Informatics
● Def: use of information and computer technology to support ALL ASPECTS of nursing
practice including direct delivery of care, administration, education, and research.
● It is part of the 6 qsen competencies
○ 1. Patient-Centered Care
○ 2. Informatics and Technology
○ 3. Evidence-Based Practice
○ 4. Quality Improvement
○ 5. Safety
○ 6. Teamwork and Collaboration
● Informatics is basically the use of technology and things such as:
○ Computers and mobile devices
○ Medication administration applications
○ Computerized provider order entry
○ Electronic health record (EHR)
○ MAR
● Nurses job is to
○ Record
○ Interpret
○ Report data (includes numbers characters or facts that you collect according to a
perceived need for analysis and possible action)
○ Critically think
○ And apply that knowledge
Clinical Information systems (CIS)
● They are monitoring systems, order entry, laboratory, radiology, and pharmacy systems.
● A NIS is a subspecialty of clinical information system (CIS)
● Clinical decision support systems (CDSSs) are computerized programs.
● The reason we use Computerized provider order entry (CPOE) is because they
○ Improve accuracy
○ Speeds implementation
○ Improves productivity
○ Saves money
Standards of Documentation
● Current documentation standards require that each patient have an assessment:
○ Physical, psychosocial, environmental, self-care, patient education, knowledge
level, and discharge planning needs
● Nursing documentation standards are set by federal and state regulations, state
statutes, standards of care, and accreditation agencies.
State Laws
● Licensing of professionals—scope of practice
● Licensing of health care institutions
● Laws relating to public health and disease prevention and control
● Consent
● Advanced directives
● Def: use of information and computer technology to support ALL ASPECTS of nursing
practice including direct delivery of care, administration, education, and research.
● It is part of the 6 qsen competencies
○ 1. Patient-Centered Care
○ 2. Informatics and Technology
○ 3. Evidence-Based Practice
○ 4. Quality Improvement
○ 5. Safety
○ 6. Teamwork and Collaboration
● Informatics is basically the use of technology and things such as:
○ Computers and mobile devices
○ Medication administration applications
○ Computerized provider order entry
○ Electronic health record (EHR)
○ MAR
● Nurses job is to
○ Record
○ Interpret
○ Report data (includes numbers characters or facts that you collect according to a
perceived need for analysis and possible action)
○ Critically think
○ And apply that knowledge
Clinical Information systems (CIS)
● They are monitoring systems, order entry, laboratory, radiology, and pharmacy systems.
● A NIS is a subspecialty of clinical information system (CIS)
● Clinical decision support systems (CDSSs) are computerized programs.
● The reason we use Computerized provider order entry (CPOE) is because they
○ Improve accuracy
○ Speeds implementation
○ Improves productivity
○ Saves money
Standards of Documentation
● Current documentation standards require that each patient have an assessment:
○ Physical, psychosocial, environmental, self-care, patient education, knowledge
level, and discharge planning needs
● Nursing documentation standards are set by federal and state regulations, state
statutes, standards of care, and accreditation agencies.
State Laws
● Licensing of professionals—scope of practice
● Licensing of health care institutions
● Laws relating to public health and disease prevention and control
● Consent
● Advanced directives
