Wednesday, July 9, 2008

Clinical documentation Systems

I work in the ED at a teaching hospital in Connecticut. A few years ago we started using Meditech and more recently Computerized Physician Order Entry(CPOE). Initially it appeared that we were duplicating documentation and it was more work for staff. However, as we became more comfortable with electronic documentation we realize that this was a easier and safer way to document. It is interesting that when the system is down, we find it frustrating to do paper documentation.
Since this system is linked to other departments, it provides for safer care as well as continuity of care. I remember a patient neglected to tell the ED staff that she was allergic to a certain medication. Thanks to the Meditech system, pharmacy was able to intervene and prevent what might have been a catastrophic situation. Meditech provides quicker access to patient records and so expedites care and allows for safer delivery of care.
I find CPOE a step in the right direction. This definitely eliminates or decreases medication errors since nurses now do not have the tedious task of interpreting and transcribing physicians' terrible handwriting. In addition, admitted patients' length of stay in the ED may be significantly shortened since physicians can enter admit orders quicker and get patients moving out of the ED sooner. I am sure that staff throughout our hospital system have found these electronic documentation systems safer and easier to use.
The one big question is are we able to keep patients information safe from hackers or even inquisitive and unscrupulous staff?

CPR






















Hi Class, for weeks I have been trying to post a CPR powerpoint presentation but without success despite assist from Paula, Karen and a few classmates. Please enjoy a few pictures from the ppt.

Saturday, June 21, 2008

More on PDA's

Hi all, I'd like to share some morePDA informationon I read re Allen Technology. It seems that PDA's are international and are used in different areas of the healthcare system. It was interesting to see how PDA's were being used in Africa.

Please see the following website:

http://www.Cdc.gov/Features/phPDA

Friday, June 20, 2008

PDA's

Hi Everyone,

Today is our lucky day. We have been awarded a grant which I will be using to purchase PDA's for the ER nurses. I anticipate that this move will result in a decrease in medication errors since PDA's are portable
PDA's are time savers
PDA's promote evidence-based decision- making by providing reliable, trustworthy information



Please go to the following websites for further information:

http://www.slideshare.net/Cynthia.Russell/pdas-for-nursing-students-technology-at-your-fingertips

http://eaa-knowledge.com/ojni/ni/8_3/davenport.htm

Tuesday, June 17, 2008

Trauma Life in the ED

Life in the ED can change quickly for the patient as well as the staff. Please take a short tour with me trauma room. Please go to Photo Gallery and click on each picture:

http://tlc.discovery.com/fansites/trauma/trauma.html

Thursday, June 12, 2008

Traumal ife in the ER


Hi guys I'm sorry that the incorrect web site was posted. Please see take a virtual tour of the ER at:
http://www.tlc.discovery.com/fansites/trauma/trauma.html

Saturday, April 14, 2007

Family Presence During Resuscitation

Please see:http://www.emedicine.com/emerg/topic694.htm