...SKILLS GOING FORWARD TO 1. Changing a central line dressing. 2. Administer metered-dose or dry powder inhaler. 3. Administer an inhaled medication using a spacer device. 4. Administer a topical medication. 5. Administer transdermal patch medication. 6. Administer a nasal instillation medication. 7. Administer ophthalmic medication. 8. Administer ear medication. 9. Administer vaginal medication. 10. Administer rectal medication & suppositories. 11. Administer medication using a pen device. 12. Administer medication using a carpujet. 13. Assist with percutaneous central venous catheter placement. 14. Administer lipids. 15. Administer parenteral nutrition. 16. Assisting a patient onto and off of a bedpan. Sublingual/Buccal The sublingual/buccal route of administration is closely related to the oral route; however, in the sublingual/buccal route the dosage form is not swallowed. The tablet is to be dissolved under the tongue (sublingual) or in the pouch of the cheek (buccal). The drugs administered in this manner are rapidly absorbed and have the advantage of bypassing the gastrointestinal tract. Nitroglycerin, for heart patients, in tablet form is more likely the most frequently administered sublingual drug. Enternal Tube Before and after administration the tube should be flushed with water to prevent the drug binding to the feed and dramatically reducing serum levels. ...
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...potential to affect how nurses perform in profound ways. As the integration of technology and informatics, takes hold in healthcare settings nurses can help use their knowledge of the nursing process to develop a strategic plan to best incorporate this emerging technology. The goal of this paper is to compare the nursing process and the strategic planning process, as well as nurses’ role in both processes. Comparison “The nursing process is a scientific method used by nurses to ensure the quality of patient care” (Nursing Process, 2014, para 1). The nursing process helps nurses develop a plan to guide patient care through assessment, diagnosis, planning, implementation, and evaluation. Similarly, strategic planning is a method to design a comprehensive plan to guide an organization’s operations. Strategic planning has many of the same steps as the nursing process; assessment, analysis and identification of potential solutions, course of action, implementation, and evaluation/feedback (Hebda & Czar, 2013). While the nursing process focuses on a single patient’s goals, strategic planning focuses on organizational goals. The nursing process often involves a nurse and a patient, however strategic planning affects a variety of internal and external customers. “The creation of a strategic plan allows endless possibilities for stretching the vision for nursing” (Drenkard, 2012, p. 243). As strategic planning advances toward the incorporation of informatics to help reduce medical...
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...Walden University Nurs-6015-1 Information & Healthcare Technologies Applied to Nursing Practice February 23, 2013 Nursing informatics affecting attitude The professional role of nursing is evolving and nurses are recognizing the integral connection of informatics competencies to evidenced based practice and the roles it plays in clinical decision making, nursing research, measurement of nurse sensitive outcomes, professional development, operational effectiveness, and ultimately the nurse-patient relationship (Schleyer, Burch, & Schoessler, 2011). It is essential with the advancement in technology that nurses become more user friendly and have a higher level of training in the area of nursing informatics. Nursing informatics has taken a step toward advancements in technology over the last decade with many facilities across the nation implementing these new systems. These new systems are designed to assist nurses and providers by reducing repetitive documentation, reducing medical errors, reducing medication and administration errors, increasing the quality of care for patients, and increasing patient outcomes. My attitude is positive and accepting of nursing informatics from the knowledge gained throughout the course. It has given me a higher level of awareness with everything nursing informatics can assist in and it has given me a feel of being more opened to using newer technology. Having a positive attitude can affect the overall implementation of a new...
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...Nursing Informatics has to do with nursing integration, management of information, processing information and communication technology, to support people’s health worldwide (HIMSS, 2007). However, the course facilitators of this program can help nursing students feel empowered by developing creative teaching strategies or enhancing the quality of teaching, learning and preparing students to manage the increasing volumes of existing information. For instance, The Technology Informatics Guiding Education Reform (TIGER) Initiative has an objective to empower the nursing body which includes both nurses and nursing students to fully participate in the digital period of health care. A Delphi study was done to indicate the need for a list of informatics...
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...educational or training tool for new nursing hires that describes the nurse’s role in the use of informatics and technology. Incorporate at least one theory (nursing theory, informatics theory, change theory, or other supporting theory) that relates to informatics in nursing. Ensure that the educational tool addresses the following points: • Define nursing informatics. • Describe the nurse’s roles and responsibilities in quality data management. • Explain why comfort with technology and informatics is important in patient care and administration. • Identify ways the new nursing hire may become more comfortable with health care technology. Include a minimum of three peer-reviewed resources, and develop an APA-formatted reference page. Format the educational tool as a matrix, brochure, video, podcast, slide presentation, or another format approved by your facilitator. Content 10 points possible Points available Points earned • Definition of nursing informatics is clear and complete, and it appropriately relates general informatics to nursing 1.5 • Defines quality data management, and provides appropriate discussion of nurses’ roles and responsibilities 2.0 • Relates nurses’ comfort with informatics to patient care and nursing administration 1.5 • Provides realistic and appropriate strategies for new nursing hires to increase their comfort with informatics 2.0 • Content or concepts are supported by peer-reviewed sources 1.5 • Theory is incorporated...
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...Abstract Nursing Informatics as we have learned over the course of this class is defined as computer science mixed with nursing and information science. This paper will present my view of the advantages of nursing informatics and how it has enhanced the quality environment in which we work as nurse's work and has changed how we care for our patients. The most basic advantage is that it improves communication between all disciplinarians of the health care industry and I will make my statement of how I believe this communication can be of advantage to all of the healthcare industry. The Advantages of Nursing Informatics and Quality Improvement The world of nursing is changing on a daily basis and we, as nurses need to adapt and change in order to provide our patients with the ultimate care they deserve. The hospital environment as a whole has changed over the years and is now a business and the patients are our customers. The advances and advantages of nursing informatics in my opinion will deliver safe and superior quality care for our customers in the health care industry. In 2008 a landmark report from the Robert Wood Johnson Foundation, "Nursing Time and Motion Study" it was revealed through a 36 hospital study, how important the workflow optimization is in the nursing field. I found this to be a very eye opening report as it revealed that less than 20% of a nurses' time is spent on patient care activities and only 7 % of the nurse's...
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...The professional role of the nursing profession varies, as nurses play a variety of roles within the healthcare system. The professional nurse as a leader and manger, bring a significant amount of value to the healthcare system and society. They play the leadership role by influencing individuals to accomplish their goals and dreams, whereas they manage individuals by coordinating, planning and organizing the team (Blais & Hayes, 2011). As a leader, nurses mainly focus on the people they work with and are in charge of. As a manager, nurse’s main focus is the structure of the workplace and making sure everything is specifically organized, which may also depend on the person. Their value to society depends on the individual’s manager and leadership...
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...plugging my phone in. Recently, I have now been able to connect documents, or anything really, to the ‘cloud.’ I also save all my schoolwork on my flash drives. In the year 2015, I feel as though personal computer customers have many options for backups! 2. How can a staff nurse contribute to continuity planning within his or her facility? b. A staff nurse can contribute to continuity planning by paying careful attention to backup and storage methods and needs. They can also review and update continuity plans, plan and work through mock disasters (while assisting others), and post plans for themselves and their coworkers throughout the workplace. 3. Why is it important for nurses to be prepared with proper crisis management procedures during an information technology disaster? c. The patients! Safety is the number one concern and the patient or family may not be available or know the patient’s history, allergies, or current state of health. If we as nurses lose this information, we will not only be putting the patient in danger, but also creating more work that has already been done, slowing the recovery process and also increasing costs. 4. What measures can the staff nurse take to protect computer hardware and mobile devices and the information that they house from threats? d. They can review staff responsibilities periodically, test...
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...Running Head: Competency in Information and Technology Literacy Abstract The dynamic changes in information technology has advocated for nurses highly qualified in nursing informatics. This paper discusses some barricades allied to the employment of essential Nursing Informatics competencies into undergraduate nursing websites. Introduction Information Literacy is the set of skills needed to discover, repossess, evaluate, and use information. The Changes in information technology have led to new changes in the way nurses operate on patients. These nurses have to undergo various competencies. This paper discusses the changes and the required competencies. Discussion Information literacy is important in the nursing researches and practical working with the nursing informatics equipment. It is not just for students to learn but for practicing nurses and other healthcare practitioners as well. The practice of nursing in which the nurse makes medical decisions based on the best existing research proof, his or her own clinical expertise, and the needs and inclinations of the patient is referred to as evident based nursing. The nurses should learn to practice Information system to design and maintain their healthcare information. For instance, PDAs (Personal Digital Assistant or Patient Data) could allow nursing scholars to access various decision support systems that would offer them with professional guidance relating to specific care and treatment matters at their patient’s...
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...essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future.In other words, the needs of our patients are changing, as we must change in order to be prepared to better serve that need. Nursing has a long history of formal education which moved out of hospitals and into colleges and universities early last century. The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and following World War II. It was a proposed as a temporary solution to a shortage to a shortage but was not intended to replace the professional level of nursing education. The ADN program require about 2 yrs for the student to complete. The Adn nurses are associate degree in nursing, ADN nurses have clinical skills and hands on basic skills but they lack both management and leadership skills with in the nursing field. Additionally they lack research skills used in nursing as well as knowledge on informatics the use of technological advances in enhancing quality medical delivery. ADN gives you the fundamentals of nursing practices. They basic theory, skills, competencies knowledge of scope of practice and legalities for licensure and the essential general education core that is necessary as a foundation [English, psychology, biology chemistry, anatomy and physiology , etc].it gives you the bare minimum knowledge required to pass the Nclex licensure exam.ADN nurses not able to...
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...The role that it plays in the EHR and documentation are evidence based practice, quality improvement, safety, and informatics. The EHR helps with evidence based practice because you are able to have statistics drawn from an EHR easily where it is costly and time consuming to do this with paper records. You also have the sources to look something up that you don’t understand at your fingertips with a computer or tablet using an EHR. Quality improvement is a lot easier with an EHR because the information is easily accessible. Quality improvement is important because it improves the quality of care for patients in the healthcare system. The EHR helps with safety because you are able see what has been done with the patient and to guide your care around interventions that have already been done instead of having to look through a paper chart. The best case scenario would be to have a national EHR, but this would be expensive and time consuming. However, someday through informatics and evidence based practice, this will happen. I feel that the time that is spent in learning how to use an EHR is less important than the safety that the EHR would provide the patient in having information that is needed to treat the patient all in one place (QSEN Competencies,...
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...Adn vs Bsn: Differences Rachel McAdams Phoenix University September 2, 2010 Adn vs Bsn: Differences may be a Matter of Degree In the late 1850s Florence Nightingale started her own school to train nurses and developed standards by which nurses performed their duties. She may never have envisioned that one day there would be different educational tracks resulting in multiple degrees and disciplines in nursing, each having their own set of criteria for excellence. Associate degree nurse (ADN) and baccalaureate degree nurse (BSN) are the two most common entry level nursing positions. An ADN can be obtained in two or three years whereas the BSN takes four years of education to complete due to additional courses. Differences between the degrees begin with education and mature as the nurse gains experience. Raines and Taglaireni’s (2008) article states ADN and BSN nurses attend the same basic liberal arts and general education courses such as English, literature, history, math, humanities, and arts. Both have basic nursing courses, the same technical skill sets are taught, and nurses must pass the same National Council Licensing Examination for RNs (NCLEX-RN©) which measures minimum technical competency for entry-level nursing practice. Colleges will differ in the exact requirements for each degree but the community college ADN program consists of approximately 75 course credits of which 38 are science and liberal arts prerequisites, and 37 credits are in the...
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...NU 415 Leadership and Management for RN’s Week 2 Discussion Board student response to Denise Cata by Kathryn Moultrie Good evening Denise, I found your post on QSEN competencies and they impact our practice interesting. For me as a nurse in a specialty, competencies (prior to QSEN), either demonstrated or verbalized has always been mandatory especially in critical care. Some critical care positions prefer nurses to have critical care registered nurse certification (CCRN), which I maintained until 2004, being a travel nurse affected the requirement’s for sitting or maintaining the examine and certification, one aspect of travel nursing I regret. I was difficult for me as well to choose one competency. I feel all patient-centered care, teamwork...
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...Research is a logical examination intended to develop reliable confirmation about concerns that are significant to different nursing fields like education, informatics, practice, and administration (Polit & Beck, 2012). Research validates the knowledge and information that helps nurses to make necessary decisions and take actions. Research in nursing began with the efforts of Florence Nightingale when she collected information and came up with the analysis of factors affecting soldier’s mortality during Crimean war. Thorough analysis helped to make significant changes in nursing practice and care, and awareness to public. Since then, nursing has come long way in the field of research and its application to the nursing profession (Polit & Beck, 2012). Research utilization (RU) became famous in 1980 when the changes to nursing education and research were impelled by the need to develop knowledge for nursing practice. Research utilization uses findings from one or more studies and translates into new knowledge that can be used in the real world. Research utilization begins with research of new knowledge and inventions that is later used for practice. Estabrooks (1999) identified three distinct types of research utilization. The indirect RU involves changes in nurses’ thinking; direct RU involves the use of findings in direct patient care, and persuasive RU involves the use of finding to persuade others especially in decision-making. RU had impact on the nursing profession till...
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...The role of a nurse leader is a complex and multi-dimensional phenomenon that requires a nurse leader needs to have a diverse, experienced background and knows how to communicate and collaborate with other health care providers and departments (Montuori, 2010). In my opinion, nursing is a dynamic, challenging, and an evolving profession that required a nurse leader to have three important leadership attributes: transformative, culture sensitivity, and technologically savvy. First, a nurse leader needs to be a transformative leader. In my view, transformative leaders need to possess great communication skills and charisma. These attributes can help them to communicate their vision to lead other health care workers. For example, Lewis (2011) indicates that transformative leaders must have the trust and belief of their patients and coworkers to be successful in implementing their vision. A transformative leader must also be engaging and an aspiring role model by leading by example. By doing this, they are fostering an environment in which individuals can be creative, respected, and valued for their work ethics....
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