Unit VI Flashcards
area of expertise within nursing that focus specifically with human responses to life-threatening problems.
Critical Care Nursing
responsible to ensure that critically ill patients and seriously conditioned individuals receive optimal care.
Critical Care Nurse/Staff
areas where patients require complex assessment, high intensity medication, continuous therapy and interventions and unrelenting nursing attention and continuous watchfulness.
Critical Care Applications
➢ A system designed to collect, store, organize, retrieve and manipulate data related to care of the critically ill patient.
➢ Provides real-time resource utilization of data and management of information and access critical care areas through the integration of the medical facilities in
the critical care or intensive care unit to an intelligent computer system which is capable of processing all of these data.
Critical Care Information System (CCIS)
installed in the computer system which enables the user to have an access and use of the critical care information system.
Special Software
has built-in statistical information which prepares
all the charting and statistical analysis and reporting system.
Critical Care Information System
➢ Provides a generalized method of attaching patient monitoring devices to a common interface.
➢ Used to classify the backbone of information exchange, allowing data to be moved from one point to another.
Medical Information Bus (MIB)
Integrates multiple physiology parameters on one single small platform.
Physiology Monitoring System
Physiology Monitoring System integrates monitoring of…
rectal temperature
electrocardiogram (ECG)
respiration
oxygen saturation
blood pressure
exhaled CO2
Features a real-time display which provides numeric values as well as waveforms that can be customized by the user. Multiple signals can be displayed on each of the three graphs.
Physiology Monitoring System
➢ Collective term for the methodical application of information science and technology to community and public health process.
➢ Focuses on the health information system of the community; it is centered on the majority part of the public. It focuses on the information about the majority of populations.
Community Health Information System
What does Community Health Information System emphasizes?
prevention of disease
medical intervention
public awareness
An experiment that involves the collection of measurement or observations about populations that are treated or controlled by the experimenter.
Computer Based Survey System
used to collect information about items in a population to establish certain information from the obtained data.
Health Statistic Survey
can be used to integrate all the information obtain using different processes.
Automated System
used to enhance the emergency preparedness and response system, coupled and integrated to national health information system.
National Electronic Disease Surveillance System
Role of a Nurse Using Information System in the Ambulatory Care System
Store Data
Translate Data
Manipulate Data
Retrieve Data
Process Data
the integration of science of information, the practice of information processing, and the engineering of information system.
Health Information System
collective term referring to a system of data records and activities
that processes and translate the data to information in an automated process.
➢ The processing of data involves the use of computer systems and specialized software
that manipulates the information-processing activities of the organization.
Information System
Through the use of__________ it will link all hospitals,
practices and health practitioners as well as students in the country through the use of
computer-based communications channels.
National Health Information System (NHIS)
holds an administrative position at the nurse manager level.
Nurse Manager
Determine who’s function is this:
Allocating available resources to provide efficient and effective nursing care and
implementing clinical nursing services.
Nurse Manager
Determine who’s function is this:
Providing input into executive-level decisions and collaborating with the nurse
executive and others in organizational programming and committee work.
Implementing the philosophy, goals and standards of healthcare organization.
Nurse Manager
Determine who’s function is this:
Planning, organizing, implementing and controlling the care of individuals and aggregates across the spectrum of healthcare settings. This includes, but in not limited to, aspects of quality outcomes, staff development, care management and research.
Nurse Manager
responsible for managing organized nursing services and the environment in which clinical nursing is practiced.
Nurse Executive
Determine who’s function is this:
Managing organized nursing services and the environment in which clinical nursing
is practiced. Collaborating with other healthcare organization executives to make
decisions about healthcare services and organizational priorities.
Nurse Executive
Determine who’s function is this:
Ensuring that standards of nursing practice are established and implemented, and are consistent with standards of professional organizations and regulatory
agencies. Fostering a climate for practice that enhance productivity, job satisfaction and professional development.
Nurse Executive
Determine who’s function is this:
Evaluating care delivery models and services provided to individuals and
aggregates.
Nurse Executive
What are the types of Healthcare Organization Information System?
Case Management Information Systems
Communication Systems
Core Business Systems
Order Entry Systems
Patient Care Support Systems
What are the four common core business systems?
Admission, discharge, and transfer (ADT) systems
Financial systems
Acuity systems
Scheduling systems
What are the four common systems in patient care support systems?
Clinical Documentation System
Pharmacy Information Systems
Laboratory Information Systems
Radiology Information Systems
➢ Identify resources, patterns and variances in care to prevent costly complications related to chronic conditions and to enhance the overall outcomes for patients with chronic illness
➢ These systems span past episodes of treatment and search trends among records. Once trend is identified, case management system provides decision support
promoting preventative care.
Case Management Information System
set of care guidelines that outline the course of treatment and the recommended interventions that should be implemented to achieve optimal results.
Care plan
these systems present clinicians with treatment
protocols to maximize patient outcomes and support best practices.
Standard plan of care
➢ Promote interaction among healthcare providers and between providers and
patients.
Communication Systems
➢ Enhance administrative task and support management of healthcare within an organization.
➢ Provide the framework for reimbursement, support of best practices, quality control and resource allocation.
Core Business Systems
➢ Provide the backbone structure for the other types of clinical and business systems.
ADT systems
➢ Manage the expenses and revenue for providing health care.
➢ Determine the direction for maintenance and growth for a given facility.
➢ They often interface to share information with materials management, staffing and billing systems to balance the financial impact of these resources within an organization.
Financial Systems
➢ Monitor the range of patient types within organization using specific indicators. They track these indicators based on the current patient population within the facility.
➢ Provide feedback about how intensive the care requirement is for an individual patient or group of patients.
Acuity systems
➢ Coordinate staff, services, equipment and allocation of patient beds.
➢ Provide data to financial systems by closely monitoring staff and physical resources.
Scheduling systems
➢ They automate the way that have traditionally been initiated for patients-that is clinicians place orders using this system instead of creating traditional
handwritten transcriptions onto paper.
Order Entry Systems
provide decision support and automated alert functionality that was unavailable with paper-based records.
Computerized Physician Order Entry Systems
patient-centered systems focus on collecting data and disseminating information related to direct care.
Patient Care Support Systems
the most commonly type of patient care support system within healthcare organization.
➢ Designed to collect patient data in real time. They enhance care by putting data at the clinician’s fingertips and enabling decision making where it needs to occur-that is at the bedside.
Clinical Documentation Systems
or
Clinical Information System
➢ Allow pharmacists to order, manage, and dispense medications facility.
➢ Commonly incorporate information regarding allergies and height and weight to ensure effective medication management.
Pharmacy Information System
➢ Report on blood, body fluid and tissues samples, along with biological specimens collected at the bedside and received in a central laboratory.
➢ Provide clinicians with reference ranges for test indicating high, low, or normal values to make care decisions.
Laboratory Information System
➢ Schedule, result and store information related to diagnostics radiology procedures.
Radiology Information Systems
o Collect, store and distribute medical images such as
computed tomography scans, magnetic resonance
images and X-rays.
o Has the ability to assist in diagnosing and storing vital
patient care support data.
Picture Archiving and Communication System
the use of technology to deliver healthcare, health information or health education at a distance. Generally used an umbrella term to describe all of the possible variations of healthcare services that use telecommunications.
Telehealth
test results are forwarded to another facility for diagnosis.
Teleradiology
digital images, video, audio and clinical data
are captured and stored on the client computer or device; then at a convenient
time, the data are transmitted securely to a specialist or clinician.
Store and Forwarded Telehealth
A telecommunications link between the involved parties allows a real-time or live interaction to take place. Videoconferencing equipment is one of the most
common forms of technologies used in synchronous telehealth.
Real-Time (or Interactive) Telehealth
uses videoconferencing technology to connect a
psychiatric nurse with a mental health client.
Telemental Health
uses videocameras and other technologies to assess
patients’ progress in home rehabilitation.
Telerehabilitation
uses video technologies to observe, assess and teach
patients living in rural areas.
Telehome care
uses a variety of technologies to enable collaborative
exchanges or consultations between individuals or among groups that are involved with a case.
Teleconsultation
uses real-time or remote monitoring to
provide psychological support to patients and caregivers.
Telehospice or Telepallative care
Devices are used to capture and transmit biometric data.
Remote Monitoring (Telemonitoring or Remote Patient Monitoring)
daily home Telemonitoring of vital signs by
patients and subsequent transmission of those data that enables offsite nurses to track their patients regularly and precisely and address noticeable changes through education and information suggestions about diet or exercise
Home telehealth
The most basic type of telehealth. It can be described as remote care delivery or monitoring in which scheduled patient encounters via the telephone occur between a healthcare provider and patient or caregiver.
Telephony or Telephone Monitoring
The use of mobile phones, tablets and PDAs for managing health is a rapidly advancing form of telehealth.
mHealth
the use of telecommunications and information technology to provide nursing services in health care and enhance care whenever a physical distance exists between patient and nurse or among any number of nurses
Telenursing
a clinician-driven remote care delivery and education services that are delivered to the home via telecommunications-ready tools.
Home Telehealth Care
Tools of Home Telehealth:
o These clinical management software programs receive and displays patients’ vital signs and other information transmitted from medical advice including
blood pressure, weight and glucose information.
Central Stations, Web Servers and Portals
Tools of Home Telehealth:
o Most familiar household communications tool used in telehealth care.
Telephone
Tools of Home Telehealth:
o Used in telehealth for show-and-tell demonstrations by nurses for patients or to capture wound healing progress among other applications.
o Used for image transmission and viewing, thus ensuring high-quality diagnostic images and point-to-point consultations in hospital-or medical center-based-settings.
Videocameras and Videophones
Tools of Home Telehealth:
o Are signaling devices worn as a pendant or otherwise made easily accessible
to patients to ensure their safety and to enable them to quickly access
emergency care when needed.
Personal Emergency Response System
Tools of Home Telehealth:
o Used to track activities of daily living of seniors and other at-risk-individuals in
their place of residence.
o These systems can provide insight into behavior changes that might signal
changes or deterioration of health status.
Sensor and Activity Monitoring System
Tools of Home Telehealth:
o Consists of fully integrated systems, such as vital signs monitor, or they may be
stand-alone telecommunications-ready devices, such as blood pressure cuffs
and blood glucose meters.
o These devices plug directly into the household telephone jack to send data to
a central server location or Bluetooth technology to transmit data.
Peripheral Biometric (Medical) Devices
Tools of Home Telehealth:
o Simple as a watch that reminds a person to take medications, other are pill organizers with audible reminders and some can be programmed to dispense
prefilled containers with medications and alert a patient or caregiver f a missed
pill.
Medication Management Devices
Tools of Home Telehealth:
Include preprogrammed, multifunctional infusion pumps for meeting a range of infusion needs, including medications for pain management and other infusion delivery needs such as hydration and nutrition; peak flow meters and electrocardiogram monitors.
Special Needs Telecommunications - Ready Devices
