PRACTICE APPLICATION IN NURSING INFORMATICS Flashcards
Nursing informatics
. Nurses trained in NI support improved patient outcomes through their expertise in information processes, structures, and technologies, thus helping nurses and other care providers to create and record the evidence of their practice
Bedside physiologic Monitoring Equipment
- Sensors (e.g., pressure transducer, ECG electrode)
- Signal conditioners to amplify or filter the display device (e.g., amplifier, oscilloscope, paper recorder)
- File to rank and order information (e.g., storage file, alarm signal
- Computer processor to analyze data and direct reports (e.g., paper reports, storage for graphic files, summary reports)
- Evaluation or controlling component to regulate the equipment or alert the nurse (e.g., a notice on the display screen, alarm signal)
- Hemodynamic Monitors
Measure hemodynamic parameters
- Closely examine cardiovascular functions
-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 evaluate blood gases and electrolytes
-Estimate cellular oxygenation
- Continuously evaluate glucose levels
-Store waveforms
- Automatically transmit selected data to a computerized patient database
- Arrhythmia Monitor
Computerized monitoring and analysis of cardiac rhythm
Basic Components
- Sensor
- Signal conditioner
- Cardiograph
- Pattern recognition
- Rhythm analysis
- Diagnosis
- Written report
- Critical Care Information System (CCIS)
-Designed to collect, store, organize, retrieve, and manipulate all data related to care of the critically ill patient.
Components of the CCIS
- Patient management
- Vital sign monitoring
- Diagnostic testing results
- Clinical documentation to support the process of physical assessment findings
- Decision support
- Medication management
- Interdisciplinary plans of care
- Provider order entry
