Nursing Clinical Informatics - Suzanne Brown

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  • NIMIS Live – 20 th September
  • 23 specialities 44 + 4 NS’s
  • Nursing Clinical Informatics - Suzanne Brown

    1. 2. Presentation Overview <ul><li>Hospital background </li></ul><ul><li>Information Management Services Department </li></ul><ul><li>Systems in use by nursing </li></ul><ul><li>Conclusion </li></ul>
    2. 3. Hospital Overview <ul><li>Central Dublin hospital </li></ul><ul><li>600 beds </li></ul><ul><li>3000 employees </li></ul><ul><li>National specialties </li></ul><ul><li>Regional specialties </li></ul><ul><li>Dublin Acadamic Medical Centre (DAMC) </li></ul><ul><li>Acute Medicine Programme </li></ul>
    3. 4. <ul><li>New Adult Development – Opening 2012 </li></ul><ul><ul><li>Proposed bed capacity 120 single rooms (replacement) </li></ul></ul><ul><ul><li>Emergency Department </li></ul></ul><ul><ul><li>Outpatient Department </li></ul></ul><ul><ul><li>12 new Operating Theatres & 36 bedded ICU/HDU </li></ul></ul><ul><ul><li>Radiology Department </li></ul></ul><ul><ul><li>Catering Department </li></ul></ul><ul><ul><li>Soft Landing/Lean Processes </li></ul></ul><ul><li>National Paediatric Hospital </li></ul><ul><ul><li>Proposed opening 2016 </li></ul></ul><ul><ul><li>Location – Mater Campus </li></ul></ul>Hospital Overview – New Development
    4. 5. Information Management Services (IMS) Department <ul><li>Head of Information Management Services </li></ul><ul><li>System Analysis & Development </li></ul><ul><li>Applications Support </li></ul><ul><li>Network / Technical Support </li></ul><ul><li>Internet / Email Services </li></ul><ul><li>Web Services Manager </li></ul><ul><li>Management Information Reporting </li></ul><ul><li>Nursing Informatics/Development </li></ul><ul><li>Help Desk / Reception </li></ul><ul><li>Healthlink </li></ul>
    5. 7. Resource Scheduling/ Monitoring Quality/Metrics Information and Workflow Model Cos t Performance Budgetin g Outcomes Integrated Nursing Information System - INIS Workload Determination/ Allocation Clinical Data Diagnosis/Plan HIS/EPR Protocols Guidelines Research Education Policy Finance Planning Risk Management/Assessment Trends Analysis Review Care Determination/ Planning
    6. 8. PatientCentre A HIS system with the capacity to deliver a fully Electronic Patient Record (EPR) A means of collecting and displaying all patient orders, results, images, documents etc.. Easily September 2011 – NIMIS integration
    7. 9. Nurse Specialist Referrals Referral ordered through Patient Centre Nurse Specialist Worklist Review Referral Enter Results View Previous Results Schedule Appointments Generate Reports Discharge Patient Nursing Outcome/s
    8. 10. Nurse Specialist Referrals
    9. 11. Nurse Specialists Using Referrals <ul><li>Breast Care </li></ul><ul><li>Chest Pain Service </li></ul><ul><li>CTHDU </li></ul><ul><li>Diabetes/Endocrinology </li></ul><ul><li>ED Respiratory CNS’s </li></ul><ul><li>ENT Surgery </li></ul><ul><li>Gastroenterology </li></ul><ul><li>GI Oncology Upper </li></ul><ul><li>GI Oncology Lower </li></ul><ul><li>Heart Failure </li></ul><ul><li>Infectious Diseases </li></ul><ul><li>Lung Oncology </li></ul><ul><li>Nephrology </li></ul><ul><li>Neurology </li></ul><ul><li>OPAT Service </li></ul><ul><li>Pain Management </li></ul><ul><li>Rapid Access Prostate Service </li></ul><ul><li>Renal Day Unit </li></ul><ul><li>Respiratory </li></ul><ul><li>Rheumatology </li></ul><ul><li>Smoking Cessation </li></ul><ul><li>Stoma Care </li></ul><ul><li>Urodynamics </li></ul>
    10. 12. Patient Documents <ul><li>Used to view scanned documents </li></ul><ul><ul><li>ED documents, ambulance report ….. </li></ul></ul><ul><li>Used to create new documents </li></ul><ul><ul><li>Nursing Discharge Summary, Wound Care letters,GP letters, patient letters etc…… </li></ul></ul>
    11. 13. Nursing Discharge Summary
    12. 14. Letter Template
    13. 15. Rostering System
    14. 16. Shiftmaker
    15. 17. Bank Management System <ul><li>Developed in-house </li></ul><ul><li>Accessed throught Reports Module </li></ul><ul><li>Vacant ward shifts communicated to Bank office </li></ul><ul><li>Staff notify Bank office of their availability to work overtime </li></ul><ul><li>Vacant shifts are filled by synchronising available staff & ward vacancies as they occur </li></ul>
    16. 20. Workload Determination
    17. 21. Nursing Documentation <ul><li>Nursing documentation review group </li></ul><ul><li>Assessment Form & Discharge Care Plan </li></ul><ul><li>2 month Pilot now completed </li></ul><ul><li>Pre & Post pilot documentation audits </li></ul><ul><li>Post pilot evaluation </li></ul>
    18. 22. Conclusion <ul><li>Lots going on </li></ul><ul><li>Looking forward to busy 2012 </li></ul>
    19. 23. Thank You

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