The Future

The Future

Future of Nursing Informatics
The future of nursing informatics is expanding quickly. Currently taking an informatics class as an RN I can see how having exposure to nursing informatics while working towards a nursing degree. As a new nurse there are many skills to become comfortable with, it would be nice to have technology skills to help with the transition into nursing. These skills would allow a new nurse to find learning resources better. I think one way technology would help would be to expose the new nurses to social networking with other new nurses and experienced nurses to share experiences and to learn from each other.
Nursing industry and Technology
Nursing is not any different from any other industry in the fact that once we are comfortable, we fight change. People in general embrace comfortable habits, change and implementation of technology creates waves and discomfort. The majority fo the time even though nurses have fought change tooth and nail, once they become comfortable with the change they appreciate it. So, no matter how future technology is introduced, patient care, computer use, or medication administering, the change will be rocky, but hopefully as an industry nursing can keep an open mind and appreciate the new technology.
Hospital Communication
I think for the most part hospitals and health care are doing a good job of moving towards full electronic communication. It will be nice when patients records are accessible no matter which care system they have visited. It will make diagnosing easier to have all the facts. Also, care givers will be able to get a good history, not just relying on what the patient is able to provide. I feel that having patient records accessible by all care givers will be a big help and positive change.

webliography Cardiac Dysrhythmias

Webliography
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Cardiac Dysrhythmias

Cardiac dysrhythmias, also called arrhythmias, are something that are actually common in individuals as they age. Most everyone will experience a moment of dysrhythmia at one moment or another in their lives, most do not sustain the rhythm. A cardiac dysrhythmia is when the normal electrical pattern of the heart is disturbed or disrupted for one reason or another. There are many different dysrhythmias, and each may have different causes.

I have chosen cardiac dysrhythmias because I work in a Surgical ICU, which exposes me to many patients who have dysrhythmias. Often the patient may not know anything about the dysrhythmia they are experiencing because it is a new issue caused by the trauma they have gone through with their surgery. Others have had the dysrhthmia for years, but do not know much about what it is, or why they have it. This can be lead to discussions with the patient and family about what is going on. The truth is they would not know anything was going on if it were not for the telemetry monitors within their views.

In speaking with patients and their families, I realize that the amount of information available can be confusing for those who are trying to learn about dysrhythmias. Here are a few areas that may help in that learning and cut down some on the confusion.

www.healthtools.aarp.org/adamcontent/arrythmias/3
This is a good web site hosted by the American Association of Retired Persons. The site is a good introduction into learning about cardiac dysrhythmias. It is a site that is very easy to navigate, and provides information to give an individual a good basic understanding of dysrhytmias. I thought the site did a good job of stating that the information was for informative purposes only, not to replace any information provided by a health care provider.

www.nlm.nih.gov/medlineplus/ency/article/001101.htm
This is another site that is easy to navigate, and gives some good information. The site is provided by the U.S. National Library of Medicine and the National Institute of Health. This site gives a little more in depth information than the last. This is another site that is good to start with giving good definitions to give an individual a good base of terms. This site adds some good images to help explain some of the information. I found these images to be helpful in understanding the definitions provided.

http://www.nlm.nih.gov/medlineplus/ency/article/001101.htm
I found this to be an excellent site at explaining dysrhythmias and electrical patterns of the heart. Again there were some video provided to help explain. There were several links to take an individual to symptoms, treatment, what to expect with dysrhthmias. This site provided much more information, and more detailed information. I did feel that even though this is an informative site, it was a little more difficult to navigate than the others, but still a very good site.
www.youtube.com
I know that youtube is not an expected site to search, but if you type “cardiac dysrhthmia” in the search box it will take you to some very good animations to give visual and audible explanations of dysrhythmias and the electrical conduction of the heart. I am a visual learner, so I found these videos to be very good learning tools. Be careful, stick to the animation videos, there are others available that can lead to links to other videos on other topics.

http://www.ebscohost.com/thisTopic.php?topicID=170&marketID=1
In the Cinahl database there are several articles from journals that discuss dysrhythmias. The articles come from reputable journals. One article in particular is Advanced Cardiac Life Support for the New Millennium. This article discusses the different types of dysrhythmias in a little more detail than some of the web sites do. The article also goes into treatment. The database is a good source for an individual looking for information on a specific disrhythmia. This will narrow the search to help find informative articles.
http://www.gale.cengage.com/servlet/ItemDetailServlet?region=9&imprint=000&titleCode=INFO17&cf=n&type=4&id=172040
Health Reference Center, a database of Gale Cengage learning, is another good source for information. This is another database that has extensive access to professional journals, that have articles to further educate on all aspects of the dysrhythmia you are researching.

The databases are a good place to research specific dysrhythmia, they are so extensive with their information a person needs to narrow down the search to specifics. The information that they provide is excellent, professional and written on a higher level. The web sites reviewed here are informative, and give a good introduction and base of knowledge. These web sites have the capacity to take an individual to more in depth information when wanted. These are good places to learn and expand knowledge on cardiac dysrhythmias.

health care informatics

This week in Health Care Informatics I learned to be confused, but still try to act like I knew what I was doing. Just kidding, I set up a twitter and blog account. These are two things I never thought I would do. Setting up the accounts were easy, now the difficult task of using the sites starts. If anyone has any helpful advice, it would be welcomed.

One thing I learned about this week was about Electronics Health Records. I personally feel that once these systems can finally integrate information between two systems it will be extremely helpful. At the moment with my job I am using EPIC, and even though it may be frustrating at times I do think it is helpful. Having the ability to look at a patients up to date file does save time. The care giver does not have to search the paper chart for information about another care givers care. Notes are easy to sort through to learn what you are looking for. Lav values are easy to follow.

As for as who owns the health record, that can be difficult. Most health care providers don’t want to be responsible for anything more than they already are. I don’t know why the government would own the records, but they could probably come up with a reason for ownership. Insurance, even though they should have access when needed, does not need ownership. The patient should probably have ownership of their own records. Currently if a patient wants to view their record they have to go through the proper hoops to do so. As far as the computer system provider owning the records, I wouldn’t think they even want that title. I guess I would have to personally feel the patient is the owner of the records. Even though there are several keepers of health care records, the patient is ultimately the owner. These are their records, and have access to them, and are responsible to get them when changing providers.

In the future, EHR’s may be linked to each other, allowing care from one faculty and system to be accessed from another provider and systems. At this time, I would not think one would want to claim ownership of another’s records. So then it would fall onto the patient as well.

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