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Technology and Patient Care

EKG monitoring through a person’s iphone to prevent stroke sound like a great invention that I may personally use one day since Afib runs in my family. Raney Linck is right in his blog about nurses needing to step up to the challenge…the changing technology in healthcare challenge (2014). I agree that we are going to have to increase our knowledge of the upcoming tools and resources that will impact our patient’s lives. I believe society will continue to increase their spending on quick and easy access to apps, devices, and biometric measuring tools, like the now common Fitbit, to improve their health. As nurses are educators and advocates, we must be prepared by expanding our own knowledge of technological health tools.

Mental health issues continue to affect society and finally people are starting to open up about specific mental health concerns that they are experiencing. People are looking for ways to overcome their personal problems by watching television shows like Dr. Oz, surfing the internet, and asking healthcare providers. New interventions like mobile health sensors along with therapy may be the answer to help those that are struggling with diagnoses of depression, anxiety, or PTSD.

Along with verbal, demonstration, and multiple printed educational handouts that we use in the NICU at St. John’s Regional Medical Center to educate our babies caregivers, we also use educational videos on a tablet. Caregivers can choose to watch multiple videos about NICU baby care on our unit’s tablet at their baby’s bedside or they can access the website from anywhere by logging on to http://www.yournicubabynow.com and using our hospital’s password 02557. This free website contains a video library in English and Spanish and also contains many helpful articles in the parent resource section. The education provided by leading Neonatologists and neonatal nurses on this website, in my opinion, is a great informative and helpful tool for caregivers of NICU babies (The Wellness Network, 2015).

Linck, R. (2014, August 1). MHealth: What do we do with all the data? [Web blog post]. Retrieved from http://digitaltrendsinnursing.blogspot.com

The Wellness Network (2015). Your nicu baby. Retrieved from http://www.yournicubabynow.com

 

Digital Trends in Nursing

Digital technology is exponentially growing in the healthcare setting, including its increase access into the community. New research studies are pinning down ways to utilize the advance technology available, such as in: mobile device apps detecting health effects on academic performance, EKG ambulatory monitor assessments reducing risk of strokes, to simple ear buds that detect heart rate and calories lost as well as other developing trends.

Raney Linck, MSN instructor from Minnesota school of Nursing, has created a blog based on digital trends occurring in nursing and healthcare. It was unique to view his outlook of creating such a blog, however the most recent post is fairly outdated, October of last year. One of his discussions was on mobile health apps (mHealth), being used in research to gather information on student’s overall health by just having the users cellphone in close proximity. Sensor data was collected and organized by the cellphone app installed known as, “StudentLife.” For example, the camera of a phone was able to tell when the lights were turned off in a room, detect the sleeping duration and amount of time a student was in a particular area. I never heard of such a study but it did intrigue my thoughts wondering how I, as a student, would rate among their study from my mental health effects in my academics and how I can improve it based on the data available. It also made me realize with this research how much work it must take to analyze all the data and who was responsible for that role.

It’s incredible how a software may collect accessible data by using a cellular app, however it takes a humans manual manipulation and labor to analyze. Linck brought up a good point, if we have all the data imaginable with increased use of mHealth apps or EKG ambulatory monitoring and other healthcare related vehicles who will analyze the data? Imagine the changes that can evolve if there was a new job description for this role, possibly RN’s to step up in this changing technologic era and utilize the data for improving outcomes in the community based on the set of identified problem areas.

Nursing will always have a necessity to become socially mindful with using newly updated software’s, applications and programs being used in their facility. Such as with documenting healthcare information in patient care for reimbursements from Medicare and Medicaid. Then there is nursing assessments logged on the computer that allow easy access to trends in patient data such as their labs or imaging, MD/RN progress notes providing a larger picture of the entire patient. It may play a con with documentation say if there is downtime/power outage, I believe not all paper charting should be excluded as we will  eventually need the reliable paper and pen practices in a critical event. The public has become more proactive in their care including the assistance of increased availability to their own medical records from home.

Another interesting study from an Australia, Concord Hospital are participating in this new technology advancement creating wristbands that record the patients vital signs including oxygen saturation which electronically sends to patients medical electronic record instantaneously. They plan to expand their line product to over 27 hospitals over the next three years, allowing benefits for safe and efficient patient care saving time and reducing human error (ANMJ, 2015). The information sought out during this search of the digital trends shows how technology can have meaningful use ensuring quality and safety while improving care communication and management.

 

References:

ANMJ. (2015). New wristband technology streamlining patient care. Australian Nursing & Midwifery Journal23(1), 5.

Piscotty, R. , Kalisch, B. , & Gracey‐Thomas, A. (2015). Impact of healthcare information technology on nursing practice.Journal of Nursing Scholarship47(4), 287-293.

Linck, R. (2014, October 8). Digital trends in nursing. Retrieved September 7, 2015,   from http://digitaltrendsinnursing.blogspot.com/

DIGITAL TECHNOLOGY AND HEALTHCARE

The “Digital Trends in Nursing” blog is a comprehensive opinion based blog designed to bring fourth changing technologies and how it is being incorporated into the nursing world.  Unfortunately the blogger (Raney Linck) has not kept up the site, and the most recent post is almost a full year old. With the continued advances in technology, and integration of that technology in healthcare, it is important to remember that changes happen everyday.

I feel like the technology referenced in this blog is becoming more mainstreamed and is available to the masses, not just health care providers.  I feel in the next few months the department I work for will be utilizing the technology available; in fact, today I participated in an inservice for my hospitals new tele robot.  This robot will be replacing the current tele stroke robot, that essentially video conferences a neurologist to a potential stroke patient, and will be used to conduct follow up appointments in the emergency room and connect patients with specialists that would otherwise have to travel to the facility.  This robot, and technology like it, enhances the assessment process, it does not replace it.  It remains the nurses responsibility to be the eyes and ears in the physical room and participate the in advanced assessment process.

It is also important to remember that these technologies are made to enhance the assessment process and do not necessarily replace the need for more “basic” or “primitive” testing; example being an EKG monitors the electrical activity of the heart, but does not replace the importance of auscultating for heart and valve sounds.

It is also important for follow up and proper education if people are bringing these technologies into their homes for self care.  Home health agencies or monitoring companies must be notified to follow up to ensure the patient is truly being cared for and does not have a false sense of safety.  Continual monitoring and health applications could give a better overall picture to the patients daily health status but must be interoperated by a medical doctor and not the redly available “doctor google”.

There is a never ending story of research conducted by multiple agencies, hospitals, and educational centers.  It is important for the health care provider to be alerted to the ever powerful “evidence based practice” research.  Only when research is conducted, tested, and proven in a clinical setting does it become the standard for health care.  As technology advances new tools will be available for clinicians and for people to use at home.  Some pros of mobile technology include the potential for fewer hospital stays, monitoring patients, better recovery outcomes, and an overall better quality of life.  Some cons of mobile technology include false sense of security, interrupted or malfunction of equipment, and poor knowledge of equipment available.

In the hospital I work at, we encourage patients to utilize the technologies available; from blood sugar checks, blood pressure machines, heart rate and oxygen saturation finger probes, and an ACCURATE thermometer.  These are now basic technologies that are common in many homes that, when utilized appropriately, can alert a patient or practitioner of acute health changes that need additional treatments.

Nurses with “White Caps” and now with “Apps”

Technology….to me…is amazing, wonderful, and once you learn how to use it effectively, is so helpful! I have been using my electronic medical record (EMR) at my job for almost two years and I still learn a new trick and short cut at least every couple of weeks. I have some reservations about the accuracy, generalizability, and the overall safety, but all in all, I feel that these are helpful tools that will only provide practitioners more knowledge right at their fingertips. I have already witnessed the providers searching on their phones for pharmacology.

For my own nursing future, I believe it will make my job easier in terms of finding the necessary information in times that I am unsure. A couple examples are, accessing Epocrates when a patient is on a medication I am unfamiliar with; also, the app for medical Spanish or google translator…I often have patients that have language barriers and with a little help it would make a world of a difference in their understanding and compliance.  A downside that I foresee, is having patients feel a false sense of empowerment with the information and they may either incorrectly self-medicate, or they may come in and argue with me or the providers because they are sure they have what they researched on the internet (I have already encountered this).

I feel like I will use technology more in the next few months because just going through the new apps available enticed me to download more and I am excited to try out my new sleep cycle app. I sleep talk and sleep walk so I have Excessive Daytime Sleepiness (EDS) and I am curious to see my data charted on this app of how often I stir. I also downloaded Medscape which may come in handy as a quick reference for my triages. I like to look things up and figure things out when they are new, so this app will expedite that.

I feel that the patient portals where they enter their data for blood pressure (BP) and blood sugars (BS) will be very helpful for providers if the patients are completing them correctly. This will eventually become a staple of assessments. The app for continuous heart monitoring will also be a helpful assessment tool.

Managing care at home through mobile technology will be extremely difficult for many people. Patients have difficulty operating their BP and BS monitors, let alone all these different devices. I do, however, feel that where there is a will there is a way and if any individual sees the benefits outweigh the costs, they will make stronger attempts at mastering these new technologies.

The safest way to evaluate the effectiveness of these technological advances is by testing them against evidence based data and our assessment skills. The patients will still need to come in for check-ups, this is not a replacement for face-to-face evaluations, this is just a tracker for continuity of care.

There is plenty of research that has been done to evaluate the effect of technology on patient care. Informatics has been a part of nursing for quite some time and the data is always evaluated as part of the nursing process. The more and more technology that is introduced, the more research will be completed.

As I mentioned before, some of the things I can anticipate as a “con” are the patients’ false sense of completely understanding their healthcare needs, the lack of knowledge on how to use the technology properly, the accuracy of their recordings, the accuracy of our technology for each patient, the lack of face-to-face assessments and treating the individual, and more. Some of the “pros” are the continuity of care, the accessibility to information, the patients’ involvement in their care and the encouragement towards health promotion. More pros are the savings in cost for the patient and healthcare agencies, the patients have access to their records faster, and more.

About Me

 

Hello, name is Vannessa Barretto. I have lived in Oxnard throughout my entire life, except for one year in 2010-2011, came back for school but not for long….

It was a difficult decision for me to head back into school after graduating with my ADN from Ventura College this past year 2014. I have been going to college ever since high school graduation without any real break the last 8 years (hah I could’ve gotten a doctorate already).

In 2010, I headed off to North Dakota being offered an athletic scholarship with collegiate softball. I took advantage of the scholarship and pushed my luck in nursing while being a full time student, employer,  and athlete traveling the U.S missing classes, didn’t work out the way I wanted it to. So came back home to save money and focus on school and my future career.

I had played softball for 15 years straight, to add year round and it was a huge change for me that took some time to get use to. I realized all things happen for a reason and I couldn’t have been more thankful for how it all played out.

Now since after graduating with my ADN, I have been working for Community Memorial Hospital in Ventura since last November working in the Medical-Surgical/Oncology Unit. The experience I gained from North Dakota doing a full year of nursing opened my mind set of what nursing can be, how the culture is so different even in the United States. As I gain more experience in the nursing field I plan to work in Public Health/Travel RN, possibly in a manager setting or work my way to a Nurse Practitioner in years to come. However with all this schooling taking longer than expected, I have been thinking of taking a break after our graduation this upcoming May. I would like to travel with partner in crime (whom you see in the picture below). Actually for the first time, I will be traveling outside of the country in a few months for a short period in time but as a glimpse of what is yet to come.

Look forward to all your posts/responses.

Ciao!..See you soon.

Partner in crime

Hello world!

Welcome to WordPress. This is your first post. Edit or delete it, then start blogging!

Healthcare and Digital Technology

I think that Nurses will be using technology more and more in the coming years. There are a lot of recent advances in technology that will be used in Nursing. For example the EHR-MU makes it easier to transfer patient records form one facility to another. Also it makes patient medical data more accessible even within the same facility. The federal health mandate around electronic health records have also begun to require that patients have access to their own health information (Linck, 2014).

CPOE is a clinical software application designed specifically for providers to write patient orders electronically rather than on paper. With CPOE, providers produce clearly typed orders, reducing medication errors based on inaccurate transcription (Nursing World, 2014).

There are also ear buds that can measure your heart rate, speed and calories burned per workout while you are listening to music and an iPhone case that turns your phone into an EKG monitor (Linck, 2014).

I think that for me as a nurse it would be beneficial to constantly educate myself about new technology and see if it is something that can help me have better access to information or help my patients. I think that mobile technology can help patients to monitor themselves but it should be recommended with caution as patients may try to self diagnose rather than seek the help of a health care professional.

The pros are that technology help nurses to have better access to information whether it is the EHR, or the internet or looking up medication information. Also with the CPOE this helps to stop medication errors by ensuring accurate transcriptions.

The cons are that new technology can be time consuming to learn and may distract from patient care.

The way that I have seen technology being used for patient education in the hospital is when the nurses can bring up handouts related to patient education that are linked to the patient record based in their current diagnosis. There were many that could be printed out and discussed with the patient like diet suggestions, or warning signs and when to call the doctor.

 

Reference:

Huston, C., (May 31, 2013) “The Impact of Emerging Technology on Nursing Care: Warp Speed Ahead” OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 1.

Linck, R (2014). , Digital Trends in Nursing : http://digitaltrendsinnursing.blogspot.com

Digital Technology and Healthcare

Digital technology in healthcare is a very exciting idea. Two years ago I had read an article about doctors using cell phones to monitor their cardiac patients. The information was downloaded to the application and transmitted to the doctor in real time to monitor the patient’s heart health. Remote monitoring coupled with Electronic Health Records will provide the health professionals the ability to collaborate with ease and over distance. Nurses and health professionals will half to be computer literate, trained, and kept up to date as changes are made to the platform that the facility is using.
In a journal article written by Sheila M. Gephart, PhD, RN & Judith A. Effken, PhD, RN, FACMI, FAAN, it is indicated that is allows the clinicians to follow their patient when they return home and is cost effective as well. However, they do indicate that as they track and follow their patient’s chronic disease, if the information is not inputted it triggers the need for the clinician to intervene which in most cases in a phone call to remind them to input the data, such as the latest blood sugar. There are concerns about the security of the Electronic Health Records (EHR) as indicated in an article by Seth Foldy (Et al). While they have great things to say about the advancement of information tech as it relates to health care, it also approaches it with the need for serious protections and certification of the protection being used by the facility. They further explain that there are many applications used on cell phones that can give bad information and possibly cause people to delay seeking medical attention when it is needed, as well as making the information that you enter into the app accessible to other third party individuals.
Healthcare technology is growing exponentially and I as well as other nurses will be using and accessing more as time progresses. In many places health assessments done by nurses are a series of questions with check boxes and in some cases you can free-write information. In many respects this is good as it prevents areas from being missed or overlooked, however that being said it is also easy to not elaborate or be as thorough in parts of the assessment. It is up to the nurse to be as thorough as she can and if unable to elaborate in the assessment program she will need to mindful to make a narrative note so that information is not missed. While I am optimistic and excited for the future possibilities that this technology brings, it needs to be approached with caution to insure the protection of the clients information.
References:
Gephart, S. M. (2013). Using Health Information Technology to Engage Patients in their Care. Online Journal Of Nursing Informatics, 17(3), 1-6.
Foldy, S., Grannis, S., Ross, D., & Smith, T. (2014). A Ride in the Time Machine: Information Management Capabilities Health Departments Will Need. American Journal Of Public Health, 104(9), 1592-1600. doi:10.2105/AJPH.2014.301956

Digital Technology & Healthcare

Digital technology is fast becoming ‘the norm’ in all aspects of our society, and healthcare is no exception.  From having access to healthcare records with a few key strokes to simple things, such as new hands-free and wireless telephones for healthcare staff, technology is making most healthcare professionals’ jobs easier.  It’s great to have a smart device or computer unhand to look up any desired information at a moments notice.  I am by no means ‘a techie’, but I fully embrace  the technological advances and am willing to learn the newest things that come out.

I think that the new EHR’s and healthcare documentation software are making assessment documentation somewhat easier for nursing staff.  With an increasing number of RN’s coming into the workforce that are tech savvy, it is a time saver. However, in regards to the older nurse population, is has made documentation more difficult, as some are not comfortable with computers in general.  EHR’s also require a multitude of man hours for education in order to teach staff how to use the new systems.

Another downside to mobile technology is that it has driven people to seek healthcare advice from internet resources which may, or may not be reliable sources. People need to realize that digital media is a decent starting point, but if they have questions or concerns about health, their primary care physician is the best source.

I see technology used frequently within the hospital setting for patient education.  The hospital uses printed sources from Krames and other similar sites for medications, patient safety, exercise programs, and disease process education.

Introduction

Hi my name is Lisa Acquisto and I am a native of Ventura. I have three great kids. Ashlynn is 28 years old, lives in North Carolina, and is a successful beautician. She has recently returned to school to be a dietician. Anicia is 24 years old, has begun classes this fall at CSUCI as a junior studying Business. She works as a waitress at Brophy’s in Ventura and is soon to begin her second job at Farmer Boy’s in Santa Barbara. My youngest, Ben is 22 years old, and is in his final year at USC studying Public Relations in sports. He is interning with USC Athletic Marketing and Pollack PR Marketing Firm, and works for Annenberg Facilities. I also have two little dogs, which are big dogs at heart. Daphne is 8 year old, Chihuahua/Dachshund mix, and Peewee is a three year old Chihuahua/Terrier mix.