Initially my question dealt with geriatric assisted suicide, and what interventions were in place to assist so inclined individuals or prevention of this type of planning and follow-through. However, the intense search eliminated all of my results except one excellent article. So, I changed my clinical question from suicide, to Charco-Marie Tooth treatments, with the same result, and finally to a very general search for cancer and smoking.
In the beginning I chose to use PubMed because PubMed is my least favorite database search. I wanted to have the excuse to familiarize myself more with the database and hopefully encourge better experiences in the future. I can always find articles on PubMed, but I always struggle to convert the citations into an HMTL or export citations into Endnote. The difficulty of conversion severly impedes the effectiveness of the search and decreases my desire to use PubMed as a database search. The search was not time consuming at all, just the time spent trying to convert the citations into an HMTL and ultimately exported correctly into Endnote. I would not use PubMed in daily practice, there are too many other great databases to use that convert to Endnote easily.
So, I changed my search engine to EBSCOhost because of the ease of use, conversion ability, and time saved in completing the assignment. I use and would use EBSCOhost, Cochrine, CINAIL, micromedex, google scholar, and most other database searches again prior to using PubMed.
Thursday, January 29, 2009
Wednesday, January 28, 2009
Module 1 Question 2
Information technology (IT) plays huge roles in critical care by how data is assimilated, recorded, and then interpreted for diagnostic information. A prime example is the newer SMART IV infusion devices. Programed into the pumps are information related to medication concentration, amount, dosage, calculation of patients' weight, and guardrails to protect the patient from medical error. The responsibility still resides on the nurse choosing and programming the pump correctly, however, the pump provides set doses and concentrations for the nurse to choose from decreasing the chance of programming too large of a dose or too small of a dose.
Many hospitals have gone to an electronic charting system. These electronic systems can be kept longer than paper systems, don't smear the writing over the years, and provide a legible, legal record that holds up in court. Secondly, electronic systems are more secure from breach, provide strict confidentiality and can show footprints of unauthorized users in charts.
Codes seen are specific to procedures and equipment used for the patient. Based on code systems the patient is charge for the equipment or procedure based on the code submitted to the computer. Codes are organized specific to a department. Questionable codes on a patient are easily recognizable by the department and a phone call or e-mail can quickly correct the mistake and re-order the procedure/equipment appropriately. Because the codes are specific to different departments, the multidisciplinary code system promotes autonomy, pride and responsibility for each department to accurately and speedily deliver the equipment/procedure to the patient. This approach empowers all departments in effectively delivering quality care to the patient.
Many hospitals have gone to an electronic charting system. These electronic systems can be kept longer than paper systems, don't smear the writing over the years, and provide a legible, legal record that holds up in court. Secondly, electronic systems are more secure from breach, provide strict confidentiality and can show footprints of unauthorized users in charts.
Codes seen are specific to procedures and equipment used for the patient. Based on code systems the patient is charge for the equipment or procedure based on the code submitted to the computer. Codes are organized specific to a department. Questionable codes on a patient are easily recognizable by the department and a phone call or e-mail can quickly correct the mistake and re-order the procedure/equipment appropriately. Because the codes are specific to different departments, the multidisciplinary code system promotes autonomy, pride and responsibility for each department to accurately and speedily deliver the equipment/procedure to the patient. This approach empowers all departments in effectively delivering quality care to the patient.
Module 1 Question 1
Hello all, I am Monte L. Roberts. I have been an RN since 2002 and have worked in multiple specialties associated with critical care. I am a current a second semester student in the graduate nurse teaching program.
Graduate level nurses need to understand information management because many APRN's will be prescribing, making diagnoses based on data interpreted, and providing feedback based on results. If the information is assimilated incorrectly, or is misunderstood the patient is provided with the wrong care, charged for the wrong test, and ultimately increases the chance of serious negative events for the patient. Secondly, evidence based practice is more effectively identified through multiple sources of information technology. Understanding and using information management more effectively promotes an improved study, more validity, better communication between health professionals, and enhances the multidisiplinary approach toward health care. Information management continues to evlove and become more complex, understanding how the technology works in the individuals facility is pertinent to the success of the individual and facility.
Graduate level nurses need to understand information management because many APRN's will be prescribing, making diagnoses based on data interpreted, and providing feedback based on results. If the information is assimilated incorrectly, or is misunderstood the patient is provided with the wrong care, charged for the wrong test, and ultimately increases the chance of serious negative events for the patient. Secondly, evidence based practice is more effectively identified through multiple sources of information technology. Understanding and using information management more effectively promotes an improved study, more validity, better communication between health professionals, and enhances the multidisiplinary approach toward health care. Information management continues to evlove and become more complex, understanding how the technology works in the individuals facility is pertinent to the success of the individual and facility.
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