WGU NURSINGBS/C468 OA Review Webinar Notes - STUDY GUIDE

WGU NURSINGBS/C468 OA Review Webinar Notes - STUDY GUIDE Review for OA TERMS : • Information Literacy – the ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively • Information - used to describe data that has been interpreted • Information science - the focus on how to gather, process and transform information into knowledge; also incorporates features from these 5 other sciences: communication science, computer science, social science, library science, cognitive science • Clinical practice guidelines - allow for the creation of nursing policies; rooted in evidenced based research • CPOE - the name used to describe the process by which the physician or provider enters orders electronically into the HER • Radio Frequency Identifier (RFID) – a type of technology that is used to identify and track supplies and medications within a healthcare environment • Nursing informatics - the use of technology and information to help support all aspects of nursing practice • Foundation of Knowledge Model - the basis for which knowledge is used to meet the needs of the healthcare delivery system; derived from its three key elements of knowledge acquisition, knowledge processing, and knowledge dissemination. • Strategic planning - the development of a comprehensive, long-range plan for guiding the activities and operations of an organization • Project scope - the size and details of a collaborative effort • Local area network (LAN) access - the type of connection needed to access the EHR when an internet connection is lost • Order entry system – this type of health information system ensures the accuracy of physician orders • Health information systems – a group of systems used within a hospital that support and enhance healthcare • Perioperative Nursing Data Set (PNDS) - nursing terminology that contains nursing diagnoses, interventions, and outcomes specific to the perioperative experience • HL7 (Health Level 7) - term used to refer a standard of interoperability and the exchange of clinical data SHORT ANSWER TYPE QUESTIONS: Using the EHR to document care of a patient with a fractured femur is an example of using the EHR in which way? o Information system How can using simulation technology with your patients improve overall outcomes? This study source was downloaded by from CourseH on :22:54 GMT -05:00 o By allowing them hands on practice and immediate feedback of the skill being learned Knowledge worker - nurses in this type of role: o Are continuous learners o Use technology to support and inform nursing practice o Generate knowledge as a product Characteristics of an experience nurse: o Fully integrate informatics throughout the course of his/her practice, not just for basic data entry and retrieval o Know how to pull trends out of data Characteristics of a beginner nurse: o Uses information systems to manage patients CPOE, Barcode Medication Administration, and Clinical Decision Support are all examples of: o Information Technologies (functions within the information systems) Clinical pathways and computer-generated care plans (examples of clinical decision support) are examples of how informatics can affect nursing A patient’s height, weight, code status, and date of birth are all examples of: o Data Emerging trends in healthcare o Error reduction o A push for patient safety o Additional regulatory requirements This is the purpose or reason for an organization’s existence o The mission Reasons why it’s important that selection committee Board Members understand software and electronic processes: o It can affect success or failure of the project o It can impact business goals o They often determine budget allocations Strategic planning is driven by: o Organization’s mission and values o Services offered o Long-term goals National trends related to nursing informatics: o Barcode medication administration o CPOE o Clinical decision support tools 4 Phases of the Information system life cycle: o Needs assessment phase – organization performs a gap analysis determining the “needs” and “wants” in an information system o System selection phase – Organization seeks out a vendor company that offers them a system that best fits their needs; RFI (request for information document), RFP (request for proposal), RFQ (request for quote) o System Implementation Phase – go-live planning; training of end-users; execute system changes o Maintenance Phase – problem solving/debugging; backup files; installing system upgrades Why is the nurse’s active participation in electronic patient information important? This study source was downloaded by from CourseH on :22:54 GMT -05:00 o To ensure the information is current and accessible to the healthcare team Responsibilities of the project implementation team: o Knowledge of current workflows o Active involvement in user participation o Execution of system changes A common request contained in a Request for Information (RFI) document includes: o Company history Essential component of the EHR: o Evidence-based decision support o Assessment findings o Patient demographics o Vital signs Function of the EHR: o Barcode Medication Administration Benefits to using the EHR: o Reduces medication error o Improves provider documentation o Provide patient support (patient education material such as reducing sodium intake) Primary goal of EHR functionality in contrast to that of a health information system: o To promote patient safety Health information systems is an umbrella term that incorporates the following: o Administrative Information Systems (Registration system, financial system, scheduling systems) o Clinical Information Systems (laboratory systems, pharmacy systems, clinical documentation systems [EHR]) Potential challenges that can occur when implementing an EHR throughout a medical center with various outpatient clinics: o Standardization of data/different data needs for each outpatient clinic How does the EHR help patients receive quality care when going from one facility to another? o By providing continuity of care; it allows healthcare professionals to see what the patient has been receiving, thereby providing the appropriate treatment The electronic health record is a longitudinal electronic patient record of all healthcare encounters Which 2 items could the RN use to access a patient’s meds from a med administration system such as a Pyxis? o Barcoded ID card/employee badge o Biometrics such as a fingerprint A registration system is also commonly referred to as an ADT system (admission, discharge, transfer) Why is it important to secure staff nurses active participation when implementing a health information system: o Nurses’ knowledge of current patient care workflow may improve implementation decisions Why are standardized terminologies important to nursing: o They improve communication among interdisciplinary teams The development of Standardized Terminologies in Nursing Informatics is driven by the following principles: o Accessibility