NR 351 Week 6 Discussion Use of Informatics in Professional Nursing
NR 351 Week 6 Discussion Use of Informatics in Professional Nursing Recent
NR 351 Week 6 Discussion Use of Informatics in Professional Nursing
Use of Informatics in Professional Nursing
How do you use informatics and technology in your nursing practice? How do you see that use changing in the future? What ethical issues have arisen or might arise from use of technology and informatics in professional nursing?
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As a nurse I use informatics in numerous ways daily in my patient documentation, use of monitoring devices, by developing and implementing care plans, looking up of previous medical records and imaging, telehealth when patients call for advice, and access and implementation of current practice standards.
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Nursing informatics is defined by the American Medical Informatics Association as “science and practice that integrates nursing, its information and knowledge and their management, with information and communication technologies to promote the health of people, families and communities worldwide” (AMIA, 2009). As nurses and health care providers we use informatics in the clinical setting which “addresses the needs of nurses and other health care providers to streamline client care documentation, keep accurate client records, and integrate various aspects of client care to improve the quality of care” (Hood, 2018. pg. 370).
Working in the HBV and radiology dept we sometimes do sedation’s on patients without knowing ahead of time it is needed or when the patient is already on the CT or MRI table. Unlike a scheduled OR case, most of the time I am getting paged and given a verbal order from the MD for Fentanyl and Versed to be administered for procedural pain management as the procedure is being performed. Now that our hospital has transitioned to the use of EPIC for our EMR, we as nurses can order the medication and pend it to the MD to sign in the future but will still show up in the patients MAR to be linked to the med I over ride and pulled from the PIXAS. This will trigger any medication interactions and allergies, giving me a second check on the allergies I was quickly reviewing as I am drawing up the medication. With the MAR now being on EPIC EMR in the procedure room I can quickly see what pain medications if any the pt. has taken previously. I can also order the medication to be given in interop multiple doses so if the MD orders more I can chart quickly on the same medication pull by administering and scanning the bar code of the pt. and the medication. This will immediately document the time of administration for helping monitor the patient for the appropriate hospital protocol time frame of post sedation patients.
Ethical issues that I noticed that have arisen from use of informatics in my time as a professional nursing have been that with the ease of access to patients’ medical records there is ease of access to information the intrude on patients HIPPA rights. Living on a small island that only has one hospital you daily see someone you know coming or going to the hospital or departments, or you see a name you know of friend or family member on the patient lists. There have been numerous times that myself have gotten a call from a friend that has “someone” here being seen at the hospital and requesting that I review their chart and give them information on there care. I tell them as diplomatically as I can that I can neither confirm or deny that that patient is in our hospital and that looking into a patient’s medical record chart for someone is not only unethical but also breaches their right to have medical management and records private. As stated in the Code of Ethics for Nurses provision 3 by the American Nurses Association “The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient” (ANA, 2015).
Hood, L. J. (2018). Leddy & Pepper’s professional nursing (9th ed.). Philadelphia, PA: Wolters Kluwer
American Medical Informatics Association. (2009). Nursing informatics. The Science of Informatics. Retrieved on April 14, 2020 from https://www.amia.org/about-amia/science-informaticsLinks to an external site.
American Nurses Association. (2015) Code of ethics for nursing with interpretive statements. retrieved on April 14, 2020 from https://www.nursingworld.org/coe-view-only