbe used to measure and correlate clinical, financial,and operational outcomes.a. true b. false9. AORN’s SYNTEGRITY Standardized PerioperativeFramework facilitates standardization <strong>of</strong> perioperativedocumentation by using the PNDS,which is crosswalked to1. accreditation specifications.2. clinical standards.3. mandatory reporting criteria.4. regulatory requirements.a. 1 and 4 b. 2 and 3c. 1, 2, and 4 d. 1, 2, 3, and 410. Many perioperative nurses resist the change toelectronic documentation because1. they are only accustomed to paperdocumentation.2. they fear that they will not be successful.3. they will feel inadequate or lack confidence intheir own performance.4. their fears can interfere with their ability tolearn and adapt to the new technology.a. 1 and 2 b. 3 and 4c. 2, 3, and 4 d. 1, 2, 3, and 4<strong>The</strong> behavioral objectives and examination for this program were prepared by Rebecca Holm, MSN, RN, CNOR, clinical editor,with consultation from Susan Bakewell, MS, RN-BC, director, Center for Perioperative Education. Ms Holm and Ms Bakewellhave no declared affiliations that could be perceived as potential conflicts <strong>of</strong> interest in publishing this article.542 AORN Journal

LEARNER EVALUATIONCONTINUING EDUCATION PROGRAM<strong>The</strong> <strong>Effects</strong> <strong>of</strong> <strong>Information</strong><strong>Technology</strong> on Perioperative Nursing2.8www.aorn.org/CEThis evaluation is used to determine the extent towhich this continuing education program met yourlearning needs. Rate the items as described below.OBJECTIVESTo what extent were the following objectives <strong>of</strong> thiscontinuing education program achieved?1. Describe the benefits in implementing health careinformation technology (IT).Low 1. 2. 3. 4. 5. High2. Identify problems associated with implementinghealth care IT. Low 1. 2. 3. 4. 5. High3. Discuss skills nurses need to successfully incorporateIT into nursing practice.Low 1. 2. 3. 4. 5. High4. Identify perioperative practice roles related to IT.Low 1. 2. 3. 4. 5. High5. Discuss the Perioperative Nursing Data Set aspart <strong>of</strong> the electronic health record.Low 1. 2. 3. 4. 5. HighCONTENT6. To what extent did this article increase yourknowledge <strong>of</strong> the subject matter?Low 1. 2. 3. 4. 5. High7. To what extent were your individual objectivesmet? Low 1. 2. 3. 4. 5. High8. Will you be able to use the information from thisarticle in your work setting? 1. Yes 2. No9. Will you change your practice as a result <strong>of</strong>reading this article? (If yes, answer question#9A. If no, answer question #9B.)9A. How will you change your practice? (Select allthat apply)1. I will provide education to my team regardingwhy change is needed.2. I will work with management to change/implement a policy and procedure.3. I will plan an informational meeting with physiciansto seek their input and acceptance <strong>of</strong>the need for change.4. I will implement change and evaluate theeffect <strong>of</strong> the change at regular intervalsuntil the change is incorporated as bestpractice.5. Other:9B. If you will not change your practice as a result<strong>of</strong> reading this article, why? (Select all thatapply)1. <strong>The</strong> content <strong>of</strong> the article is not relevant to mypractice.2. I do not have enough time to teach othersabout the purpose <strong>of</strong> the needed change.3. I do not have management support to make achange.4. Other:10. Our accrediting body requires that we verifythe time you needed to complete the 2.8 continuingeducation contact hour (168-minute)program: ___________This program meets criteria for CNOR and CRNFA recertification, as well as other continuing education requirements.AORN is accredited as a provider <strong>of</strong> continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.AORN recognizes these activities as continuing education for registered nurses. This recognition does not imply that AORN or the American Nurses Credentialing Centerapproves or endorses products mentioned in the activity.AORN is provider-approved by the California Board <strong>of</strong> Registered Nursing, Provider Number CEP 13019. Check with your state board <strong>of</strong> nursing for acceptance <strong>of</strong> thisactivity for relicensure.Event: #10501; Session: #4028 Fee: Members $14, Nonmembers $28<strong>The</strong> deadline for this program is November 30, 2013.A score <strong>of</strong> 70% correct on the examination is required for credit. Participants receive feedback on incorrect answers. Eachapplicant who successfully completes this program can immediately print a certificate <strong>of</strong> completion.© AORN, Inc, 2010 November 2010 Vol 92 No 5 ● AORN Journal 543