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Electronic Health Technologies Within Clinical Practice Settings

Week 7 - Introduction to Health Informatics within Nursing
by

M B

on 11 January 2015

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Transcript of Electronic Health Technologies Within Clinical Practice Settings



.
.
.
CONNECTED
Week 6
MEMORY CHECK...
Electronic Health Technologies within Clinical Practice Settings
Review of last week
This Week
Transitions in Health Records
Apomediwhat..?
Twitter Debate
Patient's Like Me
Abstract writing...... ugh.

Booth, R., & Donelle, L. (2014). Nursing Informatics and Technology, Chapter 25. In B. Kozier, G. Erb, A. Berman, S. Snyder, M. Buck, L. Yiu, & L. Stamler (Eds.). Fundamentals of Canadian nursing: Concepts, process, and practice, 3rd Edition (p. 532-550). Toronto: Pearson. (page 536-539, and, 541-544 only)

Canada Health Infoway. (2013). Opportunities for action: A pan-Canadian digital health strategic plan. Toronto. Retrieved from https://www.infoway-inforoute.ca/index.php/component/docman/doc_download/1843-opportunities-for-action-a-pan-canadian-digital-health-strategic-plan

Delbanco, T., Walker, J., Bell, S. K., Darer, J. D., Elmore, J. G., Farag, N., ... & Leveille, S. G.
(2012). Inviting patients to read their doctors' notes: a quasi-experimental study and a look
ahead. Annals of Internal Medicine, 157(7), 461-470. doi:10.7326/0003-4819-157-7-
201210020-00002

Kim, K. & Nahm, E. (2012). Benefits of and barriers to the use of personal health records (PHR) for health management among adults. Online Journal of Nursing Informatics, 16(3). Retrieved from http://ojni.org/issues/?p=1995

Prepare by reading:
Watch
Thanks Sherman!
What's the Difference?
EHR
EMR / EPR
PHR
Who owns?
Intention/purpose(s)?

What Does This Mean to You?
http://www.bmj.com/content/341/bmj.c5814

Where
are
we?
stone age
now
Time to Get Critical
Electronic records can be helpful.
Electronic records can be non-helpful.
Electronic records can be inconsequential.

Instructions
1. We have assigned 'group
leaders' - (based on your
online reflections).
Scenarios
Scenario 2 - Paranoid Schizophrenic * Groups 5, 6, 7, 8
Scenario 1 - Hemophiliac Patient *Groups 1, 2, 3, 4
Scenarios
Scenario 4 - Hip Replacement * Groups 13, 14, 15, 16
Scenario 3 - Drug Seeker *Groups 9, 10, 11, 12
A patient is found by the police wandering the streets with a head laceration complaining of pain at the wound site. He is combative and talking gibberish when police bring him in to the emergency department. The triage nurse ignores the patient's rants and the physician sutures the wound closed with five stitches and discharges the patient. Four hours later, the patient returns yelling and complaining of a headache that wont go away. A series of MRIs are ordered, revealing a slow leaking aortic aneurysm. The leak had caused him to pass out and hit his head. Scans from previous visits to the hospital would have revealed the presence of aneurysm.

A patient presents to the ED with a badly infected abdominal wound. She is admitted and given antibiotics and narcotics then discharged several days later. The staff is unaware that the patient has an extensive history of drug abuse. Following discharge, the patient continues to go to different clinics and doctors’ offices so she is unable to be identified and supported, receiving additional narcotics and antibiotics.

Bringing it Together
1. For your scenario, pick one piece of information that is the most pertinent to the clinical situation provided (1-2 words).
(Must achieve 100% consensus with group)
Check in
1. What's new?
How did the midterm go?
3. And the moment you've been
waiting for......
Group 8 - Shaunna, Merrissa, Calvin, Heidi
Have electronic
systems made
things better
or worse?
How?
Has anything really changed since then?
You stop at the scene of a car accident. Paramedics have arrived and are attending to two patients in a SUV. The driver of the vehicle is triaged first due to a shoulder laceration and sent to the hospital immediately in the first ambulance. The passenger, who speaks a foreign language and has minor contusions on his chest and abdomen as a result of a seat belt injury, waits 30 minutes for the second ambulance to arrive. Responders are unaware that the passenger is a hemophiliac causing internal bleeding as a result of the injury. When taken to hospital the patient is now in shock. At the hospital, the patient receives whole blood but is still not clotting. Valuable time is wasted before diagnosis of the underlying condition is made. Patient has a ruptured spleen and succumbs to his injuries as a result of his hemophilia.

Problems With
Development/Implementation?
Group 11 - Jason, Andrew, Laura, Kealey
Group 15 - James, Jonelle, Sadie
2. General feedback on e-portfolios.
OPEN EMR
http://demo.open-emr.org:2107/openemr/
Group 1 - Florence
Nightingale
Group 2 - Barack Obama
Group 3 - Roger Federer
Group 4 - Oprah
Group 5 - Stephen Harper
Group 6 - Lebron James
Group 7 - Superman
(Clark Kent)
Group 8 - Ellen Degeneres

Group 9 - Mahatma Gandhi
Group 10 - Mark Zuckerberg
Group 11 - Batman
(Bruce Wayne)
Group 12 - Katy Perry
Group 13 - Bill Gates
Group 14 - Justin Timberlake
Group 15 - Abraham Lincoln
Group 16 - Brad Pitt

You are working on medicine unit in a small town and receive a patient with GERD. You get a quick report from a nurse in the ED, review the paper record from their admission, and introduce yourself to the patient before attending morning report. During report, the patient gets out of bed with no side rails up, walks in bare feet to use the washroom, slips, and fractures their tailbone. This patient had a total hip replacement 2 years ago at a large urban acute-care hospital, however was not identified as a falls risk due to the rapid assessment done earlier that day.
Document
http://tinyurl.com/84GH4D
i.e How would you explain to a fellow nurse that the patient has ____ condition? (1-2 sentences)?
Is it measurable?
As a nurse, where do you think you would find this information on the patient if needed?
Would you have wanted to know this information before encountering the patient?

1. Miranda Quin
2. Emily Mach
3. Jennifer Marson
4. Jonelle Galo
5. Micheal De Wit
6. Michael Shaver
7. Nicolette Kaunds
8. Shaunna Neilson
9. Cassandra
Senanayake
10. Emily Freeland
11. Jason Johnson
12. Rebecca Comas
13. Rachel Karis
14. Kadiatu Kanu
15. Jonelle Galo
16. Jessie Zammit
2. When reading the following
scenarios think of information
you would want to know in order
to provide care to the patient.
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