What sort of teaching is done in your nursing role?
I work in a diabetes care clinic and manage patients with type 1, type 2 and gestational diabetes. My passion is gestational diabetes and women with pregnancy complicated by diabetes. I believe that most of my time spent with a patient is teaching of some aspect of diabetes. I explain what diabetes is, what causes diabetes, prevention, treatment with diet and exercise, oral meds and/or insulin, weight control and exercise. I instruct on the importance of foot care, eye care, skin care, good control of BG levels and WHY it is so important. With my pregnant gals, I instruct in all the areas above but also stress the importance of keeping BG levels under tight control to avoid and prevent complications to the fetus as well as the mom. If I have a patient that informs me of their intent to get pregnant, I do in-depth preconceptual teaching.
Is there any nursing role that does not involve teaching in some manner?
I do not think that any nursing role exists that does not involve teaching. When I worked as a staff nurse in the hospital we were teaching our patients on everything from how to get out of bed with the least amount of pain to dressing changes to follow up care after discharge. Also, we taught the reasons for medications and how they work to help the healing process. As a mentor to students, we taught about everything we do during a shift and why. As a provider the teaching is in a slightly different arena but ongoing with every encounter we have with our patients. We exchange information with our colleagues on an ongoing basis and not only teach at times but learn as well.
Sunday, June 27, 2010
Sunday, June 6, 2010
Module 2
You used an electronic index, a guideline index and a web search engine to retrieve informaton relevant to your clincal problem. Compare and contrast your results. Which resources were useful/not useful for your information retrieval task, and why? Identify some alternative strategies for retrieving relevant informaton - would context relevant information retrieval be useful?
I found PubMed to be a fairly easy program to navigate. It is probably due to the fact that I have used the basics of it in the past but the tutorial we watched was very informative and I was able to do much more to aid my citation search. It was almost self explanatory once I knew what Limits, subheadings, boolean terms and MeSH were. PubMed was certainly useful for my retrieval task. I found the Ntional Guideline Clearinghouse web site to be very busy and confusing. It was complicated compared to PubMed. There were options to aid in my search but not as easy to understand and it seemed as though there were not as many options, more lists as such to chose from. I used Google search and typed in 'diabetes and pregnancy and metformin' and got 20,600,000 hits. Most of these were information sites such as American Diabetes Association, March of Dimes, CDC and pharmacutical sites. There were a few articles but very few RCT or clincial reviews or meta analysis or journal articles. It would take hours to sift through all those sites to find anything that was evidence based and usable for research. I have used Google Scholar before and found more articles that were relevant to a research project but many of them were for a fee.
I found PubMed to be a fairly easy program to navigate. It is probably due to the fact that I have used the basics of it in the past but the tutorial we watched was very informative and I was able to do much more to aid my citation search. It was almost self explanatory once I knew what Limits, subheadings, boolean terms and MeSH were. PubMed was certainly useful for my retrieval task. I found the Ntional Guideline Clearinghouse web site to be very busy and confusing. It was complicated compared to PubMed. There were options to aid in my search but not as easy to understand and it seemed as though there were not as many options, more lists as such to chose from. I used Google search and typed in 'diabetes and pregnancy and metformin' and got 20,600,000 hits. Most of these were information sites such as American Diabetes Association, March of Dimes, CDC and pharmacutical sites. There were a few articles but very few RCT or clincial reviews or meta analysis or journal articles. It would take hours to sift through all those sites to find anything that was evidence based and usable for research. I have used Google Scholar before and found more articles that were relevant to a research project but many of them were for a fee.
Saturday, June 5, 2010
Module 1 assignment
Describe what is happening related to IT in your clinical area.
I hate to admit that when I first entered nursing we did all of our charting by hand with paper charting....YIKES! It was laborious and boring and it was difficult to go back through patient charts to find information related to what happened on day one, or results of a procedure. It was also easy to forget information that was vital to the patient, when we found time to chart.
I remember when our unit implemented computer charting. We all thought it was the worst expectation for nurses....how were we ever going to learn it all!? We were trained on Tandam and it actually resulted in better charting and time management.
I work for IHC and the diabetes clinic was using Clinical Workstation when I started working there. We have always been on the entry level of new computer technology. We have recently implemented the HELP2 Clinical Desktop. It was a bit overwhelming at first BUT...what a difference in information organization. We have had several training sessions with the computer experts and we now have access to so many applications for information retreival, EBM articles and drug information. We no longer have to write prescriptions by hand and we also have drug to drug, drug to condition alerts whenever we write for a new medication which decreases the chance of errors.
We have access to E-Resource, which includes Micromedex, UpToDate, PubMed, etc and is invaluable on a daily basis. We have access to image acquisition, Lab Order Entry and Hottext. This allows us to access information while we are with the patient and to discuss this with the patient. It also allows us to make better evidence-based decisions on the healthcare we provide.
We also have access to Message Log which allows us to be in contact with any of the patients providers that are based with Intermountain Healthcare. This has given us the ability to be in contact with other providers on a daily basis to coordinate care.
Recently, President Obama recognized Intermountain Healthcare as a model of care. It was said that "Much of the rest of the country tends to focus on the volumes of healthcare services they provide, because that is what the system rewards, rather than the care that's necessary to help the patient. In Intermountaion Healthcare and in Utah we focus on evidence-based medicine and we're more able to provide only the services our patients need"(Obama Singles Out Intermountain Healthcare as Model System). Much of this ability to provide only services that are needed by the patient is due, in great part, to our availability of informatics technology.
http://www.ksl.com/?nid=148&sid=7873613
I hate to admit that when I first entered nursing we did all of our charting by hand with paper charting....YIKES! It was laborious and boring and it was difficult to go back through patient charts to find information related to what happened on day one, or results of a procedure. It was also easy to forget information that was vital to the patient, when we found time to chart.
I remember when our unit implemented computer charting. We all thought it was the worst expectation for nurses....how were we ever going to learn it all!? We were trained on Tandam and it actually resulted in better charting and time management.
I work for IHC and the diabetes clinic was using Clinical Workstation when I started working there. We have always been on the entry level of new computer technology. We have recently implemented the HELP2 Clinical Desktop. It was a bit overwhelming at first BUT...what a difference in information organization. We have had several training sessions with the computer experts and we now have access to so many applications for information retreival, EBM articles and drug information. We no longer have to write prescriptions by hand and we also have drug to drug, drug to condition alerts whenever we write for a new medication which decreases the chance of errors.
We have access to E-Resource, which includes Micromedex, UpToDate, PubMed, etc and is invaluable on a daily basis. We have access to image acquisition, Lab Order Entry and Hottext. This allows us to access information while we are with the patient and to discuss this with the patient. It also allows us to make better evidence-based decisions on the healthcare we provide.
We also have access to Message Log which allows us to be in contact with any of the patients providers that are based with Intermountain Healthcare. This has given us the ability to be in contact with other providers on a daily basis to coordinate care.
Recently, President Obama recognized Intermountain Healthcare as a model of care. It was said that "Much of the rest of the country tends to focus on the volumes of healthcare services they provide, because that is what the system rewards, rather than the care that's necessary to help the patient. In Intermountaion Healthcare and in Utah we focus on evidence-based medicine and we're more able to provide only the services our patients need"(Obama Singles Out Intermountain Healthcare as Model System). Much of this ability to provide only services that are needed by the patient is due, in great part, to our availability of informatics technology.
http://www.ksl.com/?nid=148&sid=7873613
Module 1 assignment
Why do you as a graduate level nurse need to know about informaiton management?
As a doctorate level NP, information management is essential to the care of our patients. Module one introduces us to the importance of using information systems/technology to support and improve patient care and healthcare systems and provide leadership within healthcare systems and/or academic setings (AACN, 2006 page 12-13). As providers, we must be able to quickly access information, link that information to our patients needs and maintain organization of that information. In our work as healthcare professionals, we are confronted with computers and many computer applications on a daily basis. This technology provides us with the tools for acquisition, preparation and distribution of medical data and knowledge (Imhoff et al, 2001).
With each patient encounter, I access information such as medication lists, allergy lists, trends in vital signs and weight, lab reports and results of tests and imaging. I am also able to access the clinical notes of other providers, hospital encounters, referrals and message logs. This is so important to coordinate care of each patient. Many of my patients have complex medical histories and it is imperative that all of the patients providers have access to the same information and be able to access it quickly.
Entering information related to each encounter of each patient can be a long process at times. However, this information charting is essential in maintaining organization and continuity of care.
AACN. (2006) Essential #4. The Essentials of Doctoral Eduction for Advanced Nursing Practice, page 12-13.
Imhoff, M.A., Webb, A., & Goldschmidt, A. (2001). Health Informatics. Intensive Care Med, 27, 179-186.
As a doctorate level NP, information management is essential to the care of our patients. Module one introduces us to the importance of using information systems/technology to support and improve patient care and healthcare systems and provide leadership within healthcare systems and/or academic setings (AACN, 2006 page 12-13). As providers, we must be able to quickly access information, link that information to our patients needs and maintain organization of that information. In our work as healthcare professionals, we are confronted with computers and many computer applications on a daily basis. This technology provides us with the tools for acquisition, preparation and distribution of medical data and knowledge (Imhoff et al, 2001).
With each patient encounter, I access information such as medication lists, allergy lists, trends in vital signs and weight, lab reports and results of tests and imaging. I am also able to access the clinical notes of other providers, hospital encounters, referrals and message logs. This is so important to coordinate care of each patient. Many of my patients have complex medical histories and it is imperative that all of the patients providers have access to the same information and be able to access it quickly.
Entering information related to each encounter of each patient can be a long process at times. However, this information charting is essential in maintaining organization and continuity of care.
AACN. (2006) Essential #4. The Essentials of Doctoral Eduction for Advanced Nursing Practice, page 12-13.
Imhoff, M.A., Webb, A., & Goldschmidt, A. (2001). Health Informatics. Intensive Care Med, 27, 179-186.
Module 1 assignment
Introduce yourself to the group. Include your graduate area:
I am in my final semester of the DNP program and actually walked in the Spring convocation on May 6th. (YIPPY!) Right after graduating with my FNP, I worked in a wound care clinic for 2 years and about 60% of my patients had diabetes. That led to a position as a provider in an Endocrine and Diabetes Clinic where I have been for about 4 years and I am in love with my position! Our clinic is unique in that we provide a team approach to diabetes. Our team includes an endocrinologist, 2 midlevel providers, certified diabetic educators, registered dietitians, a social worker and links to many providers that may be necessary in providing care to patients that have diabetes, (eg: podiatrist, vascular specialists, cardiac specialists, renal specialists, etc). Our computer system has access to many evidence-based sites that I am becoming better aquainted with and I am continually amazed at how much information is available to help in the care of my patients.
I am in my final semester of the DNP program and actually walked in the Spring convocation on May 6th. (YIPPY!) Right after graduating with my FNP, I worked in a wound care clinic for 2 years and about 60% of my patients had diabetes. That led to a position as a provider in an Endocrine and Diabetes Clinic where I have been for about 4 years and I am in love with my position! Our clinic is unique in that we provide a team approach to diabetes. Our team includes an endocrinologist, 2 midlevel providers, certified diabetic educators, registered dietitians, a social worker and links to many providers that may be necessary in providing care to patients that have diabetes, (eg: podiatrist, vascular specialists, cardiac specialists, renal specialists, etc). Our computer system has access to many evidence-based sites that I am becoming better aquainted with and I am continually amazed at how much information is available to help in the care of my patients.
Subscribe to:
Posts (Atom)
