Interaction Between Nurse Informaticists and Other Specialists Essay

Interaction Between Nurse Informaticists and Other Specialists Essay

Discussion: Interaction Between Nurse Informaticists and Other Specialists

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved Interaction Between Nurse Informaticists and Other Specialists Essay.

To Prepare:

  • Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
  • Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

By Day 3 of Week 3

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

Currently, in the Cath lab, our most important metric is door-to-balloon time. We now have an informatics nurse looking at all our charting and data to prove or disprove we are making our 60 min door to balloon time “gold standard “metrics. We want to ensure our patients get immediate quality care in as little time as possible; time is heart tissue. The data she collects can affect the productivity, efficiency, performance, effectiveness, cost, and value of care we provide daily (Mosier et al., 2019). 

 Since our hospital serves other bordering counties, we run into the problem of a STEMI being paged and patients showing up to the Cath lab an hour later. These delayed transports not only are increasing our door to balloon time, but this can dramatically affect patient outcomes. Shortening the door to balloon time is significantly associated with increased survival benefits (Park et al., 2019) Interaction Between Nurse Informaticists and Other Specialists Essay. 

 Currently, our hospital has a contract with a local ambulance company to transport from our sister hospital STEMI patients from their ER to our Cath lab, a typical 12-minute drive without lights and sirens. We have been struggling with patients now showing up for upwards of 45 – 60 minutes post-STEMI call. Keeping metrics on time between when the STEMI page is called, ambulance called, and arrival to Cath lab is essential in determining if this service is worthy of transporting our critical patients. 

 The federal government implemented that the United States move from paper charting and records to electric health records by 2014. By doing this, through the evolution of new technologies, this network will allow providers access to healthcare information and clinical decision-making, despite their physical location (Fuller, n.d.). For example, this has permitted nursing to contact a physician and have them remotely or not assess the patient via their chart, checking on labs, diagnostics, trending vital signs, etc., to make further clinical decisions on their care Interaction Between Nurse Informaticists and Other Specialists Essay.

Park, J., Choi, K. H., Lee, J. M., Kim, H. K., Hwang, D., Rhee, T. M., Kim, J., Park, T. K., Yang, J. H., Song, Y. B., Choi, J. H., Hahn, J. Y., Choi, S. H., Koo, B. K., Chae, S. C., Cho, M. C., Kim, C. J., Kim, J. H., Jeong, M. H., … Kim, H. S. (2019). Prognostic implications of door‐to‐balloon time and onset‐to‐door time on mortality in patients with ST‐segment–elevation myocardial infarction treated with primary percutaneous coronary intervention. Journal of the American Heart Association, 8(9). https://doi.org/10.1161/jaha.119.012188 

 

Mosier, S., Roberts, W.D., Englebright, J. (2019). A system-level method for developing nursing informatics solutions: the role of executive leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.

Fuller, C. D. (n.d.). Challenges in nursing informatics. Journal of Nursing. https://rn-journal.com/journal-of-nursing/challenges-in-nursing-informatics. 

By Day 6 of Week 3

Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions Interaction Between Nurse Informaticists and Other Specialists Essay.

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response 1

this is an excellent example of how your specialty utilizes nurse informatics specialists and the factors determining cardiac catheter times. Working in the cardiac catheter lab while being on the edge of multiple counties makes the ST-elevation myocardial infarction 60 minutes to cardiac catheter standard very challenging. It is such an asset to have your information technology nurses tracking the numbers. Have there been process improvements made by the data gathered? For example, has your hospital started doing overhead codes to streamline getting the patient to the cardiac catheter lab once your ST-elevation myocardial infarction arrives? Has your hospital system worked with the local emergency medical systems providers to make better transport times? How has the data acquired by your hospital’s nurse informaticist made the change for your department? As the mother of nurses Florence Nightingale, looking at data to make changes and improve patient outcomes (Brixey, Salyer, & Simmons, 2020). As time goes on, staff nurses may have to take on more of the responsibilities currently in place for the informatics nurse. In addition, the future may have informatics courses mandatory education for our hospitals (Lee, 2017). As we continue our career paths, it will be interesting to see how nursing evolves Interaction Between Nurse Informaticists and Other Specialists Essay.

References

Brixey, J., Salyer, P., & Simmons, D. (2020). Nightingale power: The advent of nursing informatics.

Nursing Management (Springhouse), 51(7), 51–53.

https://doi-org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000669104.92938.0a

Lee, T. Y. (2017). The Roles and Functions of Informatics Nurse Specialists in Taiwan. Studies in Health

Technology and Informatics, 232, 97–100.

 

response 2

Working in the cath lab seems like an interesting choice. There are so many metrics to meet, and steps for a patient to have a positive outcome. In 2017, Penn Medicine released an article that stated only 39% of hospitals have the ability to properly treat a STEMI patient (Penn Medicine, 2017). In fact, our hospital does not have a cath lab, and any patients that are identified as having a STEMI are transferred to a sister hospital. We are about 20 minutes from that hospital and many of the patients identified do not meet the door to balloon goal. One way that technology has helped change this for our organization is having emergency personnel complete EKG’s and transfer them electronically for an ER physician to view. This allows patients coming in by ambulance to be sent directly to our sister hospital. It also allows for a heart alert to be called to reduce the waiting time once the patient arrives. Informatics has also allowed us to track the outcomes of patients to see where we can improve. A recent policy for our hospital has included completing an EKG on all adult patients during their initial triage that don’t qualify for a “fast track” diagnosis, even if “chest pain” is not their primary complaint. This has helped identify patients who may otherwise have been missed, while not wasting resources on screening patients who are being seen for minor injuries. This rapid identification gives patients the best chance at a positive outcome (Yiadom, Baugh, McWade and Lui, 2017).  Hopefully, we will continue to make improvements with these goals so that more patients are able to receive the benefit of evidence-based care Interaction Between Nurse Informaticists and Other Specialists Essay.

Penn Medicine, 2017. What is Door-to-Balloon Time. [online] Penn Medicine. Available at: <https://www.pennmedicine.org/updates/blogs/heart-and-vascular-blog/2017/january/door-to-balloon> [Accessed 15 June 2021].

 

Yiadom, M., Baugh, C., McWade, C. and Lui, X., 2017. Performance of Emergency Department Screening Criteria for an Early ECG to Identify ST‐Segment Elevation Myocardial Infarction. [online] Journal of the American Heart Association. Available at: <https://www.ahajournals.org/doi/full/10.1161/jaha.116.003528> [Accessed 15 June 2021] Interaction Between Nurse Informaticists and Other Specialists Essay.