Patient Care Technologies
Review the following workflow analysis below. How can this workflow be improved? Drag the tasks in the most efficient order. A temperature takes the machine 60 seconds to get a reading and a blood pressure takes 2 minutes.
Correct order as follows: Insert the temperature probe in the client's mouth, apply the blood pressure cuff, and press start. Take the pulse at the radial artery. Take the temperature probe out of the client's mouth. Take the blood pressure cuff off. --------------------------------------------------- The correct sequence allows the healthcare professional to utilize the time waiting for one reading by doing another task. While this is simplistic, the nurse finds many changes to make in their workflow to save time and reduce patient discomfort. Examples include gathering supplies before going into a room to deliver care.
Which statements describe advantages of a workflow analysis? Select all that apply. Improve client care and safety. Find staff that may be doing something wrong. Pinpoint issues that may need a change or work-around. Identify ways to improve efficiency. Combine and streamline resource use. --------------------------------------------------------------------
Improve client care and safety. Pinpoint issues that may need a change or work-around. Identify ways to improve efficiency. Combine and streamline resource use. ----------------------------------------------- Advantages to workflow analysis include identification of ways to improve efficiency, combine and streamline resources, and issues that may need change. Workflow analysis can also improve client care and safety. It should never be used to find staff errors for the purpose of discipline.
The hospital is organizing a COVID-19 vaccination and testing center under a large tent opposite the hospital entrance. Which technology concerns may the informatics nurse need to address? Select all that apply. Is there a strong wireless signal available? Will there be sufficient personal protective equipment (PPE) available? What clinical documentation system will be used for this temporary site? How and where will the client and insurance information be collected? How many testing kits are needed? Is battery charging station close by and enough for any mobile device in use? --------------------------------------------------------------------
Is there a strong wireless signal available? What clinical documentation system will be used for this temporary site? How and where will the client and insurance information be collected? Is battery charging station close by and enough for any mobile device in use? -----------------------------------------------------
Review these minutes from the hospital informatics taskforce meeting. Answer the following questions. Meeting Minutes Chamberlain University Hospital Informatics Task Force Meeting Topic: Admission process Issue: Admissions note completed by the admissions nurse can take up to 90 minutes to complete using the current electronic health record Discussion: In collecting information, the task force notes that there are over 150 questions on the admission note, some of the information is available in other systems, there are 30 separate screens to navigate through, and many of the form fields require typed entries. ---------------------------------------------------------------- Question: Which recommendations should the informatics nurse make based on the information available? Select all that apply. Review which information is already available in other systems and plan an interoperability evaluation Encourage the hospital to hire additional staff to do the admissions process Move to a different electronic health record Evaluate the device configuration (screen size, additional inputs) for more efficient data collection Review the fields and see if there is default text or drop-down menus that can be substituted Identify other personnel that may be able to complete some of the admission information beforehand --------------------------------------------------------------------
Review which information is already available in other systems and plan an interoperability evaluation Evaluate the device configuration (screen size, additional inputs) for more efficient data collection Review the fields and see if there is default text or drop-down menus that can be substituted Identify other personnel that may be able to complete some of the admission information beforehand ----------------------------------------------------- Checking for increased system interoperability, enhancing fields with additional default text and drop downs, identifying other personnel, and evaluating device configurations are all possible potential solutions to improve the process. Moving to a different electronic health record or hiring additional personnel are workarounds.
Match the informatics conclusions with the description in the following paragraph: During a code, the nurse was asked to get morphine 4mg IV from the electronic medication cabinet. After logging into the cabinet system, the nurse noted that the client's name was not in the unit list. The nurse chose a different client instead and selected morphine from the list of available medications. The cabinet system indicated that morphine was not ordered for the client she selected. She selected the over-ride button and the drawer opened and allowed her to remove the morphine. A window popped up on the screen with a warning that this medication may not be ordered for this client. Match the correct conclusion (right side) with the description (left side) given below.
The client's name was not in the unit list No interoperability between the hospital system and the pharmacy system The nurse chose a different client instead Work-around that is used because of an informatics challenge She selected the over-ride button Feature in the pharmacy system to prevent harm due to medication access morphine was not ordered Feature in the pharmacy system to reduce medication error This medication may not be ordered for this client Feature in the pharmacy system to reduce client identification error
A new ventilator is being evaluated by the informatics nurse. When the ventilator is disconnected from the client, the vendor incorporated a soft chime so as not to startle the healthcare professionals. Which statement is most accurate about this human technology interface component? The vendor was right to consider the high anxiety levels in the healthcare staff in making this change. The vendor should consider making this alarm loud and uncomfortable with a temporary pause button. The vendor did not consider that a loud environment could reduce the likelihood that the alarm is noticed. The alarm is likely not important, so this is a positive change.
The vendor should consider making this alarm loud and uncomfortable with a temporary pause button. ----------------------------------------------------- It is important that a ventilator alarm is loud and uncomfortable because if this alarm is activated, it may be related to a compromised airway in a client, which could be life-threatening. Ventilators can be used in all sorts of environments. The entire purpose of an alarm is to notify the healthcare professional that something is wrong, so all alarms should be important.
The medication cabinet now uses a biometric reader that uses facial identification for entry. The nurse working in the COVID unit is unable to use the biometric identifier because of the requirement to always wear a mask and face shield. Which term is used to describe this issue? Human technology interface problem Ergonomic design problem Workflow inefficiency Unintended consequence
Unintended consequence ------------------------------- This is an unintended consequence of no available backup plan to access using an alternative way. Workflow inefficiency describes more of an issue with task steps. While this could be a human technology interface problem, the interface was designed to work under normal circumstances. Ergonomic design is more about body location and exposure.
Review these minutes from the hospital informatics taskforce meeting. Answer the following questions. Meeting Minutes Chamberlain University Hospital Informatics Task Force Meeting Topic: Admission process Issue: Admissions note completed by the admissions nurse can take up to 90 minutes to complete using the current electronic health record Discussion: In collecting information, the task force notes that there are over 150 questions on the admission note, some of the information is available in other systems, there are 30 separate screens to navigate through, and many of the form fields require typed entries. ---------------------------------------------------------------- Question: After further evaluation, an internal internet site was set up for clients to complete a portion of the admission information themselves. Which statements from the client indicate more work might be needed? Select all that apply. "It asked me some information I didn't feel comfortable answering." "I kept getting connection issues, but I was able to complete everything." "I had a hard time with the small print on the screen." "I was able to enter all the information without any issues on my phone." "I had some nausea and pain during the process, so I wasn't able to finish it." ------------------------------------------------------------------
"I kept getting connection issues, but I was able to complete everything." "I had a hard time with the small print on the screen." ----------------------------------------------------- Small print and connection issues are two things that might need to be addressed. Successfully entering information on the phone is a goal. Physical symptoms could be related to the client's illness. The type of question has nothing to do with the system implementation.
Review the two documents shown here. Drag the correct report type and drop to the box underneath each document below: Observation by Sally Mae, RN Informatics Specialist: The electronic record was used in the following order: Logged into the system Searched for a client by last name and unit Viewed the dashboard Viewed laboratory value results for today Viewed radiology testing done yesterday Viewed the previous shifts nursing notes Viewed the medication administration record Entered a nursing note NEXT DOCUMENT Observation by Sally Mae, RN Informatics Specialist: The electronic record was used in the following order: KB Log in M RC search bar KB "John Jones" M RC unit bar drop down selected "Unit 1" M RC Dashboard button M RC Laboratory Tab M RC Radiology Tab M RC Nursing Tab M RC Medication Tab M RC Nursing Tab M RC New Note KB "Report Received, ..." KB = Keyboard, M = Mouse, RC = "Right Click"
1st is Work Flow Analysis 2nd is Human technology interface report ---------------------------------------------------- A workflow analysis is a description of tasks that someone does over a period of time. These are often observed in person and can be as detailed as how far they walked, whether they sat or stood, and for how long. A human technology interface report reviews very detailed information about how a technology is used. Data mining is the act of searching large amounts of data. A computer log describes the tasks a computer completes. A user log tracks which systems a user accesses.
Which statement best describes a workaround? A workaround occurs when a piece of technology works well without any issues. A workaround occurs when something does not work. A workaround occurs when a different workflow is used because something doesn't work. A workaround occurs when a process is fixed, and an alternate workflow is no longer needed.
A workaround occurs when a different workflow is used because something doesn't worK. ----------------------------------------------------- A workaround occurs when a process is broken or delayed, and a different process is created as an alternate. When a process is fixed, there is no need for a workaround. When something doesn't work, a workaround might need to be created. When something works well, there is no need for a workaround.
Which statement describes a workaround for an unintended consequence? Computers installed in client rooms for documentation purposes will be spill proof and bacteriostatic. The electronic health record will be collecting client information for further research purposes. An administrative password will be stored on a card inside the desk in case the system needs to be reset. The acuity system will improve staffing nursing to patient ratios resulting in improved care.
An administrative password will be stored on a card inside the desk in case the system needs to be reset. ----------------------------------------------------- Because the staff has access to reset the electronic health record system, a workaround in the form of an administrative password is hidden in view, but present. This is a security issue and an unintended consequence of improper security profiles. Spill proof equipment is good planning. An acuity system is resulting in what would be expected. Client information is often collected for research purposes.
Review these minutes from the hospital informatics taskforce meeting. Answer the following questions. Meeting Minutes Chamberlain University Hospital Informatics Task Force Meeting Topic: Admission process Issue: Admissions note completed by the admissions nurse can take up to 90 minutes to complete using the current electronic health record Discussion: In collecting information, the task force notes that there are over 150 questions on the admission note, some of the information is available in other systems, there are 30 separate screens to navigate through, and many of the form fields require typed entries. ---------------------------------------------------------------- Question: After some further evaluation, an internal internet site was set up and clients were given the opportunity to complete some of the admission information themselves. The nurse discovers that some of the information entered by the client was incorrect. Which action should be considered? Select all that apply. Add the correct information in an additional comment field if available. Restart the form and have the client re-enter the information. Change the information to ensure it is correct. Keep the information as it was entered. Review changes made with the client. --------------------------------------------------------------------
Change the information to ensure it is correct. Review changes made with the client. ----------------------------------------------------- The information should be changed to ensure it is correct. Many electronic health records will have an audit system that can describe when, where, who, and how a question was answered. There is no reason to force the patient to re-enter the information. The information should be correct. Adding the correct information in a comment field can affect interoperability and data integrity. After making changes it is important to review those changes with the client to prevent misunderstandings or assumptions.
A nurse submits an incident report stating he is experiencing a lot of neck pain. He feels this may be related to the laptop he is using at the nurse's station. Which is the best option for the informatics nurse to proceed? Try using the computer to see if there is an issue. Instruct him to see his healthcare provider. This is not an informatics issue. Complete an ergonomic evaluation of him using the computer.
Complete an ergonomic evaluation of him using the computer. ----------------------------------------------------- An ergonomic (body positioning) evaluation is part of informatics and should be done with the computer and user who is submitting the report. Because every user is different, trying the computer without the user will not help. While the user should see his healthcare provider, because the problem was mentioned as part of the informatics equipment, the nurse should evaluate further.
As technology continues to advance, robots are currently being piloted for which uses? Select all that apply. Diagnosis of skin conditions Filling pharmacy prescriptions Replacement of nursing staff Courier delivery throughout a large hospital Comforting clients =-------------------------------------------------------------
Diagnosis of skin conditions Filling pharmacy prescriptions Courier delivery throughout a large hospital Comforting clients ---------------------------------------------------- Robots are being tested as couriers in hospital systems, comforting clients, filling prescriptions, and diagnosing skin conditions. They are not being piloted to replace nursing staff.
Review the picture below and select which problem an informatics nurse may identify: Human Technological Interface failure Meaningful use failure Interoperability Ergonomic deficiencies
Ergonomic deficiencies --------------------------------------------- Picture shows a chair that is too low, objects in the way underneath the desk preventing proper seating, and monitors that are too low forcing pressure on the neck and unnecessary extension of the arms. Interoperability is about systems integration. Human technological interface failure would describe a faulty operations issue. Meaningful use failure is about utilization of electronic health systems and the failure to use them at their full potential.
Which description is most accurate to describe the human technology interface? How a device interacts with a human. A special cable that connects a person to a piece of technology. How a human interacts with a technology. A device that translates voice into a computer-generated sound file.
How a human interacts with a technology. ------------------------------------------------ The human technology interface describes how a human interacts with a technology. Technology cannot interact with a human without considering how humans interact. A device that translates voice to sound is a recording system. Cables are not used to connect people to machines, generally.
