Comments for Healthcare Informatics Resources http://healthcare-informatics-resources.com Copyright (c)2009 Healthcare Informatics Resources. All rights reserved. Email: admin@healthcare-online-education.com Wed, 30 Sep 2009 12:59:03 +0000 http://wordpress.com/ hourly 1 Comment on The wonders of electronic documentation by Admin http://healthcare-informatics-resources.com/2009/09/28/the-wonders-of-electronic-documentation-2/#comment-15 Admin Wed, 30 Sep 2009 12:59:03 +0000 http://educator2blog.wordpress.com/2009/09/28/the-wonders-of-electronic-documentation-2/#comment-15 Two and a half years ago, I had my first, of very, very many classes in the introduction of the electronic medical records. Being a clinical educator, I was extremely excited for a revolutionary change that was about to come about in my organization. I tried to encourage my staff-at two campuses that it was a wonderful thing and it is going to prove to be easier and safer for our patients than what we were doing. I went to classes in sunrise clinical management, patient profile, EC-101, E-mar, and I cannot remember what else. It all seemed like a blur, but the "leaders" in these groups assured us, "it will all come together." Now, at this present date, with the implementation of all these classes for the organization, we find that our Surgery department's, PACU's, Ambulatory units, the type of online documentation that was chosen, does not interface with all the rest. This is a dilemma. The gurus of the above listed online documentation and the gurus of SIS(surgical information system), do not know what to do or know how to proceed. Should all of peri-operative services continue to document our few medications that we give to our patients in the SIS program- or should they learn E-mar(the pharmacy driven online documentation). There have been conversations among our managers that we should stay within the confines of our SIS. The leaders of online documentation have said, we do not care, but someone has to make a decision-by Nov 8th. That is when E-mar-the pharmacy driven portion is going to go live. The leaders say that the ambulatory campus will not have to go on E-mar, as the patients are in and out in less than a day. There is always the problem of our members of our staff that sometimes float over to the in-patient campus. Being an educator, I see both sides, but someone has to make a decision soon. The education of the pharmacy portion is somewhat involved and our staff is having their difficulties with SIS. I have gone online and asked the question to my fellow nurses who might be in the same predicament as us. I think that when the entire process began over two years ago, someone might have had some kind of knowledge of the systems they were purchasing, upgrades we are going thorough, and whether every system talks to each other. Am I confused- but I do not think as confused as the leaders that have gotten us in this mess with not a clue on how to proceed. What I thought was once exciting, now has turned into a huge nightmare for the other educator and myself. Two and a half years ago, I had my first, of very, very many classes in the introduction of the electronic medical records. Being a clinical educator, I was extremely excited for a revolutionary change that was about to come about in my organization. I tried to encourage my staff-at two campuses that it was a wonderful thing and it is going to prove to be easier and safer for our patients than what we were doing. I went to classes in sunrise clinical management, patient profile, EC-101, E-mar, and I cannot remember what else. It all seemed like a blur, but the “leaders” in these groups assured us, “it will all come together.” Now, at this present date, with the implementation of all these classes for the organization, we find that our Surgery department’s, PACU’s, Ambulatory units, the type of online documentation that was chosen, does not interface with all the rest. This is a dilemma. The gurus of the above listed online documentation and the gurus of SIS(surgical information system), do not know what to do or know how to proceed. Should all of peri-operative services continue to document our few medications that we give to our patients in the SIS program- or should they learn E-mar(the pharmacy driven online documentation). There have been conversations among our managers that we should stay within the confines of our SIS. The leaders of online documentation have said, we do not care, but someone has to make a decision-by Nov 8th. That is when E-mar-the pharmacy driven portion is going to go live. The leaders say that the ambulatory campus will not have to go on E-mar, as the patients are in and out in less than a day. There is always the problem of our members of our staff that sometimes float over to the in-patient campus. Being an educator, I see both sides, but someone has to make a decision soon. The education of the pharmacy portion is somewhat involved and our staff is having their difficulties with SIS. I have gone online and asked the question to my fellow nurses who might be in the same predicament as us. I think that when the entire process began over two years ago, someone might have had some kind of knowledge of the systems they were purchasing, upgrades we are going thorough, and whether every system talks to each other. Am I confused- but I do not think as confused as the leaders that have gotten us in this mess with not a clue on how to proceed. What I thought was once exciting, now has turned into a huge nightmare for the other educator and myself.

]]> Comment on Documentation of Bedsores, comment by usindo1 http://healthcare-informatics-resources.com/2009/08/03/documentation-of-bedsores-comment-3/#comment-9 usindo1 Tue, 04 Aug 2009 15:19:53 +0000 http://educator2blog.wordpress.com/2009/08/03/documentation-of-bedsores-comment-3/#comment-9 A photograph is good as it demonstrates specific viewing of the site. However, for quantifiable documentation purposes perhaps your hospital or nursing home can use the TempTouch dermal thermometer which facilitates reading temps on a patient's skin. By comparing and contrasting the temps e.g. right heel vs. left heel, one can detect gradations in temperatures. In this way the patient serves as their own control. Anytime the temperature on a contralateral side is >4ºF then the patient has an inflammation that could continue to become an ulcer. That is what the TempTouch's intended use is! It may be of use to you. TempTouch is made by Diabetica Solutions in San Antonio, TX. They have several clinical trials reported in major clinical journals. A photograph is good as it demonstrates specific viewing of the site. However, for quantifiable documentation purposes perhaps your hospital or nursing home can use the TempTouch dermal thermometer which facilitates reading temps on a patient’s skin. By comparing and contrasting the temps e.g. right heel vs. left heel, one can detect gradations in temperatures. In this way the patient serves as their own control.

Anytime the temperature on a contralateral side is >4ºF then the patient has an inflammation that could continue to become an ulcer. That is what the TempTouch’s intended use is! It may be of use to you. TempTouch is made by Diabetica Solutions in San Antonio, TX. They have several clinical trials reported in major clinical journals.

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