applications

• Topics


  • Health information process
  • Hospital/critical care applications
  • Community health applications
  • Ambulatory care system
  • Emergency preparedness response
  • Administrative Assistive Devices and Workplace Technologies
  • Telehealth
• Health information process


  Patient-centered and goal-oriented processes by which the nurse delivers effective care to patient which involve assessment, diagnosis, planning, implementation, and evaluation
• The health information process is a cyclical, repetitive and on-going process of health care delivery
• The health information process not only focuses on ways to improve the patient's physical needs, but also social and emotional needs as well
• Phases of health information process

  • ADPIE
• Assessment


  Collecting vital data and fundamental information necessary for the next process
• Methods of data collection

  • Observation
  • Interview
  • Examination/ physical assessment
• Diagnosis


  Proper comprehension of the patient's condition and responses
• Diagnosis is a complex process that utilizes aspects of intelligence, critical thinking, and deeper thoughts of understanding
• Diagnosis involves interpretation of human behavior related to health
• Diagnosis involves clinical judgement about individual, family or community responses to actual or potential health problems
• Diagnosis provides the basis for selection of interventions to achieve outcomes for which the healthcare provider is accountable
• Evidence-based diagnosis can be enhanced through the computer-based methods
• Integration of all health information system offers sharing of techniques, strategies, success processes medication performance, good tactics, and simple medication approach
• The automated system can provide predictive values which can facilitate diagnosis and decision process
• Planning


  Setting priorities, predicting expected outcome, and establishing timetables
• Computer simulation can predict results and test of expected results math with the available data
• Computer program can also prepare timetable and optimal schedule and efficient strategies that are streamlining in the care process
• Implementation


  The action phase of the process
• Types of actions


  • Independent actions
  • Collaborative actions
• Computer simulations can be integrated to be the implementation, to further enhanced the decision-making process of a nurse
• The nurse can verify the next actions involved and can also predict the possible solution to the scenarios involved
• The healthcare provider can also search for other possible options and solution that is readily fit to the condition
• Evaluation


  Evaluation of the process using computers with large amounts of patient data, help identify outcomes patients are likely to achieve based on the individual problems and needs and estimate the time frame for reaching outcome goals
• During evaluation, use computer to record and store observations, patient's responses to interventions, and your own evaluation statements
• Health care documentation


  Focuses on health assessments, client's care plans, medication administration records, notes and discharge plans and all these processes can be automated and enhanced with the use of computer system
• Advantages of computerized documentation

  • It is typed and therefore legible
  • The computer can be programmed to identify the data and time of all entries as well as the initials or the name of the person making the entry
  • The computer can store standard care plans in a format determined by the hospitals and clinics, to be used as the basis for developing individualized client care plan
  • The computer can be programmed into sub-modules which process coordinated activities such as drug administration with timetable
  • Computer can perform drug dosage calculation faster and more accurately
  • Nurse's notes can be entered quickly by choosing statements, appropriate for a particular client from multiple preprogrammed choices
• Benefits of health informatics into practice application

  • Patient charting
  • Clinical data integration
  • Decision support (with co-health providers)
  • Optimal operation of hospital clinic
  • Better care planning
• Critical care


  An area of expertise within the health profession that focus specifically with human responses to life threatening problems
• Critical care nurse/staff


  Responsible in ensuring that critically ill patients and seriously conditioned individuals, in addition, they should ensure that families of the medically ill patients should receive optimal care
• Critical care applications are areas where patients require complex assessment, high intensity medication, continuous therapy and interventions, and unrelenting nursing attention and continuous watchfulness
• Technology used in ICU


  • Physiologic monitors including arrythmia and hemodynamic
  • Mechanical ventilators
  • CCIS (Critical Care Information System)
• Device connectivity infrastructure


  Aside from monitoring, deices are capable of sending information to software applications
• Medical information Bus (MIB) is used to classify the backbone of information exchange allowing data to be moved from one point to another
• Physiologic monitoring system


  5 basic parts: Sensors, Signal conditioners, File, Computer processor, Evaluation or controlling components
• Physiologic monitoring systems typically have modern platform allowing the selection of various monitoring capabilities to match the needs of a variety of clinical settings
• Physiologic monitors are usually built to incorporate both arrythmia and hemodynamic monitoring capabilities
• What hemodynamic monitors can be used for

  • Measure hemodynamic parameters
  • Closely examine cardiovascular function
  • Evaluate cardiac pump output and volume status
  • Recognize patterns (arrhythmia analysis) and extract features
  • Assess vascular system integrity
  • Evaluate the patient's physiologic response to stimuli
  • Continuously assess respiratory gases (capnography)
  • Continuously evaluate glucose levels Store waveforms
  • Automatically transmit selected data to a computerized patient database
• Thermodilution technique


  The bolus must be injected within 4 seconds, Amount of solution must be accurate, Temperature of the solution must be measured and accurately maintained, Catheter must be properly placed, Computer must have the appropriate computation constant, Bolus must be injected at the appropriate computation constant, Bolus must be injected at the appropriate time in the respiratory cycle
• The influence of these user-related issues is negated by using heat of a thermal filament embedded in the catheter to replace the injectate