protime machine
DESCRIPTION
PROTIME MACHINE. Lisa Ritchey, RN Sherrie Thomas, RN Tracey McCaulley, RN. OBJECTIVES. Define and describe trend List and describe trend hardware and software Identify, describe and review trend information system Describe advantages/disadvantages of using trend - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/1.jpg)
PROTIME MACHINE
Lisa Ritchey, RNSherrie Thomas, RN
Tracey McCaulley, RN
![Page 2: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/2.jpg)
OBJECTIVES
• Define and describe trend• List and describe trend hardware and software• Identify, describe and review trend information system• Describe advantages/disadvantages of using trend• Examine legal and ethical issues related to use of trend• Describe technology-related competencies needed by the
professional nurse working with trend• Describe functions of the informatic nurse working with trend
![Page 3: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/3.jpg)
TREND IN ANTICOAGULANT THERAPY MONITORING
Traditional
•Patient goes to lab
• Lab runs test; gets results
• Lab calls results to doctor
• Doctor adjusts coumadin dose
•Nurse informs patient of dosage change
New
• Patient runs test
• Patient gets results
• Patient adjusts coumadin
accordingly
![Page 4: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/4.jpg)
Implementation of protime machine in home settings
WHY? In the new paradigm of patient-professional partnership patient self-management results in improved clinical outcomes with same quality of anticoagulation management.
GOAL: Implement best practice in managing coumadin dosages in patients on long-term anticoagulant therapy by performing PT/INR testing in the home.
.(Beyth, 2005)
![Page 5: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/5.jpg)
Hardware
ProtimeMachine
(ITC, 2006)
Cuvette Tenderlett Plus
![Page 6: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/6.jpg)
Software
Coagutrax
• Built in alerts• Built in patient dosing tool• Source of documentation• Interfaces with the EMR• Automated charge entry
(Medmatics, 2005-2009)
Coagutrax
![Page 7: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/7.jpg)
ADVANTAGES
cost effective
Speed of results
convenient
Less invasive
![Page 8: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/8.jpg)
DISADVANTAGES
dexterity
abilityRequired controls
Equipment cost
![Page 9: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/9.jpg)
Cost Current Process Proposed Process
Mileage $10.80 $0
Travel time $30.72 $0
Increase staffing Costs
$49.00 $0
Cost of supplies $0 $5.00
(ITC, 2006)
![Page 10: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/10.jpg)
Ethics Related To Home Monitoring Of PT/INR
• Responsibility shifts to the patient
•Patient’s are not skilled clinicians
•Impact on patient-professional relationship
(Martin, 1999)
![Page 11: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/11.jpg)
Legal Issues
• Nurses competency• Corporate liability• Personal liability• Patient confidentiality
(Sullivan, 2005)
![Page 12: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/12.jpg)
Technology-related competencies
Nurses must be proficient in:
• Use of hardware• Use of software• Conversion of data into information• Application of information into knowledge• Incorporation of knowledge into practice
(Sullivan, 2005)
![Page 13: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/13.jpg)
Functions of the informatics nurse
• Critique the trend
• Evaluate hardware and software for usability
• Collect evidence to support best practice
(Sullivan, 2005)
![Page 14: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/14.jpg)
Summary
• An example of new technology • No delay in treatment
• Support for best practice
![Page 15: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/15.jpg)
References
• Beyth, R. J. (2005). Patient Self-Management of Anticoagulation: An Idea Whose Time Has Come.
• ITC (2006). ProTime Machine Microcoagulation System.
• Martin, P.A. (1999). Bioethics and the whole: Pluralism, Consensus of the Transmutation of Bioethical Methods into Gold, Journal of Law,Medicine, and Etjics, 27 (4), 316-327.
![Page 16: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/16.jpg)
References Cont.
• McGonigle, D. and Mastrian, K. (2009). Nursing Informatics and the Foundation of Knowledge. Boston: Jones and Bartlet Publishers.
• Medmatics, LLC (2005-2009). Developers of Coagulax, Anticoagulation Management Software.
![Page 17: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/17.jpg)
References Cont.
• Mendez-Jandula, B. M., Souto Juan Carlos, M.M., Oliver, A.M., Montserrat, M., Quimntana, M. R., Gich, I. M., et al. (2005). Comparing Self-Management of Oral Anticoagulant Therapy with Clinic Management. A Randomized Trial. Annals of Internal Medicine, pp. 142: 1-10.
![Page 18: PROTIME MACHINE](https://reader035.vdocuments.us/reader035/viewer/2022062222/56815ed6550346895dcd70ea/html5/thumbnails/18.jpg)
References Cont.• ProTime PT-INR Testing Monitor-Process
Efficiency. (2008, January 31). Retrieved December 4, 2009, from Pro Time Test provided by QAS:http://www.protimetest.com
/homehealth efficiency.asp.• Sullivan, E.J. (2005). Effective Leadership
and Management in Nursing. Upper Saddle River, NJ: Pearson Education, Inc.