Nursing Hot Topics Course 120

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Nursing Hot TopicsCourse 120

• Cathy Rick, RN, CNAA, FACHE
• Oyweda Moorer, RN, MSN, CNA
• Office of Nursing Services

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Purpose Statement and Objectives

• To have a dialogue with nursing staff about
  nursing strategic planning with respect to IT
  initiatives, including the benefits of such
  programs on the delivery of care.
• Objectives
• Provide overview of Nursing IT goals and
  initiatives
• Increase knowledge of interrelatedness between
  NNEC goals
• Obtain suggestions for future initiatives and
  improving the system from Nursing staff,
  Automated Data Processing Applications
  Coordinators (ADPAC), and Clinical Application
  Coordinators (CACs)

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Food for Thought

• Questions to keep in mind
• 1. Do you think the strategic plan supports the
  work of nursing in the field?
• 2. What do you think about the new functions and
  structure of the NNEC Technology group?
• 3. Describe an Informatics innovation or Systems
  Design innovation that you would like the
  National Nurse Executive Council to consider.

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ONS Vision

• Future IT Technology will
• Be accessible, effective, user friendly
• Be available at the point of care
• Facilitate seamless processes
• Support improving patient outcomes
• Serve all levels of nursing
• Facilitate decision support

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Value Statement

• Nursing should benefit from technology that
  supports improving patient outcomes
• Technology needs to serve all levels of nursing,
  creating seamless processes that support
  proactive practice in clinical, administrative,
  research, and education areas
• New technology should have utility as well as
  efficiency
• Nursing should provide input in every phase of
  technology design, implementation, and procurement

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ONS Current Strategic Plan
National Nursing Strategic Plan
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ONS Future Strategic Plan

• Planning Process The planning group was tasked
  with developing a list of wildly important goals
  for the future of Nursing. This list was then
  subject to an affinity diagram process, where
  like items were assembled into the following goal
  categories

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Technology Consultative Group

• Formerly Technology Goal Group 2
• New structure
• New strategy

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Current ONS IT Projects

• Project Teams
• VANOD
• Bar Code Expansion
• ICU Flow Sheet
• VA/DoD Operation Enduring Freedom (OEF) and
  Operation Iraqi Freedom (OIF) Patient Hand Offs
• VHA/DoD Patient Acuity/Schedules Pilot
• MRSA Virtual Simulation Training
• VA Quality Enhancement Research Initiative, HANDS
  Pilot Project
• IT Annual Assessment
• Admissions Assessment
• E-Proficiency
• Staffing Methodology
• Pharmacy Re-engineering
• Hands-on Automated Nursing Data System Project
  Pilot
• Funded through the Quality Enhancement Research
  Initiative

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Current ONS IT Projects (contd)

• Committees National Nurse Executive Council
  (NNEC)
• Bar Code Oversight Board
• CPRS Change Control Board
• Repository Oversight Board
• VHA Data Consortium
• IDMC
• MHV/CAB
• HISEB

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Bar Code Expansion (BCE) Project

• wCareMed Utilizes barcode scanning technology
  to support medication administration
• wCareMed Goes beyond checking the five
  rights features allergy warnings, entry of pain
  scale information and PRN effectiveness
• wCareView Designed to provide the functional
  components of a patients paper chart, while
  offering the flexibility of wireless mobility
• wCareCollect Improves the specimen collection
  process
• wBloodCare Provides functionality at the
  bedside to ensure that the correct patient
  receives the correct blood product
• wCareAssist Provides care management tools that
  support the nursing process

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ICU Flow Sheet

• E-document on patient record in ICU
• Commercial Off the Shelf (COTS) Products
• Interface w/CPRS

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VA/DoD OEF/OIF Patient Hand Offs

• Effort to standardize electronic polytrauma
  patient hand off between the DoD and VA
• Communication across episodes of care and sites
  of care
• Electronic Patient Hand-off uses SBAR
  Communication Framework
• Situation
• Background
• Assessment
• Recommendation

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VHA/DoD Patient Acuity/Scheduler System Pilot

• Optimum nurse staffing based on varying levels of
  patient acuity and other variables
• Joint interoperability funding (JIF)
• This pilot will test the effectiveness of this
  approach

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HANDS Project Pilot

• Collaborative effort between University of
  Illinois School of Nursing and Office of Nursing
  Services
• Miami VA Nursing Service
• An electronic short/story/synopsis of a
  patients care
• Tracks patient outcomes
• Utilizes nursing taxonomies
• North American Nursing Diagnostic Association
  (NANDA)
• Nursing Interventions Classification (NIC)
• Nursing Outcomes Classification (NOC)

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MRSA Virtual Simulation Training

• VA Pittsburgh Healthcare System (VAPHS)
• Role models behavior
• Widespread dissemination among VA facilities

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HOANA Patient Warning Systems

• Tracks changes in patients status
• Device alerts medical staff of any sudden drops
  in HR or RR
• Alerts nursing staff if patient gets out of bed,
  and prompts an audio command to the patient to
  return to bed

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Technology Questions Added to Practice
Environment Scale

• Access to computerized patient care information
  at the point of care
• IT systems that are up-and-running when I need
  them
• A computerized healthcare record system supports
  nursing practice
• Effective training on new technology
• I am able to provide better care to my patients
  because of the information systems available to me

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IT Annual Assessment

• Purpose
• Evaluation of the effectiveness and availability
  of technology resources in VHA healthcare
  delivery settings that support nursing practice
• Origination
• Recommendation of the National Commission on VA
  Nursing
• Activity
• Each facility submits technology and software
  requirements to improve nursing efficiency and
  decrease nursing turnover

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Recognition of Nursing Staff Participation

• Project Teams
• Committee Participation

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National Nurse Executive Council Technology Goal
Group

• Chair Michelle Brown
• Co-Chair Anne Gillespie
• Facilitator Oyweda Moorer
• Committee Members
• Sandra Berrigan
• Lynn Cooper
• Becky Kellen
• Carol Nizzardini

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Membership Participants Recognition

• Administrative Informatics Sub Group
• Chair Lynn Cooper
• VISN reps
• Thor Patterson-Ritz
• Karen Hendry
• Jane Schmidt

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Membership Participants Recognition

• VHA Nursing Clinical Informatics Sub Group
• Chair Ruth Gorman
• Co-Chair Josephine Sciacca
• Jonathan Bagby
• Diane Bedecarre
• Laura Brenton
• Barb Clarke
• Grace Curry
• Michael Eskau
• Charlotte Feldman
• Sue Gohlinghorst
• Patty Greim
• Joan D. Gronert
• Patrick L. Hyers

• Becky Kellen
• Toni King
• Rose Lester
• Patty McDaniel
• Holly Miller
• Ginny J. Olson
• Pamela R. Pickett
• Janet Pierce
• Darryl E. Reid
• Dale M. Ryan
• Ahnnya A. Slaughter

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Membership Participants Recognition

• VHA Nursing Clinical Informatics Sub Group
  (contd)
• Diana J. Smith
• Terri Speegle
• Greg R. Strandberg
• Tammy Talley
• Mark Edward Thompson
• Mary Wideman
• Salena Wright
• Justine E. Ziemba

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Membership Participants Recognition

• Bar Code Expansion (BCE) Work Groups
• Code Blue
• Sean McFarland
• Claire Monzeglio
• Blood Transfusion
• Beverly Green-Rashad

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Membership Participants Recognition

• Bar Code Expansion (BCE) Work Groups
• Phlebotomy
• Laurie Allen
• Vital Signs
• Lead Mary Wideman
• RN Diane Shelleday
• LPN Sherry C. Smith
• NA Sheila Foltz

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Membership Participants Recognition

• Bar Code Expansion (BCE) Work Groups
• Intake and Output
• Lead Mary Wideman
• RN Dana Weaver
• LPN Alexandra Gillenwater
• NA Sheila Zisman
• NA Virginia Wise
• Training
• Kathryn Sapnas

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Membership Participants Recognition

• BCMA Committee Members
• Chair Cathy Locher
• Co-Chair Dr. Kathryn Sapnas
• Tammy Berry
• Felisa Fawver
• April V. Hamilton
• Douglas Klein
• Abigail Rodriguez
• Elizabeth Mims
• Dorothy Frazier
• Debra L. McAninch
• Mary Tatum

• Dale Ryan
• Marianne Harrington
• Irynne Sixon

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Food for Thought
1. Do you think the strategic plan supports the
work of nursing in the field? 2. What do you
think about the new functions and structure of
the NNEC Technology group? 3. Describe an
Informatics innovation or Systems Design
innovation that you would like the National Nurse
Executive Council to consider.
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• Thank you very much for participating!!