Archive for August 26th, 2009

The wonders of electronic documentation

August 26, 2009

Despite the fact that many hospitals have not yet made the transition to electronic health records (EHR), I feel as though this is definitely the preferred means of documentation for several reasons. First, you can customize EHRs to capture whatever information your facility deems necessary. Although electronic documentation presents flexibility problems (for example, once set up, electronic documentation templates can be difficult to alter), it promotes the capture of uniform documentation. Although the cost associated with transitioning to an EHR can be a major drawback, especially in this economy, it eliminates filing loose paper and retrieving records. In discussing this topic with management, I learned that EHRs are optimal for dealing with litigation, audits, and patient care. With paper records, medical records and health information management have the burden of maintaining, filing, and retrieving charts as well as tracking the paper records’ location when in use. With the paper method, the doctors have the charts, and you may not have that immediate opportunity to document, so you forget it and more oftentimes than not, you just don’t do it. With electronic charting, I find that you just go to a computer screen view the chart and document anything right then and there. Everybody has access immediately, which makes the process more efficient and prevents lost documentation, which, for obvious reasons, is a key to exceptional clinical patient care.

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My Favorite Aspect of Online Learning, comment

August 26, 2009

My favorite thing about online learning is that I can participate in any class, any time day or night. When I returned to graduate school, I was required to attend a traditional NP program, which is only based in a classroom setting. Although returning to graduate school meant probably being in the presence of more mature and experienced nurses, there would also be those novice who just finished their BSN and decided to go right into graduate school without ever experiencing what actual nursing is all about. So these younger, unseasoned, newly graduated with their BSN nurses bring their usual way of learning into this arena where they have had to memorize all the details the professor spills out just in case it will be on the test. Therefore, they ask tons of questions about every little thing because they have no firsthand knowledge about nursing only knowledge gained from whatever the book said. Although I feel that new graduates should get out and get a feel for bedside nursing before they declare what area of nursing will be their life’s work. At the same time the thought of going ahead and finishing your education while in your youth is probably foremost on their minds as opposed to working full time just to get experience and then returning to school at a later date. Either way it is a personal choice and their chosen ways of learning have to be accepted and understood by those of us who actually pay attention to the lectures and not try to write down everything that is said in the classroom and miss the essence of the lecture.

Original Post:
August 20, 2009
My Favorite Aspect of Online Learning
My favorite part of online learning is that there are no stupid questions asked. I get very impatient in class when students ask questions that are relative only to them or that have already been answered earlier in the class. It seems that the people who ask the most questions are those that pay the least amount of attention. Often times the answer to their question has either already been reviewed or is located on a power point/email somewhere. It can be very annoying. It has been 2 and ½ years since I have been in school and I am about to rejoin the classroom setting; I am not excited for the "question students." This is why professors put together lectures and send out emails, to prepare students for the exams, quizzes, clinicals, etc. I hope that in graduate school the students read a little more carefully. To summarize, thank you Dr. Johnson for providing me with an advanced health assessment class that lacks obnoxious question sessions.

Online Advanced Health Assessment Course, Online Nursing Education

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The Elderly and the Internet, comment

August 26, 2009

While I agree that the Internet has enabled the elderly as well as many others an opportunity to research health information. The elderly must be aware that all sites do not contain quality accurate medical information and that the researchers should use caution. Information should be taken from sites with long established history for providing credible and reliable medical information. Now, from a purely mental health prospective, the Internet provides an opportunity for the elderly to connect with family, senior citizen groups, and other outside activities that they would otherwise not have any access. In this day of modern technology, not many family members are reachable by home phones; therefore cell phones, email, and text messages are the norms for communication. In fact, if one wants to keep in touch with family and especially the teenaged family members, email and text messages are their best chance for communication. In addition, with the limited amount of patience and attention teenagers’ exhibit, a brief and not so personal interaction with elderly relatives is about all they can stand. So if text messaging is the chosen method of communication, one must become well informed about the text language. In addition, for many elderly people having the ability to stay in regular contact with family members does as much or more for their psyche than anything else does.

Original Post
April 29, 2009
The Elderly and the Internet
The Internet has become not only a useful tool for the elderly by providing a lifeline to friends and family, but also offers a source of references for those seeking health information. Health Promotion (2006) notes: “because individuals will be increasingly responsible for their own health, they will need access to quality information that has not been readily available in the past.” They also go on to recommend “Net Wellness, an electronic consumer health information services that provides the best possible health information to the broadest possible populations.” This site not only provides consumers with information on health topics, they also assists in locating health centers and provides a reference library. In addition, the site will respond to health related questions, drawing upon a panel of almost 500 experts. It has become a one-stop shopping mall for the health information consumer. As long as the resources are available (computer and hook-up), the ease of using a computer is readily mastered for most, regardless of age. My mother has been proficient on her PC for many years, and in the Human Resource office of the organization where I work, Bob, a 94-year old volunteer, has assisted customers with filling out on-line applications for several years. I think he is always amazed by the number of younger people that are not comfortable on the computer and takes a sense of pride in his skill level. By using the computer to broaden one’s knowledge of health promotion, we all become wiser consumers, including those of all ages.

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