NR 599 Midweek Comprehension Questions

NR 599 Midweek Comprehension Questions

NR 599 Midweek Comprehension Questions

The use of these tools is not something that is going to go away. Companies are going to continue to come up with new ideas and updates on their technology. Ways to keep up would be newsletters and signing up for emails from the companies to let you know when there are new devices out. No matter how hard we try, no one can keep up with everything out there all of the time. We may find out about something new when a patient walks in with it, telling us how it works!

Telecommunication has advanced over the years and become very popular. Due to the global pandemic, telemedicine is safer and more convenient. According to an article conducted by Stuckey et al. (2018), using information and communication technologies for the exchange of valid Information for diagnosis, treatment and prevention of disease and injuries, and for the continuing education of health care providers. Always advancing our skills as providers is essential to patient care.

Stuckey, R., Domingues-Montanari, S. (2018). Telemedicine is helping the parents of children with neurodevelopmental disorders living in remote and deprived areas. Paediatrics & International Child Health. Vol. 37 Issue 3, p155-157.

In my current role as a care transition nurse, I follow patients telephonically to monitor their progress after an emergency department visit or hospital stay. Our department calls the patient within two days post hospitalization and within 24 hours for an E.D. visit to ensure the patient is not having new or worsening symptoms. We also educate them on any chronic condition or current illness, assure they have picked up their medications, have a follow-up appointment with their PCP and have connected with any additional services ordered for them (such as home health care). Due to the current demographic of our patients (mostly elderly), we typically just call them as they are not as comfortable with technology. However, there has been much discussion about performing video visits in the future. I hope to be able to practice as a PMHNP solely through video visits or at the very least hybrid (part face-to-face, part video visits remotely). I will need to continue to learn and stay on top of technology related to my work. It’s with these advances that I’m even able to envision this future goal.

Many errors and adverse incidents in healthcare occur because of poor data and information. In addition to threatening patient safety, poor data quality increases healthcare costs and inhibits health information exchange, research, and performance measurement. There are health care institutions that are developing and implementing standards for data content, data mapping, and documentation. Implementing continuous quality improvement strategies to support quality data and information are critical to achieve desired positive patient outcomes.

I used the Epocrates Essential app as a reference guide as an ER nurse. It has been helpful in many ways. For example, it identifies pills in an overdose patient. The mobile app combines communication and computing features, allowing easy access and use at the point of care. Another example is the mhealth app had a record of recent laboratory results.  This was beneficial to know with a patent with a GI bleed to compare laboratory results. In addition, this helps facilitate communication among healthcare professionals.

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The transition from registered nurse to nurse practitioner is a significant career role transition.  The responsibilities

NR 599 Midweek Comprehension Questions
NR 599 Midweek Comprehension Questions

will be essential as advancements in digital technology continue to increase patient care options.  Understanding security requirements and protecting patients’ personal information must be a top priority.  APNs may need to provide care with an interactive video visit keeping in mind privacy. Telehealth is a safe and convenient alternative to care to in-person visits. This is beneficial for older adults who have limited mobility.  APNs need to be aware the patient’s home needs access to the internet and technology to conduct a video telehealth visit. Stay current is, attending education meetings and conferences and keeping open communication with other APNs.

The point-of-care tools I will use in my future NP practice include computers and systems like CDSS, EHR, and E-prescribing. I will stay current with new and innovative telecommunication tools in healthcare by joining a professional nursing organization that offers regular informatics training and publishes newsletters with current nursing informatics news and technology advances (Navaz et al., 2021). Besides, I will subscribe to newsletters with technology publications and follow the tech sites they recommend to remain current. In addition, I will attend nursing informatics conferences and informatics events. Conferences are a great opportunity to see innovative technology specific to nursing (Schiavone & Ferretti, 2021). I will listen to industry leaders during the conferences, attend classes, and talk with vendors about their products.

 

References

Navaz, A. N., Serhani, M. A., El Kassabi, H. T., Al-Qirim, N., & Ismail, H. (2021). Trends, Technologies, and Key Challenges in Smart and Connected Healthcare. IEEE access : practical innovations, open solutions, 9, 74044–74067. https://doi.org/10.1109/ACCESS.2021.3079217
Schiavone, F., & Ferretti, M. (2021). The FutureS of healthcare. Futures, 134, 102849. https://doi.org/10.1016/j.futures.2021.102849

You have mentioned great resources for staying up to date with technology.  There are many opportunities for professional growth, attending live in-person meetings and virtual live webcasts by joining the emailing list for the most up-to-date resources on the new conferences.   Nurse practitioners face many barriers preventing them from fully utilizing their education preparation to provide care (Poghosyan et al., 2020).  In recent years, considerable attention has been paid to the variability in the scope of practice of nurse practitioners across the country.

 

 

Reference:

Poghosyan, Ghaffari, A., Liu, J., & McHugh, M. D. (2020). Organizational Support for Nurse Practitioners in Primary Care and Workforce Outcomes. Nursing Research (New York)69(4), 280–288. https://doi.org/10.1097/NNR.0000000000000425

Since starting this class, I have made some changes at my job.  I started trying to use point-of-care tools that are available.  We have cellphones that can be used to scan patient medications for administration.  Instead of bring the computer-on-wheels to the individual room, I can just use the cellphone to scan.  This has taken some adjustment.  It is more difficult to navigate a small screen.  Sometimes I will have to go back and chart the pain assessment on the desktop.  I have also used the cellphone to scan IV bags that were otherwise not scanning on the computer-on-wheels scanner.

Using the cellphone for scanning has required some adjustments in my daily routine.  There will also be adjustments to be made as an APN.  I could see using a tablet for rounding to be a beneficial point-of-care tool.  To stay current, it is sometimes only possible to use what is offered to you at your place of employment.  I believe it is up to the employer to stay current.  Suggestions can be brought up on how to make a more effective workflow, but ultimately you can only use what is offered to you.