Notes for nursing informatics:

Common hospital computer

Acute care pjyisologic monitoring system =comprehensive patient monitoring system that can be configured to measure and display various patient parameters

Pulse Oximete r= measure the arterial hemoglobin oxygen saturation of the patient’s blood.

Intracranial pressure monitor s= Are connected to sensors inserted into the brain through a cannula or bur hole.

Ventilator s= consist flexible breathing circuit, gas supply, heating/humidification mechanism monitors and alarm.

Infusion pumps = employ automatic programmable pumping mechanism to supply the patient with fluids intravenously or epidural through o catheter.

Crash carts = also called resuscitation carts or code carts, are strategically located in the ICU for immediate availability when a patient experience cardio-repiratory failure

Intra-Aortic Balloon Pump= usea balloon placed in the

Patient monitoring is pivotal for the appropriate assessment, diagnosis and treatment of patients.

It ranges from basic vital signs and visual assessment to the use of sophisticated physiologic monitoring equipment that can measure a number of parameters such as cardiac rhythm, oxygen saturation and central venous and pulomonary artery pressures.

The basic componenrs of physiologic monitoring equipment are as follows:

Sensors Signal conditions to amplify or filter the diplay device File to rank and order information Computer processor to analyze data and direct reports Evaluation or controlling component to regulate

Computer software= general term for various kinds of of programs used to operate computers and related devices

Variable part of a computer

Requires hardware, which is the physical substrate on exist and runs

Types of software

System software= program thatmanages and supports the computers resources and operations of a computer system

Application software= programs that specify the information processing activities required for the completion of specific tasks of computer users

Computer software

>software is a generic term for organized collections computer date and insyrcutions that directs the computer hardware to perform work, often broken into two major categories: system software that provides that basic non-task-specific functions of t

Types of software

>system software

>basic input output system (BIOS)

>operating system (OS)

=Utility programs

User interfaces

>disk operating system (DOS)

>graphical user interface (GUI)

COMMON SOFTWARE UTILIZED NURSES

Chatroom= like electronic conference calls

Synchronous; uers can connect in real time even at huge distance

Social network

Any number of web addresses designed to create online communities

Electronic bulletin board

May be called discussion boards os electronic forums

Forums can be posted using administratrative or user defined categories

Listervs

Least powerful version of the electronic bulletin

Software functions more like electronic mailing list

Hospital information management

Hospital information system

A software system that is designed to manage all the hospital’s medical and administrative information

Manages all hospital functions with one afooradable, integrated solution Helps improve operational efficiency, care qualiy and patient

experience Helps improve care quality and the patient experience by providing

clinicians with single, customizable view of patient data across all discipline

A set of people, procedure and resources that collects

Clinical information system

Consist of information technology that is applied at the point of clinical care. They include electronic medical records, clinical date

Classification of systems

Closed system Open system Computer system Information system

Open source system and free software

Is software that can be used, studied, and modified without restriction and which can be copied and redistributed in modified or unmodified form either without restriction, or with minimal restriction only to ensure that further recipients can also do these things

Open source software is computer software that is available in source code from for which the source code from for which the source code and certain other rights normally reserved for copyright holders are provided under a software license that permits users to study, change, improve and times also to distribute the software

The domain name system (DNS)

Domain name system (DNS) is a hierarchical naming system built on adistributed database fpr computers, services

Top level domains

AERO= for air transport industry

.Biz= for business

.com= commercial/ business organization

.coop=for coopearatives

.EDU= restricted to 4-year degree granting institutions in north amerika

.GOV= restricted for US federal government

.INFO= all users

.INT= restricted to organizations that were established by international treaty

. MUSEUM= for museums

.NAME= foe individuals

.NET= fpr network resources

.ORG= for non profit organizations

.PRO= for professional

INTERNET?

How large= year 2001 over 109 million host in 230 countreis and growing 46-47% annually

Usage= email, browsing for information and sites, chat room, forums, social network, online registration and application

Assignment hospital gate= COPD WITH LUNG ATELICTASIS, ESOPHAGEAL MASS, INTESTINAL Obstructions, PYeLONEPHRITIS, POLYLITHIASIS,FRACTURE OF THE Femur, COLITIASIS,

INPUT 7 CASES= CHOOSE AMONG 7 CASES… PROFILE OF THE PATIENT

Learning objectives:

Consider the implications of policy on nursing informatics (NI) as a speciality. Identify the impact of national trends and event s

Policy:

Defined as course of action that guides present and future decisions An action is based on given conditions and selected from amobg identified

alternatives

Health care policy:

Is stablished on local, state, and national levels to guide the implementation of solutions for the population’s health needs.

Is influenced: -existing conditions -emerging trends

Policy decisions??

Established the direction for future trends that impact informatics NI profession needs to be more cognizant of events and healthcare policies

that will affect their practice.

Historical perspectives:

Nurses have contributed to the purchase, design and implementation of information system (IS) since 1970s.

1992: American nurses association base Identify the existence of educational programs in the field Show support from nationally recognized organization Develop a research agenda

The term NI???

1st appeared in the literature (1980s) The definition of NI has constantly evolved since the time molded the

maturation of the field and influenced health policy. Classical definition: the combination of nursing, information, and computer

science to manage and process nursing data into information and knowledge for use in nursing practice.

Modern definition: the edpecialty that integrets nursing science, computer science, and information science to manage

NI TODAY….

Facilitates the integration of date information, and knowledge to support patients, nurses and other provides in their decision-making in all rokes and settings.

Domains is focused on data and its structures, information management, and technology.

NI nurses are experts in?

Acute care settings: focus on system selection and implemantetion Research: develop expertise in data structures Have had strong clinical backgrounds Have cease to deliver care directly to patients.

Refocus their careers domain of interest to provide indirect healthcare services.

Learning exercise!!!

Look for an article highlights the role of nursing informatics as a specialty or differentiated practice

Share pertinent insights on the role of nurses in the development and implementation of technology tools for clinical practice, evaluation tools on nurse’s work. And help prepare nurses to use information technologies.