Nursing Informatics Now and in the Future

Topics: Health care, Health informatics, Medical informatics Pages: 5 (1641 words) Published: July 10, 2013
Running head: NURSING INFORMATICS

Nursing Informatics Now and In the Future
Becky Last, RN
Herzing University
June 16, 2013

INTRODUCTION:
In this day and age nurses not only have to use the scientific knowledge they have obtained in school but they must be ready to embrace and learn computer knowledge as well. Nursing informatics (NI), a product of the scientific synthesis of information in nursing, uses concepts from computer science, cognitive science, information science, and nursing science and we as nurses must be ready to embrace NI in order to keep up with the ever changing health care world, (McGonigle & Mastrian, 2011). As nurse’s we depend on the knowledge we have obtained through our schooling and through our experiences. The brain can be compared to a computer and by using a computer and computer based systems a nurse or health care worker can obtain information to deliver medical care to their patients much more efficiently than they could in the past. I want to discuss how the use of computers, electronic medical records and other electronic technologies has changed how we as health care professionals take care of our patients today and how we will be taking care of them in the future. ELECTRONIC MEDICAL RECORD:

As little as 4 years ago I was still charting my assessments on my patients on paper charts. At that time I was an emergency room nurse. I found this to be a very frustrating task for the following reasons:

* Locating the chart
* The legibility of the person who had charted in it previously * Trying to remember allergies and times medications were given Due to the inability to locate the chart in a timely manner, you were constantly trying to remember everything you wanted to chart. You wrote down if the patient had allergies as soon as possible on a note due to the fact that the chart would be taken by other health care professionals and you would be given medications. As the RN for the patient, you would have to check for interactions from medications and allergies at time of administration. Notepads were a nurse’s best friend, you wrote down your patient’s name, time of day or night and vital signs and medications given. Then once you found the chart, you had to write it down again. Double charting, was not a very efficient way to work and not very effective patient care. All that time spent charting took nurses away from what they are best at and that is; bedside patient care. Technology is an ever changing world and has been brought into the medical world and is now used for patient care. Despite the fact that electronic medical records with computer generated operator entry have been around for thirty years, fewer than ten percent of hospitals had fully operations systems as of 2006, (Detley & Bemer, 2007). That number is increasing and the CDC says that it had risen 48.3% by the end of 2009, (National Center for Health, of 2009). There are so many benefits to using an electronic medical record: * Less medical errors

* Less time spent charting
* See lab results
* See x-rays and MRI’s
* Send reports, prescriptions
* Ability to share with other health care organizations
* Report to Public Health
Due to these benefits, the US Congress included a formula of both incentives (up to $44,000 per physician under Medicare or up to $65,000 over six years, under Medicaid) and penalties (i.e. decreased Medicare and Medicaid reimbursements for covered patients to doctors who fail to use EMRs by 2015) for EMR/EHR adoption versus continued use of paper records as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, (enacted as part of the American Recovery and Reinvestment Act of 2009. (HHS.GOV, 2013) This means that more hospitals and doctors will be switching over from paper to the electronic medical record systems. One company that will be helping...


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