Week 2 peers replies NSG 3150 HC informatics

NSG 3150 - Healthcare Informatics

Week 2 - Peer Response Instructions

· Substantially respond to at least  two other student posts in a way that prompts further input or provides another viewpoint.  Describe a situation from your nursing professional experience that backs up your viewpoint and discuss the social, moral, political and economic factors impacting your position.

· Please respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites.

· Provide a rationale for your response with at least one scholarly source using an APA in-text citation and full reference.

Kamira Cassandra Furuta

Jul 19 at 8:52am

A safety enhancing technology that i use in my practice that enhances patient safety is EMAR or electronic medication administration record. It included patient’s ordered medications, what was given and when they were given instead of paper records. Emar reduces safety risk because when the doctor orders a medication, it automatically gives them an alert on patient’s allergies. The nurses have to scan the patient and medications to make sure that the right medication is given to the right patient. The emar also tells you the dose, time and automatically documents it after clicking submit. It gives detailed instructions about the medication administration, signs and symptoms, precautions (fall, biohazard, high-alert, etc), and titration instructions as well. It gives you parameters as well, for example Hydralazine can be given if sbp >160, insulin sliding scale and titration doses for heparin gtts.

Before giving certain meds like insulin, electrolytes, beta blockers, the emar shows you the latest lab results and makes you put in the latest vital signs which helps a nurse catch/ think if that certain medication is indicated to be given at that moment or not. Emar has really helped me because as a new nurse, there were times that I have to give meds i am unfamiliar about so i like to do research about the meds before i give it to the patients. It helps me give meds safely by guiding me with the 6 rights of medication administration and it’s very efficient and convenient. Another thing i like about it is when i give pain meds, it reminds me to reassess the patient’s pain level after an hour.

Jessica Lanham

Jul 19 at 3:57am

A safety-enhancing technology I use on a daily basis while working on an in-patient Neurology/Oncology floor is our I-Mobile. Nurses and CNAs have their own I-Mobile they carry with them the duration of their 12 hour shift. The I-Mobile is an iPhone that has all the apps we use to communicate effectively to various team members throughout the hospital. We have the app called "MobiLab" which is the app for collecting all labs ordered by the physician. The app is great because we have to scan the patient and verify the patient's date of birth through the app and then scan the lab labels. We also use the app called "Patient Keeper" which is an app that has all the patients information someone would see on a patients chart, EMR. We are also able to see wound pictures or any other pictures that are downloaded to the patient's chart. We also use the "Care Teams" app, which allows for each individual provider to be assigned to their patient. This app makes it easy to see who is assigned as my patient's respiratory therapist, physical therapist, pharmacist, case manager, etc. The I-Mobile technology has definitely helped to reduce the risk of wrong patient identifiers. The phones specifically have allowed nurses to scan barcodes such as arm bands to verify the correct patient is receiving the correct care. The technology has also increased nursing efficiency with communicating between the other healthcare team members. I believe the technology has also decreased efficiency at the same time. It can sometimes get overwhelming working dayshift and having 7 patients to each nurse and for example: your I-Mobile is going off constantly because your patient is off telemetry, physicians are giving you verbal orders while you are assessing a patient, the lab is calling you to give you a critical lab result and your CNA is calling your phone from another room also. My phone goes off non-stop during a 12 hour shift and it can delay patient assessments or interrupt a patient talking to you. I definitely have a love/dislike for the I-Mobiles. According to our textbook, "Health information technology (HIT) was seen as a tool to aid the reform process with recognition of its potential to improve the safety and efficiency of healthcare delivery, facilitate transparency, increase engagement, personalize healthcare, and facilitate the sharing of information needed to improve the quality of care as well as decrease costs and disparities." (Czar & Hebda, 369) The I-Mobile device has certainly assisted significantly in improving the safety and efficiency of healthcare delivery.

Reference

Hebda, T. L., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). New York, NY: Pearson.