This document provides an overview of systems used by nursing staff at a large Dublin hospital. It discusses the hospital background and facilities. It then summarizes the key systems used, including the electronic patient record system called PatientCentre, nurse specialist referral systems, patient document viewing, nursing discharge summaries, and rostering and staff management systems. The document concludes by noting that many new initiatives are underway and looks forward to a busy 2012.

2. Presentation Overview Hospital background Information Management Services Department Systems in use by nursing Conclusion

3. Hospital Overview Central Dublin hospital 600 beds 3000 employees National specialties Regional specialties Dublin Acadamic Medical Centre (DAMC) Acute Medicine Programme

4. New Adult Development – Opening 2012 Proposed bed capacity 120 single rooms (replacement) Emergency Department Outpatient Department 12 new Operating Theatres & 36 bedded ICU/HDU Radiology Department Catering Department Soft Landing/Lean Processes National Paediatric Hospital Proposed opening 2016 Location – Mater Campus Hospital Overview – New Development

5. Information Management Services (IMS) Department Head of Information Management Services System Analysis & Development Applications Support Network / Technical Support Internet / Email Services Web Services Manager Management Information Reporting Nursing Informatics/Development Help Desk / Reception Healthlink

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

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

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

10. Nurse Specialist Referrals

11. Nurse Specialists Using Referrals Breast Care Chest Pain Service CTHDU Diabetes/Endocrinology ED Respiratory CNS’s ENT Surgery Gastroenterology GI Oncology Upper GI Oncology Lower Heart Failure Infectious Diseases Lung Oncology Nephrology Neurology OPAT Service Pain Management Rapid Access Prostate Service Renal Day Unit Respiratory Rheumatology Smoking Cessation Stoma Care Urodynamics

12. Patient Documents Used to view scanned documents ED documents, ambulance report ….. Used to create new documents Nursing Discharge Summary, Wound Care letters,GP letters, patient letters etc……

13. Nursing Discharge Summary

14. Letter Template

15. Rostering System

16. Shiftmaker

17. Bank Management System Developed in-house Accessed throught Reports Module Vacant ward shifts communicated to Bank office Staff notify Bank office of their availability to work overtime Vacant shifts are filled by synchronising available staff & ward vacancies as they occur

20. Workload Determination

21. Nursing Documentation Nursing documentation review group Assessment Form & Discharge Care Plan 2 month Pilot now completed Pre & Post pilot documentation audits Post pilot evaluation

22. Conclusion Lots going on Looking forward to busy 2012

23. Thank You