Nursing Informatics HEATHER WACHOLZ TCCC What is Nursing

Nursing Informatics HEATHER WACHOLZ TCCC

What is Nursing Informatics Nursing informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice Nursing Informatics facilitates the integration of data, information, and knowledge The support is possible through information structures, processes, and technology

Purpose of Informatics Communication with other healthcare professionals Record of diagnostic and therapeutic orders Care planning Quality of care reviewing Research Decision analysis Education Legal and historical documentation Reimbursement

Health Insurance Portability and Accountability Act (HIPAA) Remember with increased technology to protect patient information No cell phones in patient areas No pictures No conversations about patient in open areas Close computer screen when finished charting You can access records on patients that you are giving direct care to. Do not access records for patients you are not caring for. For example, If you are working on Med/Surg do not access records from ER

Protect Patient Information Displaying information on a public screen Sending confidential e-mail messages via public networks Sharing printers among units with differing functions Discarding copies of patient information in trash cans Holding conversations that can be overheard Faxing confidential information to unauthorized persons Sending confidential messages overheard on pagers

Technology Smart Phone Accu. Nurse PDA device Vocera B 2000

Advantages Increases accuracy of nursing documentation Improvement in the nurse’s workflow Elimination of redundant documentation Automation of the collection and reuse of nursing data Analysis of data and core measures

Disadvantages Hidden costs Training staff may cost extra money because of time and money Maintenance costs when system crashes Downtime when system has to be upgraded Criminal activity when someone hacks into computer system and obtains protected health information

Technology Utilized By Nurses Every health care system by 2014 will be electronic The next generation of nurses will be prepared to work in technology-rich environments The science of nursing informatics has evolved to aid in the management of nursing data Nurses need to feel comfortable working with computerized data Nursing documentation is a dynamic and complex process Point-of-care technology must be designed to reflect the nursing role in healthcare

Smart Phones For Perioperative Nurses Loading policies, procedures, and educational materials into the phone. Included in this information notes from surgeon, patient positioning, videos, and pp etc. Quick references for lab values and medications

Accu. Nurse Computer headset with a speech recognition engine The system prioritizes interventions with a list Allows nurse rapid dictation Tells a nurse when to access or change an IV site

Bedside medication system on a PDA device Nurses scan the barcode medication and then scan the patient’s armband The PDA brings up the five rights There is automated alerts such as vital signs and pain scores assessments Nurses can communicate with the pharmacy

Vocera B 2000 Communication Badge Wearable device (Star Trek Badge) using hands free Allows nurses using the voice system without breaking sterile technique The nurse does not have to stop what they are doing The system can relay text messages In one study the system eliminated to miles of walking

Into The Future Providing Safe Patient Care

References Fuller, C. D. (2015). RN journal. Retrieved from Challenges in nursing informatics: http: //rnjournal. com Taylor, C. R. , Lillis, C. , Le. Mone, P. , & Lynn, P. (2011). Fundamentals of nursing. Philadelphia, PA: Wolters Kluwer Health/ Lippincott Williams & Wilkins.