Archive for the ‘Healthcare Informatics Resources’ Category

Medication Underuse, comment

June 7, 2013

It is so difficult, we want the medication that will make us better but then sometimes we can’t afford it.  It would be great if there was a way to utilize extra drug coverage if you needed it. Again, I think the answers are going to be found at the local level and also with creative healthcare informatics and pharmacology problem solving.

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Medication Underuse, comment

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Future Population Trends

June 6, 2013

With the baby boomer generation getting to the age of needed healthcare, it is our duty to take care of them. Having the technology that we have today helps a lot. We used to not be able to do certain things,and now with technology growing every single day, who knows what we will be able to do by the time I am at that age. With technology changing everyday so does everyones lives. We do not notice it that much because we are immuned to changes in the technology field. We believe change is a good thing in certain ways. This article is very informal and opens my mind to what we have to come still.

Healthcare Informatics Resources (2009, April 29) Future population trends [Blog Post] Retrieved from https://healthcare-informatics-resources.com/2009/04/24/future-population-trends/

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Healthcare Informatics

April 30, 2013

Sometimes at work I feel like such a nerd. I have actually been called one due to the knowledge base that I possess at this time. At meetings, I will explain in detail some of the technologies, barriers, processes, etc. I watch nurse administrators eyes glaze over as I speak. It is very interesting to consider the scope of Informatics. By definition, informatics is the science of information. This in turn is defined by Webster’s as the collection, classification, storage, retrieval, and dissemination of recorded knowledge treated both as a pure and as an applied science; quite a mouthful.

Needless to say, the scope of informatics is very broad. The fields include nursing informatics, pharmacy informatics, medical informatics, lab informatics, radiology informatics, etc. It can range from the tools utilized to the Project Design and Management. It is an ever growing field with much diversity, challenge and opportunity for professionals.

Back to my nerdness; approximately one year ago, my CNO called me a nerd because I was able to download an application and run a DVD off of a laptop. Not that complicated but leads to the understanding that there are differing levels of competency in regards to informatics and technology.

This led me to volunteering for a Technology Informatics Guiding Education Reform (TIGER) workgroup to develop informatics competencies for entry into the acute care hospital setting. This has been a very exciting and collaborative process and will support the institutions in providing entry level orientation to the technologies used on a day to day basis.

My current job description has informatics incorporated into it and I hope to become the Project Manager on the upcoming Pharmacy Pyxis MedStation project. However, reviewing the job postings at the different sites has inspired me to evaluate what I am currently doing and determine what I want to do with my informatics knowledge.

A few years ago, I came to the decision to change my focus from providing for the patients and their families to providing for the nurses. The assessment of my institution clearly has defined the need for a Clinical Informaticists to support the nursing staff in their move forward with EHR, eMAR, clinical documentation, Smart Pumps, Medication Stations, etc. The support would include implementation, initial education, ongoing education, and updates. It is all very exciting.

As I learn and grow within this field, I have determined that being a nerd is not so bad. Actually, I take it as a compliment; it means that I have been recognized as having a body of knowledge and I have been called upon frequently to use this knowledge base. I wonder if that could be a certification – NN, Nerd Nurse.

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Newton Connecticut School Shooting Tribute

December 17, 2012
Flags at half staff

Flags at half staff

Half Mast by Peter Griffin

A tribute to the victims of the Sandy Hook Elementary School school shooting in Newton, Connecticut.

To make your own website or video tribute, visit Design Website Tribute or Design Video Tribute.

If I had a son he’d look like Trayvon, comment

May 21, 2012

RE: If I had a son he’d look like Trayvon, comment

In our town, we have similar rough statistics. Other sad points I will make. The response time of emergency personnel to areas where minorities live is slower than to where non-minorities live. This includes police, ambulance, and fire departments. The really sad part is when the ambulance picks up and take minorities to the hospital. It is too late for many minorities. A significant portion die before arriving to our emergency room. Part of the problem is that ambulances generally wait for police escorts when going into the minority communities. I wish things were different.

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Free National Rx Card review

May 17, 2012

I like the ideas that Free National Rx Card mentioned on their website. They say that you can “save up to 75% off your prescription medications.”

It is good that they are seeking to help the citizens who cannot afford to pay for their prescriptions. Free National Rx Card is succeeding where others have failed. We have tried to reduce prescription costs via health insurance plans, HMOs, PPOs, pharmaceutical companies, legislation, employer plans, etc. Our best efforts still yield the cost of prescription drugs steadily increasing. These statistics are sitting on my desk right now.

Networking the citizens in need, with the pharmacies willing to help, and with the middle man (Free National Rx Card) is predicted to be one of the best solutions for the rising cost of prescription medicines.

Click on this card for immediate activation or more information.

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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Informatics: Where in the World is Google Health

October 18, 2011

As a nursing instructor it amazes me how many students reference Google as a source for information. Students today are computer savvy. They can find anything they want on the computer. What I stress to them is the reliability of their source. At our school we have a list of approved websites that students can go to for research. You have mentioned emedicine and NIH as options. Students need to become familiar with websites that use evidenced based practice and that will help them with literature review. Some of those sites include: CINAHL, MEDLINE, Medscape, and National Library of Medicine. I find that if the students begin to familiarize themselves with these sites, then the skies the limit for their research. I want students to teach their patients everyday at clinical and being able to back their teaching with evidenced-based practice is the way to go.

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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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Physical therapy in the ICU

August 16, 2010

Working in the ICU many of our patients are on bedrest for an average minimum of 2 days, with many as long as weeks and months. As a critical care RN, my main focus is keeping the patient hemodynamically stable and thus the musculoskeletal system takes a back seat. However, eventually once the patient is more stable, physical reconditioning takes place. When is the right time?

I think the answer is as soon as possible! I read a research study that stated one day of muscle atrophy from bedrest can take a week of physical therapy to regain. This statistic shocked me and as a result I have tried to be more cognizant of the need for physical therapy for my patients. As an advocate for my patients I try to discuss the need for physical therapy during interdisciplinary rounds as early as possible. Also, when the physical therapist is working with patients I listen so I can learn ROM exercises that I can help them perform. For our chronically ill patients that have been on bedrest for weeks or months, I attempt to do simple exercises with them such as resistance or stretching as they can tolerate. However, there are times when I simply do not have time to consistently work with them, and the physical therapists are usually stretched thin and can only visit once a day. With this said, how can the void be filled?

I feel that family is the best option. As nurses and physical therapists we need to include the family in learning and teaching exercises. Research shows that families cope better when they are involved in their loved one’s care. They are at the bedside often times most of the day and it has been my experience that they are more than happy to assist in patient care.  Involving the family early in bedside care can also help with the transition home.

I would be interested to hear what others think and what interventions they implement to help their patients recondition. I also want to know what healthcare informatics resources are available for the nurses and the families.

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