TRENDS AND ISSUES IN NURSING

Nelia B. Perez RN, MSN

PCU – Mary Johnston College of Nursing

BSN 2013

CURRENT TRENDS IN NURSING PRACTICE

Importance of Information and Clinical Technology

A. TELEHEALTH

- videoconferencing

- Automated medication administration

- Point-of-care Clinical Documentation System

- Electronic Medical Records

- Smart Administration pumps

- Pharmacy system

- Remote Telemetry monitoring

Videoconferencing

Videoconferencing

• is the conduct of a videoconference (also known as a video conference or videoteleconference) by a set of telecommunication technologies which allow two or more locations to communicate by simultaneous two-way video and audio transmissions. It has also been called 'visual collaboration' and is a type of groupware.

Automated medication administration

• Automated Medication Administration solutions or Patient Pharmaceutical Distribution solutions allow nursing staff to automate the medication distribution process.

Medication Administration Solutions allow nurses to administer medication more quickly and accurately, helping to avoid costly errors.

•Improve Efficiency•Reduce Medication Distribution Errors•Increase Accurate Documentation - Reduce Liability•Improve Quality of Care•Increase Patient and Employee Satisfaction

Point-Of-Care Clinical Documentation System

• A system of automated templates that allows providers to capture medical information and document patient care encounters at the time of the event.

Patient hx

Past investigation results and reports

Previous Clinical Documentation

Diagnosis and Procedure

Diagnosis and Procedure

Medication History

Tangible and Intangible benefits of Proper Clinical Documentation• The ability of the physician and other

health care professionals to evaluate and plan the patient’s immediate treatment, and to monitor his/her heath care over time.

• Communication and continuity of care among and other health care professionals involved in the patient care.

• Accurate and timely claims review and payment.• Appropriate utilization review and quality and payment.• Foundation for medical research and healthcare

statistics.• Defensible legal evidence.

Benefits of Electronic Documentation over Paper Based Recordings.

Electronic• Complete legitimate• Reduction in Medication errors• Accurate and timely analysis of

lab results etc.• More time for direct

clinician/patient interaction.• Improve transparency and

communication.• Elimination of data duplication.• Improved care through relevant

clinical reminders and alerts.

Paper Based• Illegible and inadequate

handwritten notes.

• Transcription based errors.

• Time consuming and usually missing data leading to incomplete analysis.

• What works on paper might not always be translated to electronic format.

Clinical Workflows & EMR Trends

• Complex and dynamic

• Multiple players

• Information systems to build around workflows

• Timely information retrieval

Cli

nic

al W

ork

flo

ws

Conventional EMR-Retrieval of info- Reports- Scheduling- Billing

Clinical DocumentationDecision support tools

CURRENT EMRCost EffectivenessPatient SafetyError preventionQualityOutcomes

THANK YOU!