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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.
Past investigation results and reports

Patient hx




                                Previous Clinical Documentation



                 Diagnosis and
                 Diagnosis and
                   Procedure
                   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                          Paper Based
 • Complete legitimate
                                    • Illegible and inadequate
 • Reduction in Medication
                                      handwritten notes.
   errors
                                    • Transcription based
 • Accurate and timely
   analysis of lab results etc.       errors.
 • More time for direct             • Time consuming and
   clinician/patient interaction.     usually missing data
 • Improve transparency and           leading to incomplete
   communication.                     analysis.
 • Elimination of data              • What works on paper
   duplication.                       might not always be
 • Improved care through              translated to electronic
   relevant clinical reminders        format.
   and alerts.
Clinical Workflows & EMR Trends
                                                           Clinical
                     • Complex and                         Documentation
                       dynamic                             Decision support
                                                           tools
                     • Multiple
Clinical Workflows




                       players        Conventional EMR
                     • Information    -Retrieval of info
                                      - Reports
                       systems to     - Scheduling
                       build around   - Billing
                       workflows
                     • Timely                                  CURRENT EMR
                       information                             Cost Effectiveness
                       retrieval                               Patient Safety
                                                               Error prevention
                                                               Quality
                                                               Outcomes
THANK YOU!

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Trends and issues in nursing

  • 1. TRENDS AND ISSUES IN NURSING Nelia B. Perez RN, MSN PCU – Mary Johnston College of Nursing BSN 2013
  • 3. 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
  • 5. 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.
  • 6. Automated medication administration • Automated Medication Administration solutions or Patient Pharmaceutical Distribution solutions allow nursing staff to automate the medication distribution process.
  • 7. 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
  • 8. 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.
  • 9. Past investigation results and reports Patient hx Previous Clinical Documentation Diagnosis and Diagnosis and Procedure Procedure Medication History
  • 10. 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.
  • 11. • Accurate and timely claims review and payment. • Appropriate utilization review and quality and payment. • Foundation for medical research and healthcare statistics. • Defensible legal evidence.
  • 12. Benefits of Electronic Documentation over Paper Based Recordings. Electronic Paper Based • Complete legitimate • Illegible and inadequate • Reduction in Medication handwritten notes. errors • Transcription based • Accurate and timely analysis of lab results etc. errors. • More time for direct • Time consuming and clinician/patient interaction. usually missing data • Improve transparency and leading to incomplete communication. analysis. • Elimination of data • What works on paper duplication. might not always be • Improved care through translated to electronic relevant clinical reminders format. and alerts.
  • 13. Clinical Workflows & EMR Trends Clinical • Complex and Documentation dynamic Decision support tools • Multiple Clinical Workflows players Conventional EMR • Information -Retrieval of info - Reports systems to - Scheduling build around - Billing workflows • Timely CURRENT EMR information Cost Effectiveness retrieval Patient Safety Error prevention Quality Outcomes