Archive for the ‘Healthcare Informatics Communication’ Category

Electronic Communication, comment

October 31, 2013

Healthcare Informatics Resources. (2013, May 22). Electronic Communication [Blog Post].
Retrieved From https://healthcare-informatics-resources.com/2013/05/22/electronic-communication-comment/
Electronic communication is a great idea. It saves all the patients information electronically which makes it easy for medical personnel to pull up and read. This is helpful when the patient cannot remember or is unable to tell you his/her medical past. Although this is a great idea, and I support it fully, what I do not support is how I have been seeing it work out. I have witnessed in multiple medical settings this technology working and once the staff has figured it out, they switch programs and have to start all over. Re-learning new systems over and over again is exhausting for medical personal. They tend to have problems finding what they are looking for because the system is always changing so they end up wasting time trying to figure out the current system. If the medical community can agree to one type of system/program and do simple updates once a year then this would really be an amazing tool.
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Seasonal Allergies, comment

May 24, 2013

I do think having having thing available electronically is very helpful, but at the same time I do not.The doctor may read what you have written him in an email but may not completely understand it. It is good to have oral communication available if need. If he were to have a question, he could call you but having a person right there in front of you is much easier I believe. Everything is becoming electronic now and days, so I better start getting used to it.

Seasonal Allergies (April 22, 2013) Healthcare informatics [Blog Post] Retrieved from https://healthcare-informatics-resources.com/2013/04/22/seasonal-allergies/

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Use of informatics between schools and healthcare providers

April 25, 2013

School children are required to have a complete physical exam prior to starting school. The report is hand written by the physician and turned in by the parent to the school office. . During the school year, the child is only in contact with the school nurse if he/she is sick while in school or if he/she has an accident at school that requires medical intervention. If a child experiences problems after starting school and goes to see the physician, the school is not necessarily aware of what transpires during the visit. I see this as a potential breakdown in communication and a place where informatics could help. For instance, if the parents gave consent to the child’s doctor to release medical information to the school, then the doctor could have ongoing communication with the school nurse. I believe that if the information could be provided electronically, it would make it more convenient for the physician to share the information. Most health care providers are extremely busy and may not be willing to hand write information. With the use of electronics, the doctor could dictate the information for input by a medical assistant. The school nurse could then have easy access to that information. The school nurse could have a database for every child where this information could be stored. I think this information would be especially helpful in assessing/detecting problems associated with hearing. A child who is having difficulty hearing may be mistaken for a child who is having behavioral difficulties. The child may be placed in a special program without identifying the root of the problem. If the child’s complaints are properly identified, then the nurse could tailor her interventions accordingly. The nurse could also use this form of communication to inform the child’s physician of problems that may be initially identified at the school.

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Child Abuse Reporting for Non-Nurses, comment

March 8, 2012

I read the article Child Abuse Reporting for Non-Nurses. Citizens should also know about missing children in their geographical area. Many abused and missing children are returned home by average citizens. Progression toward abuse and death is stopped.

When I see a child I believe is reported missing or abducted, my iPhone(r) is turned on. Comparison can then be made between the child in my presence and the one on the screen. Informatics has made it easy and quick to make the comparison. Sometimes an age progression picture is on my screen. This can make it difficult to be certain.

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Using nursing informatics to assist patients recovering from heart surgery

November 2, 2011

I am using “Health Assessment for Nursing Practice by Wilson. After reading chapter 18 of the textbook, Heart and Peripheral Vascular System, I was thinking about the many different ways in which nursing informatics could have a positive impact and possible help improve patient outcomes. I searched the internet and found an interesting article published by the Journal of Advanced Nursing titled “HeartCare: an Internet-based information and support system for patient home recovery after coronary artery bypass graft (CABG) surgery.” Heart-Care is reportedly an Internet based program designed to assist and support patients who have undergone coronary artery bypass graft surgery in the recovery process at home. This type of program offers a good example of how nursing informatics may be used extensively in the future especially if programs like this one can provide positive patient outcomes.

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Medication Errors

September 29, 2011

I am a Chronic Care Coordinator and partner with Primary Care Providers in chronic care management. Our patients have multiple chronic medical conditions. This care team provides care for patients ranging in age from 18- 75. We facilitate transitions of care between departments and external providers. Patient education is promoted for self care management. Care Coordinators review charts on patients who recently were discharged from hospital and who are in need of a telephonic hospital outreach. This outreach call helps the patient coordinate a medication care plan. A review of their medications upon discharge is verified and the medications they were instructed to stop. However, what we often find is that patients have not been given the correct names of medications or the patient gave the medical staff the correct name but the wrong time frame they have been taking the medication. Frequently the patients have failed to mention over the counter herbal medications that interfere with the reaction for many drugs. Patient education regarding their medications should cover questions as to purpose, dose, and administration time. Pending the outcome of the review we may find different compliance’s that may hinder them taking their medications with factors such as vision, education and finances. A referral to a home care service visit by a RN or an additional office visit for further education regarding medication management, screening for cognitive ability and depression, greatly increases prescription effectiveness.

 

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Technology in Education, comment

May 30, 2011

At our office, we talk about the use of technology in seminars and conferences. In my college course, we briefly studied Technology in Education. Wanting to make a more professional presentation, I came across a Professional Speaking Course taught by Dr. Johnson. This course sounds exactly like what I desire. I have major stage fright. This course may help me to overcome it.

Original Post
March 2, 2011
Professional Speaking Course
I appreciate the college-level Professional Speaking class taught by Dr. Johnson. It is difficult to find an online college-level class such as this one. I have been searching for years for a course like the one he teaches. There are many public and general speaking classes. The class by Dr. Johnson addresses issues particular to the business and professional person.

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President Obama will not release public pictures of the dead Osama bin Laden, comment

May 17, 2011

The speed and outer boundries of healthcare informatics resources used in the case of Osama bin Laden has to be mind blowing!

I imagine that the USA armed service personnel had pictures and documentation stored on electronic devices to identify Osama bin Laden on the spot. These items had to include markings, scars, and maybe birthmarks. The same things we identify patients by in the hospital and other settings.

There also may have been a small portable lab setup present to quickly identify blood type. This does not identify a specific person. But it allows the personnel to quickly keep searching if the wrong blood type is shown. Again, this blood typing is used in the USA for quick close identification.

Telemedicine had to be in place also. It may or may not have been used during the raid. If the armed service personnel needed an answer or needed to send data, then Telemedicine or some form of it had to be quickly accessible.

I will let other healthcare informatics professionals discuss the aspect of rapid DNA analysis.

Original Post
May 11, 2011
President Obama will not release public pictures of the dead Osama bin Laden, comment
I wished I were part of the team that performed an autopsy on Osama bin Laden. There were more than the usual number of personnel for a single autopsy and/or there were several shortcuts to accomplish such an autopsy in a very short time. An autopsy will continue weeks, months, and sometimes years after a person is dissected and buried. Looking at television videos, I will guess that Osama bin Laden may have arthritis. This will show up in the forensic investigation of his death especially if it is chronic.

Original Post
May 5, 2011
President Obama will not release public pictures of the dead Osama bin Laden
Is President Barack Obama correct on this decision not to release disfigured photos of the dead Osama Bin Laden? Yes, he is.

The spirit of international and US laws prohibit the public release of photos of the deceased. Note that the US is unhappy when pictures of dead Americans are broadcasted publicly.

Morally speaking, most Americans would not want pictures of their disfigured passed away loved one broadcasted publicly. The moral, social and spiritual beliefs of a victim and family members should be taken into account. Also the moral, social, and spiritual belief of the country in possession of the pictures should be taken into account.

Ethically speaking, members of the Forensic Medical and Nursing profession are not permitted to show public pictures of the deceased. This brings me to another point. Forensic physicians, nurses, and personnel should be involved with the handling of Osama bin Laden and others. Forensic healthcare personnel are trained to be objective. They will confirm the cause of death, the time of death, the identification, and identify extra factors. The forensic healthcare personnel are removed from political and military biases. Their training includes caring for victims of war on both sides and innocent bystanders.

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Financial Repercussions of Insufficient Client Charting

August 23, 2010

In an age of electronic records and an economic recession, the nurse must be diligent about thoroughly assessing the client using a head-to-toe format and charting all findings in detail. Medicaid/Medicare has really tightened their laws on what they will and will not reimburse. For example, if a patient is admitted to the hospital and the nurse fails to chart that the client had an already present pressure ulcer, Medicare will refuse to reimburse the hospital for fees, supplies, and procedures related to the treatment of that wound. However, if the pressure ulcer is charted as being present upon arrival, the hospital is not at fault and will be reimbursed fully. Another example, separate from charting, is when a patient is discharged from the hospital following a heart failure “tune-up” and is readmitted within 30 days. The hospital in penalized for the re-admission. The problem is that there are other factors that could cause the re-admission that is not the fault of the hospital or physicians. What if the patient is non-compliant with the prescribed medication regiment? Should the hospital be a fault? Also, we care for a high risk, end stage heart failure population, so is it fair that our stats must match up to a rural hospital that only cares for mild cases of heart failure and does not perform transplants?

I agree that our government has to be careful as to how dollars are spent, but perhaps there are better ways. As healthcare professionals our voices could be beneficial and therefore need to be heard, but unfortunately I am unsure as to how this is happens. Perhaps if all master degree programs for healthcare professionals also included a Public Health component, more people would know how to be a part of healthcare reform.

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Health Assessment for Nursing Practice

July 28, 2010

Many healthcare facilities currently utilize an EMR or an electronic medical record for patient healthcare documentation. This is also a tool to utilize and document health care assessments. The advantages on an EMR are numerous, and some of these advantages are communication of patient care data that can be accessed by many different healthcare professionals. This is an important factor especially concerning patient safety as healthcare data can be accessed to provide seamless patient care. This also provides access to healthcare information when the patient is unable to provide healthcare information as in an emergency situation. Another important factor is communication among healthcare professionals such as acute care professionals and primary care professionals or between the lab personnel and a physician. With the disadvantages, there are some, but the advantages of an EMR outweigh the disadvantages. Some of the disadvantages include continual updates of computer equipment and continual requirements of staff education which is a cost factor for healthcare facilities that utilize an EMR. Informatics and healthcare assessments can and are blended which is an asset to patient care especially with patient safety and enhancing communication among healthcare professionals.


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