Archive for August, 2009

Computerized Medication Reconciliation, comment

August 20, 2009

I agree with the post in that hospitals would benefit from computerized medication reconciliation forms. At the facility I work, the med rec forms are constantly lost or that handwriting is illegible or the doctor did not fill out the form correctly. If the form was online, I believe, there would be less room for error. Also I agree that it would be easier to review the form on a different floor if a patient was transferred if it was online. It is very hard to keep track of paperwork when a patient is transferred. With each patient that I receive from the PACU or ICU, I spend probably 15 minutes trying to retrieve the paperwork I need from the patient’s chart. I have previously worked at a hospital where the med rec form was online and the only time it was printed was when a MD wrote transfer orders then it was added to the chart and the MD had to check boxes to continue or discontinue a med. After the MD filled out the form it was faxed to pharmacy and then everything went back to being online. The nurses never had to bother with med rec paperwork. I definitely had less phone calls from the pharmacy with questions regarding the med rec form!

Original Post:
May 26, 2009
Title: Computerized Medication Reconciliation
I have recently seen a need for medication reconciliation to be computerized. In my current hospital, the patient’s meds are documented individually on paper at each floor they are admitted to. Problems arise in this system when papers get lost, each floor uses different charting, nurses do not complete the form, etc. In short, the patient ends up either answering the same question regarding their home meds repeatedly, the nurse at each floor must searches for the med list or the family must bring in the home med list more than once to appease the admission paperwork required of each floor and nurse. I see a much easier answer to be to computerize the medication reconciliation forms. The computerized form could then be checked at each floor if needed for completion. We could also solve the problem of incomplete forms through this means. The program could be designed to ensure that the form must be complete, for example, using a symbol such as a red exclamation mark to notify the nurse at each shift if it is not completed. I see this as using informatics to eliminate problems and ensure patient safety in home medication reconciliation.

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Nursing Assessment Meets Technology – Nursing Education, comment

August 20, 2009

I too work in a hospital with the "SIM" man, as he (the manikin) is known to us. This is a wonderful tool for everyone that comes in contact with patients. As an ICU nurse it is valuable to hone our skills and be able to react to the emergency at hand by using our nursing assessments and education. Shortly after using the SIM man during our mock code, I had to run a true code in which the MD was not available, she was at a another Code in the hospital. When I arrived to the code the pt was unresponsive still had a qrs complex on the monitor. I checked a pulse and it was absent, PEA. This simple and basic assessment was not previously done by the primary RN(disturbing I know.) However my code team mate and I began work immediately on the pt. Having the technology to train on, the nursing education and assessment skills allowed the team to complete the code and successfully resuscitate the patient. The MD was able to finally show up and thanked us for being able to use our nursing skills and quick reactions.

Original Post:
July 30, 2009
Title: Nursing Assessment Meets Technology – Nursing Education, comment
I work at an institution that received a federal grant to start up a simulation lab. This lab has three manikins that are very lifelike. One is an obstetric manikin and can simulate vaginal births. One is pediatric. The last manikin is an adult and we have sent over 1000 nurses thru this lab this year. We do ACLS scenarios and mock Code Blue. The program can be written to do anything. You can hear the lung fields and heart. When you feel the pedal area, you can even feel a pedal pulse. It is an awesome way to train students and new graduates as well as the experienced nurses. I am impressed that your institution was able to obtain a federal grant in this day and time of economic hardship to establish an innovative simulation lab. This technology is truly awesome in that it gives students who come into the nursing field having no idea about basic assessment skills, which have never experienced actually hearing a real heartbeat, or breathe sounds let alone participate in an actual code blue situation. This lab will allow the students to establish some level of comfort prior to entering the clinical area for their first encounter with real patients. Although I am sure this technology is as close to simulating a real patient as possible remembrance of those first day jitters in the clinical area is something that will stay with you for a lifetime.

Original Post:
June 4, 2009
Title: Nursing Assessment Meets Technology
I work at an institution that received a federal grant to start up a simulation lab. This lab has three manikins that are very lifelike. One is an obstetric manikin and can simulate vaginal births. One is pediatric. The last manikin is an adult and we have sent over 1000 nurses thru this lab this year. We do ACLS scenarios and mock Code Blue. The program can be written to do anything. You can hear the lung fields and heart. When you feel the pedal area, you can even feel a pedal pulse. It is an awesome way to train students and new graduates as well as the experienced nurses.

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My Favorite Aspect of Online Learning

August 20, 2009

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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Internet Education and a changing belief among traditional nurse educators, comment

August 20, 2009

I agree the comments made about the online student and educators. I currently work two different nursing jobs like various other nurses out in the world. Having to make time to show up to a class 5 days a week would nearly be impossible. For the online assessment class I currently am enrolled in, we had a lab portion in which we had to meet for a certain amount of hours to fulfill the hands on portion. This was very important sense we learned new skills (percussion) which is not taught in the BSN or ADN programs and is considered an "advanced practice" skill. Like the previous author I am in agreement that the access of the online course is wonderful but certain aspects where hands on learning is needed cannot be replaced. Would you want your surgeon cutting you open if he learned it on-line?

Original Post:
July 29, 2009
Internet Education and a changing belief among traditional nurse educators, comment
I personally have mixed feelings about online education. I feel there are a variety of pros and cons dealing with this issue. The pros are that the student has high flexibility are far as the time constraints go and the student has the ability to take test and complete work according to their work schedule. The main negative is that the student has very limited amount of instructor interaction. Therefore if the student is having issues or a problem they can’t figure out they may become more anxious about completing assignments.

Online Advanced Health Assessment Course, Online Nursing Education

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The pro’s of online learning in the nursing world

August 20, 2009

Nursing education and nursing students have changed. When deciding to take online nursing courses, other factors must be considered. What you need to participate in online classes varies with the sophistication of the tools used by the course instructor. Sending and receiving e-mail, participating in discussion groups, and viewing online syllabi require fairly simple technology. You need a computer with Internet access. It is important to investigate any technology issues in your area before undertaking a course. Access to the campus bookstore and library is critical, and journal articles must be available online. Some advantages of distance learning that I could come up with are: 1. Student-Centered versus Instructor-Directed Learning. Students take an active role in their own learning experience. 2. Flexibility. Students may work at their own computers on a weekend or the middle of the night, not having to worry about library hours or driving in bad weather. 3. Accessibility. Geographic proximity or time constraints do not prohibit students from utilizing these courses. 4. Student Interaction Increases. Students not only listen and take notes, but they also pose ideas to and ask questions of the instructor as well as other students in discussion groups. 5. Increased Sharing of Knowledge. In the traditional classroom, the instructor is the primary source of information. In distance learning, students have a greater opportunity to share their knowledge and experience, allowing the members of the group to learn from each other. 6. Immediate Access to Updated Material. Any material or announcements that have been changed can be distributed instantaneously. 7. Developing Technology Skills. Students are learning technology skills that they can apply later in their work setting. Online learning is being used by more and more educational institutions to provide both degrees and continuing education.

Online Advanced Health Assessment Course, Online Nursing Education

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Is online learning easier? (comment)

August 20, 2009

After having many years of education under my belt I have decided that on-line education is like any type of education, you get out of it what you put into it. The student may work very hard toward the subject at hand and gather as much information as possible or the student may do the bare minimum to get by. The fact that there is so much information out on the Internet means you have the ability to locate a wide array of information; however the student must be leery of the information that is out online as verify it is from a reputable source. In order for an online course to be practical, especially in assessment, hands on education must be involved. It is important for the Nurse to be able integrate and to use the knowledge that they learned on their own, in a hands on situation where the assessment skills that they have read about come to fruition.

Original Post:
August 5, 2009
Is online learning easier? (comment)
I feel like the introduction of technology in education has greatly helped increase organizational skills. When you are part of an online class you must be very organized and independent. It requires a lot of good communication skills and requires one to be computer savvy. The student must read and acquire all of the information themselves from textbooks and other resources the course may provide. The instructor of the course is simply there to provide you with any questions you may have regarding the material. It is up to the student only to obtain the most important information from the reading material and to retain it for future use. I think that these skills will surely help me with graduate school when I start in the fall.

Original Post
August 3, 2009
Title: Is Online Learning Easier? (comment)
I agree that online learning is much more challenging than traditional classroom learning. Teachers do spoon-feed the students the information that is needed in order to pass the exams. Whereas online instruction is based on the assignments given and one must be prepared for every aspect of that assignment and not just focus on what the teacher says will be on the exam. Granted, you have some students who are more comfortable with having an instructor available immediately for any questions or unclear information. Online classes also offer access to the instructor as often as needed but much of online instruction requires the student to do the research and try to come up with the appropriate responses on their own before referring to the instructor. Online instruction requires individuals to become more independent and in charge of their own learning at their own pace. For me it has been a godsend.

AND

Original Post
August 3, 2009
Title: Is Online Learning Easier? (comment)
I believe that online classes prepare you to enter graduate school. Graduate students must be responsible for large amounts of information that must be self-taught. It would be impossible to expect to get everything you need for an exam, or eventually your career, from the classroom as a graduate student. I like that in NR534 Advanced Health Assessment (as taught by Dr. Johnson) I am responsible for reading the book, completely the interactive exercises, and memorizing the basic information. I then go to clinical and exam a patient using the knowledge I have taught myself along with guidance through the exam from my preceptor. I learn how to perform an assessment on a patient from information from the book and experience of my clinical faculty. I am forced to be productive at home because I am expected to report to clinical prepared to use the knowledge from the book without getting a lecture from my clinical preceptor. I feel better prepared for the graduate classes I will take in the fall knowing that I can guide my learning and get the information I need from the books at home.

Original Post:
July 20, 2009
Title: Is Online Learning Easier?
While at work last night we had a discussion of the different types of programs where nurses can earn their BSN and/or MSN. I was surprised that the majority of nurses said they preferred the traditional classroom over online or distance programs. The view was there would not be the instructor support to help with elements of a course that the student was not able to understand. I look at this experience totally opposite, with the entire Internet at my disposal; I can research any topic and find the answers myself. In a classroom I would be limited to what the instructor was putting forth. Yes, I can always later do the online research but how often will that happen. I think in the classroom, instructors consciously or subconsciously teach to how they will test to insure the success of their students. With online learning, I am responsible for learning the material and have no idea what specific topics will be on an exam. It isn’t that it is easier to do an online degree program; it requires the desire to look for and learn the information as opposed to having it spoon-fed.

Online Advanced Health Assessment Course, Online Nursing Education

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Healthcare informatics

August 20, 2009

Rapid advances in information technology, electronic media offer many opportunities to provide health related information to the public. Computer technology is enabling healthcare professionals and patients to determine their needs more then ever. Web sites provide access to a wealth of health information so providers and patients can make informed decisions. In my effort to understand the relationship on informatics to public health, I now realize the importance of using this technology to develop new tools for individualized care and health promotion.

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Is Online Learning Easier? (comment)

August 5, 2009

I feel like the introduction of technology in education has greatly helped increase organizational skills. When you are part of an online class you must be very organized and independent. It requires a lot of good communication skills and requires one to be computer savvy. The student must read and acquire all of the information themselves from textbooks and other resources the course may provide. The instructor of the course is simply there to provide you with any questions you may have regarding the material. It is up to the student only to obtain the most important information from the reading material and to retain it for future use. I think that these skills will surely help me with graduate school when I start in the fall.

Original Post
August 3, 2009
Title: Is Online Learning Easier? (comment)
I agree that online learning is much more challenging than traditional classroom learning. Teachers do spoon-feed the students the information that is needed in order to pass the exams. Whereas online instruction is based on the assignments given and one must be prepared for every aspect of that assignment and not just focus on what the teacher says will be on the exam. Granted, you have some students who are more comfortable with having an instructor available immediately for any questions or unclear information. Online classes also offer access to the instructor as often as needed but much of online instruction requires the student to do the research and try to come up with the appropriate responses on their own before referring to the instructor. Online instruction requires individuals to become more independent and in charge of their own learning at their own pace. For me it has been a godsend.

AND

Original Post
August 3, 2009
Title: Is Online Learning Easier? (comment)
I believe that online classes prepare you to enter graduate school. Graduate students must be responsible for large amounts of information that must be self-taught. It would be impossible to expect to get everything you need for an exam, or eventually your career, from the classroom as a graduate student. I like that in NR534 Advanced Health Assessment (as taught by Dr. Johnson) I am responsible for reading the book, completely the interactive exercises, and memorizing the basic information. I then go to clinical and exam a patient using the knowledge I have taught myself along with guidance through the exam from my preceptor. I learn how to perform an assessment on a patient from information from the book and experience of my clinical faculty. I am forced to be productive at home because I am expected to report to clinical prepared to use the knowledge from the book without getting a lecture from my clinical preceptor. I feel better prepared for the graduate classes I will take in the fall knowing that I can guide my learning and get the information I need from the books at home.

Original Post:
July 20, 2009
Title: Is Online Learning Easier?
While at work last night we had a discussion of the different types of programs where nurses can earn their BSN and/or MSN. I was surprised that the majority of nurses said they preferred the traditional classroom over online or distance programs. The view was there would not be the instructor support to help with elements of a course that the student was not able to understand. I look at this experience totally opposite, with the entire Internet at my disposal; I can research any topic and find the answers myself. In a classroom I would be limited to what the instructor was putting forth. Yes, I can always later do the online research but how often will that happen. I think in the classroom, instructors consciously or subconsciously teach to how they will test to insure the success of their students. With online learning, I am responsible for learning the material and have no idea what specific topics will be on an exam. It isn’t that it is easier to do an online degree program; it requires the desire to look for and learn the information as opposed to having it spoon-fed.

Online Advanced Health Assessment Course

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Online Education, comment

August 5, 2009

I agree with this post completely. Health care has taken great advantage of online technology to educate their staff members on new policies, procedures, assessment criteria, etc. I think that using online course to educate regarding different policies and procedures is very effective and efficient. It saves everyone time, and is very convenient. The hospital where I work, I am able to access new courses online that my supervisor may have enrolled me into at any time and complete it. I am able to learn the new information at my own pace and do it whenever I have time. The courses are also interactive and at the end usually have a quiz to test your knowledge on the material. This makes sure that the staff have read and understood the concepts. I hope this type of online education is maintained at all healthcare facilities to keep all staff knowledgeable and informed.

Original Post
August 3, 2009
Title: Online Education

                  Most health care facilities now use online courses to keep their employees up-to-date on policies, procedures, documentation rules, and also current assessment criteria. These classes are self-taught and include text, pictures, and audio. The most recent class I took online for my job was on myocardial infarctions/angina. The hospital I work at is trying to become a chest pain center. The classes were helpful; you could go at your own speed, you could click forward or go back as you needed, they were interactive slides, and also a quiz at the end that you had to pass to get credit for the course. Much of the teaching were assessment tools. Criteria to look for when a patient begins complaining of chest pain and the ways to assess the type of pain it is and how to proceed from there.

                  This year I also took extensive classes online concerning pressure ulcers; their protocol, treatment, staging, and documentation. This online class was helpful. There were lots of pictures which is probably most important in learning to properly stage a pressure ulcer. Also it was very interactive. I believe that a big use of healthcare informatics is in teaching hospital/clinic staff. It is able to keep the employees current on their practices; including legal issues, abbreviations that we are able to be used, the correct way to chart, and also assessment tools. I was able to learn valuable pieces of information regarding the way I complete a patient’s assessment and how to document my findings. I believe this will continue to emerge as the predominant way that new information is given to the employees of a facility.

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Online Education for Nursing Education

August 5, 2009

Online education for nurses Education through the means of computer and Internet for nursing professionals has become widely accepted and used in work settings. Hospitals provide classes to nurses for updating the employees on changes in online charting such as assessment documentation. Also, any new protocol that is initiated in the hospital, a mini class with a quiz at the end is usually constructed. All nurses take these mini courses online and get a grade at the end of the quiz. They must pass it and submit it to their supervisor in order to continue working. The use of such courses via the computer to help nurses learn new policies and procedures in their work environment is extremely beneficial to everyone involved. For example, I was required to take a course online regarding behavioral health patients since my unit is seeing more and more of these types of patients. It was helpful to have access to such information and know more about the care and documentation that needs to be performed on these patients. Now I will be ready for it whenever I may encounter a patient who is at risk for suicide. Such uses of computer for online education in the work setting are very helpful. I hope that all hospitals/clinics use this technology to keep their employees up to date with new and current policies and procedures.

Online Health Care Informatics educational certificate program

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