Posted: January 23rd, 2023
An informaticist interacts with my own professional practice when they add important components to the electronic health records, EHR. For example, adding a sepsis detection bundle to our charting in order to help alert providers and nurses to a risk for sepsis and prevent septic shock. This information is relevant because we all know that early detection and intervention can help save people’s lives in a sepsis situation Nurse Informaticst Interaction Sample Essay. Being competent in informatics is vital during this technology-rich era in nursing(Borycki, Cummings, Kushniruk, & Saranto,2017). It is a safety feature we now have available to use. Since the inception of EHR and Medication, safety stops medication errors have been significantly reduced. With information specialists adding sepsis detection tools or a new one we started at work was a deterioration index that a nurse must acknowledge during the shift. This index was trialed before rolling out, but it incorporated aspects the nurse needs to know when a decline starts with their patient. Countless studies have been conducted, and early detection of sepsis saves lives. The push has gone towards how informatics can integrate a detection tool and guide. Nurses towards interventions that will save lives and prevent negative outcomes. This study found almost a 10% reduction in sepsis deaths once the detection tool and intervention protocols were formulated ( Jones, Ashton, Kiehne, Gigliotti, Bell- Gordon, Disbot, Masud, Shirkey, & Wray, 2015). These tools are usually effective because the nurse is watching for changes and aware of what steps to initiate next. In another study, they actually found that there, on occasion, is a provider alert fatigue.(Manaktala & Claypool, 2016) This means that even though it tells you to alert a provider or is another area, you must chart in that nurses are not alerting to it, which can also cause negative outcomes. I think that is why I like the deterioration index in my charting system because I can look back at the previous score see what components may have changed, and it helps me think ahead Nurse Informaticst Interaction Sample Essay. It is like a little zap to say, hey, this is changing; keep an eye on it. I think that at times there are attempts to add so many components to charting to hit benchmarks and prevent things like falls or alert to changes in conditions. However, there is not enough removal of the unnecessary parts that do not contribute to positive outcomes.
Borycki, E. M., Cummings, E., Kushniruk, A. W., & Saranto, K. (2017). Integrating health information technology safety into nursing informatics competencies. Forecasting informatics competencies for nurses in the future of connected health, 232, 222-228.
Jones, S. L., Ashton, C. M., Kiehne, L., Gigliotti, E., Bell-Gordon, C., Disbot, M., … & Wray, N. P. (2015). Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program. The Joint Commission Journal on Quality and Patient Safety, 41(11), 483-AP3.
Manaktala, S., & Claypool, S. R. (2017). Evaluating the impact of a computerized surveillance algorithm and decision support system on sepsis mortality. Journal of the American medical informatics association, 24(1), 88-95 Nurse Informaticst Interaction Sample Essay.
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.
As nurses, we know sepsis is a leading cause of death in patients. Having swift identification of sepsis and prompt intervention can significantly decrease mortality and provide positive patient outcomes. I have had the opportunity to work in many ER’s as a travel nurse, and everyone does sepsis differently. I have found using alerts in the EMAR to be extremely helpful. In one study completed by Zimmermann et al. (2020), successful smartphone alerts improved early responses to identifying and treating sepsis. Continually being reminded as a nurse to watch for clinical signs of sepsis is incredibly helpful in keeping our patients safe and adequately treated. These alerts would require me to acknowledge the sepsis alert and what I did in reaction to the alert. Did I notify the physician? Were orders placed? Within 12 hours of a sepsis alert, there should be a physician assessment, antibiotics, IV fluids, oxygen therapy and vasopressors as needed, and diagnostic testing (Sawyer et al., 2011). Nursing informatics plays a massive role in monitoring these interventions and calculating how quickly these interventions are completed. The faster the intervention is applied, the quicker the patient can be treated. EMAR charting assists in time-stamping alerts to staff and when interventions are completed Nurse Informaticst Interaction Sample Essay.
Sawyer, A. M., Deal, E. N., Labelle, A. J., Witt, C., Thiel, S. W., Heard, K., Reichley, R. M., Micek, S. T., & Kollef, M. H. (2011). Implementation of a real-time computerized sepsis alert in nonintensive care unit patients. Critical Care Medicine, 39(3), 469–473. https://doi.org/10.1097/ccm.0b013e318205df85
Zimmermann, M., Chung, Y. “J., Fleming, C., Garcia, J., Tayban, Y., Alvarez, H. D., & Connor, M. A. (2020). Implementing real-time sepsis alerts using middleware and smartphone technology. Nursing Critical Care, 15(2), 41–48. https://doi.org/10.1097/01.ccn.0000654832.34404.99 Nurse Informaticst Interaction Sample Essay
Good post Kymberly. You are right, sepsis is something that needs to be detected early on. The facility I work at has the EPIC documentation system. Last year, they rolled out this big new sepsis tool due to the rise in patients triggering for sepsis and not being treated promptly. Each patient has a sepsis score under their name and if their score starts to ride into yellow or red zones, the nurse will start to get pop-ups to acknowledge it and select an intervention. The very first thing the nurse does, as always, is reassess. The sepsis screening tool allows you to open it, obtain a new set of vitals, check lab work to make sure everything is correct that is causing the patient to trigger for sepsis. There has been issues with physicians not listening to the nurses, so after so much documentation and steps in the sepsis flowsheet, the nurse can start ordering labs such as a lactic and Complete blood count (CBC), call a code sepsis, which sends an alert out to a back up team that calls or comes to the patient’s room. Sepsis needs to be taken very seriously given how quickly it can go the wrong way. Proper education needs taught regarding a recognition in vital signs and finding the source of infection to ensure the patient receives the proper treatment (Mayo Clinic, 1998-2021) Nurse Informaticst Interaction Sample Essay.
I agree about extra documentation flowsheets and components for documentation flowsheets and components for documentation can be a bit messy. One way to fix this is to be a voice in a nurse practice council for your facility. By taking issues like this to a house-wide committee, it will be addressed, and they will attempt to find a solution. Their purpose is to actively listen, collaborate with other health care professionals and find a solution (McGonigle & Mastrian, 2017).
Mayo Clinic. (1998-2021). Sepsis. https://www.mayoclinic.org/diseases-conditions/sepsis/
McGonigle, D., & Mastrian, K.G. (2017). Nursing informatics and the foundation of knowledge
(4th ed.). Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp.537-
551). Burlington, MA: Jones & Bartlett Learning Nurse Informaticst Interaction Sample Essay.
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