Posts Tagged ‘Healthcare Informatics Online Tutor’

Healthcare Informatics, Computer, & Mac Online Tutoring

June 30, 2014

Healthcare Informatics, Computer, and Macintosh online tutoring is available this summer. Catch up, keep up, and stay ahead in your learning. Healthcare Informatics online tutoring is excellent for nursing, medical, and allied health students. The basics are explained. It is also good for people who are not in school and want to know more about the Patient Protection and Affordable Care Act (PPACA). This is also know as ObamaCare.

Computer and Macintosh online tutoring is for those who find it difficult to travel in order to learn. Or for those who find it easy to understand in a distance learning environment.

Healthcare Informatics Online Tutor

Computer Mac Internet Email Tutoring Classes Online

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Medication Error Reduction Using Scanning System

October 4, 2013

I have worked at a Medical Center for 5 years. During that time frame I have seen many changes in the way that orders are processed and medication administration to patients has gone from manual paper MAR system to using a scanning computer system. Five years ago orders were handwritten by doctors on carbon copies that were then faxed to pharmacy and medication orders were printed out on a paper MAR system or transcribed on the MAR by nurses to update orders. This system led to many errors mostly due to illegible writing by doctors, errors in transcription by pharmacy/nurses, and, or errors by nursing in checking the doctors orders. Medication errors were reduced in part by the Pyxis system; however, the nurse could possibly pull the wrong medication from the wrong pocket or container and give the patient the wrong medication. This was and had been a problem at our hospital with sentinel events. The hospital eventually moved to doctors placing their orders through the computer system directly to pharmacy reducing errors of transcription because of illegible writing. However, this did not take care of the problem of nursing errors with wrong medication given to patients. Even with the 5 rights, errors still occur due to human error, fatigue, multitasking, and multiple medication administrations to several patients at one time. UCSD implemented the MAK system or Medication Administration Check System. This system uses a bar code scanning system that corresponds with a bar code on the medication packaging and also with the patient’s identification band upon admission. The computer system also checks times so that alerts are given if a medication is given too soon or was given late. Pain medication is assessed for a pain scale and where pain is located and that information is flagged so that the nurse can then go back and assess the patient for pain 2 hours after the pain medication is given and if the medication was effective for the pain or not. Also it has made insulin administration easier to follow with 2 nurses required to sign in and document correct insulins and dosages given for blood sugars entered into the MAK system. All this information can be accessed by the doctors in one easy to access place to see if pain medication, blood pressure medication or diabetic medications are effective and if changes need to be made based on the information entered into the MAK system. The Pyxis system has also been reconfigured to reduce medication errors. Medication used to be in an open container where a nurse could pull a medication from the wrong open container. If checks were not in place, a wrong medication could be given to the patient with dire consequences. The Pyxis is now loaded with closed containers that only open when the drawer is pulled out fully and the correct flap for that container opens. This reduces errors in pulling out the wrong drug from the wrong container. This system has worked very well on the unit with few or any problems. The major problem was getting people to CHANGE their routines. Many nurses were resistant to change from the MAR system to the MAK system. However, the MAK system has been far easier to use and with the use of laptop computers that are mobile with the scanning device attached, meds can be given anywhere. The only issues I have seen that were problems are when the MAK system goes down and a MAR paper must be instituted to chart medications. This seems now to be such an archaic system and more difficult to use. The other issue that is a problem specific to our inpatient psychiatric unit is that we work with very paranoid, suspicious patients or Chronic Paranoid Schizophrenics (CPS) who are extremely wary of scanning devices and refuse to have any “laser cross my skin.” The MAK system also has a bypass for ripped bar codes on medications or a refusal of patient’s band to be scanned so that medications can be given. I believe that these computers programs are designed to make our jobs easier, more assessable with less leeway for errors to occur. The real reward for me as a nurse is that I get to spend more time with my patients then spending time with my paperwork!

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Healthcare Informatics Online Tutor
RN LPN LVN Nursing Nurse Online Tutoring

Should The Continuing Education for RN Licensure Include Specific Courses

August 22, 2013

Having taken Advanced Physiological Nursing and Advanced Pathophysiology and now Advanced Health Assessment I have come to realize that state boards of nursing should consider requiring nurses to repeat these courses after a set period of time (every 5 or 10 years). Advanced Health Assessment is allowing me to tie the other two courses together and really evaluate my assessment skills and further enhance the care I give my patients. Advanced Health Assessment has made me look that much closer, feel that much more and listen that much better. It doesn’t matter what area of nursing you work (Forensic Nursing, at the Bedside or teaching) learning to use all of your senses in more detail will make you a better nurse.

Links
Healthcare Informatics Online Tutor
RN LPN LVN Nursing Nurse Online Tutoring

Electronic Communication, comment

July 23, 2013

Healthcare informatics Resources, May, 24, 2013, Electronic Communication [blog post], https://healthcare-informatics-resources.com/2013/05/22/electronic-communication-comment/
My comment on electronic communications in the medical field is that this amazing tool often does not get the credit it deserves quite often because people that use these tools on a daily basis only think about how it makes their job easier, and true it does. However it does so much more than that. By reducing the amount of paper in the office it actually reduces the amount of accidents due to clerical errors, misdiagnosis, reduce the chance for under or overdosing of medications. And also increases the speed of information that travels that can mean a persons life in an emergency. There needs to be a study done on how (they’re probably already is one) many lives electronic records and systems save each year.

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Healthcare Informatics Online Tutor

Nursing Informatics and health assessment

June 26, 2013

The concept of nursing informatics is challenging to many nurses. Nurses may be extremely competent in their fields however, a lot of them do not feel as competent when it comes to using technology to access patients information, search for information and resources or document in an electronic medical record. Hospitals and other clinical settings should provide adequate training programs for nurses as well as have a way to assess competency in nursing informatics. With appropriate training, nurses performing a health assessment would be able to access relevant patient information such medical history and results of diagnostic studies. Many health care settings also offer access to online patient education materials. Nurses should know how to access resources for patient teaching and also how to test the reliability of the sources. For instance, reliable sources should come from well-known journals or have traditional history of print. Knowledge of nursing informatics is a valuable tool for nurses performing a health assessment.

Healthcare Informatics Online Tutor
RN LPN LVN Nursing Nurse Online Tutor

Gaining confidence

June 12, 2013

Well I completed all of the reading and exercises for the first section of my Healthcare Informatics program and was ready to take the test. Now, having not taken a college exam for over 26 years I must say I was quite anxious about this. It was not like taking a CEU course and then taking the post test 3-4 times until you get the answers all correct. This was an actual college exam that was going to grade the knowledge you had gained over the last few weeks of reading.

I must say I was surprised once I accessed the exam to see how much I had retained from what I read. As an older learner I was prepared for some struggle. Did I use the book as I was permitted? Yes, but I found that I used it to confirm my answers not find them and that was a good feeling. I know that there will be struggles in this course and concepts that I will need to dissect and rebuild in my mind to be able to grasp them. However, I now know that I am able to grasp new ideas and content and use this knowledge, which will help me to apply it in the practical use of my job.

This was a day of firsts for me. It was the kick off of my first solo project as a “new” project coordinator and clinical informaticist. It was my first college exam on my quest to obtain my BSN and Healthcare Informatics Certificate. The first is often the hardest and sometimes the most rewarding and … it feels good.

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Healthcare Informatics Online College Professor Teacher Instructor Available
Healthcare Informatics Online Tutor

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.

Original Post
Medication Underuse, comment

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Healthcare Informatics Online Tutor

Community Health and Public Nursing

May 24, 2013

It is great to hear hard work actually pays off. Nursing school is very challenging and should be. We take care of patients, and the patients trust us with everything we do. We should make them feel as comfortable and confident that we all do out job correctly and that we as well feel confident in the work we do.

Community health and public nursing (December 5, 2011) Health care informatics [Blog Post] Retrieved from https://healthcare-informatics-resources.com/2011/12/05/community-health-and-public-health-nursing/

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Why Standards?

May 1, 2013

We encounter standards everyday in our lives. From traffic lights, traffic signs, telephone key pads, keyboards, postal envelopes and paper sizes to the many areas of construction such as sizes of appliances, tools, wood, windows, and the list could go on. So, why are standards established? The term standard is defined as an established norm or requirement; it establishes uniform or technical criteria, methods, processes, and practices. Standards enhance the capability to improve production and decrease costs associated with creating the end product. By establishing standards this enables companies to increase workflows and efficiencies. When a customer or end user learns the rules or knows the standards, this allows them to become proficient and knowledgeable in the use of the tool or issue at hand. For instance, when a person drives to another state, the traffic signs and signals are the same or standardized across the nation. One does not need to re-learn traffic signs for every different place they drive. Established standards that are implemented and followed in health care environments increases the quality of care, workflow processes, saves the organization money, and ultimately improving patient safety and patient outcomes. Benefits and improvements affecting the delivery of care will be evident when standards are adopted internally by health care organizations, whether developed for the betterment of the organization or by regulatory agencies. Process improvements will be identified with the implementation of standards. Obtaining high quality data and information and maintaining the integrity of the data comes from using recognized standards. As the implementation of the electronic health record is an initiative and included in strategic plans in many health care organizations today, standards are necessary. Defining standards will assist in improving the extremely complex arena of health care data, information, and information management.

Healthcare Informatics Online College Professor Teacher Instructor Available
Healthcare Informatics Online Tutor

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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Healthcare Informatics Online College Professor Teacher Instructor Available

Healthcare Informatics Online Tutor


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