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CLINICAL JOURNAL |
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Objective 1: Discuss the role of the nurse informaticist from the perspective of the interviewed preceptor. |
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I had the privlege of working with Joan Lesch MS, RN, Director of Quality Management for the NSLIJ Home Care Network. As the Director to the Informational Specialists; she is responsible for directing and supervising all the nursing educators and informational specialists in the Home Care Department. She ultimately directs, plans, and suprvises all administrative aspects of the Home Care Quality management Program. She determines the performance improvement projects that need to be addressed within the organization. She maintains accountability for staffing, employment, education training, qualifications, peformance and management within the Home Care Department. She monitors up-to-date knowledge of State, federal, JCAHO and other regulatory standards. She reports findings to all appropriate North Shore LIJ Health Committees incuding the Board of Trustees.
I was able to spend several days working with Maria Amoroso, RN, Informational Specialist Supervisor at North Shore LIJ Home Care Network. Her role is to educate all new homecare nurses on the use of the Laptop computer during their visits. As the IS educator she provides extensive informative sessions in which she educates the homecare nurses on the use of point of care documentation using a laptop computer. She is on the Informational On-Call Support Team for any IT problems that arise during her shift. She was instrumental in initiating transferring the data entered on the Oasis documentation to the computer program. In addition, she was on the original IT team that worked with the Mckesson software representative to create all the computer fields and screens utilizing the Oasis format requirements for homecare visits. |
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Objective 2: Identify the concepts of Nursing Informatics applied by the Nurse Informaticist at the selected health care setting. |
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MA, RN, Information Specialist was instrumental in promoting, designing, implementing, identifying and prioritizing the organization�s informational requirements. She spearheaded the strategic informational goals for the North Shore LIJ Home Care Network. Working side by side with the chosen software company, namely McKesson, she was able to develop the right computer field and screen requirements to capture data utilizing the Oasis tools. As the project manager, she continues to update changes in the computer program to improve ease of data entry. She continues to empower her team to support the strategic IT goals and the mission statement of the organization |
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Objective 3: Discuss the emergence of Telehealth, Telenursing and Telemedicine at the selected health care setting to capture a historical understanding. Compare and contrast the outcomes (findings) to data learned in prior IN courses as related to patient care and health care management. |
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Telenursing is the use of telemedicine technology to deliver nursing care and conduct nursing practice (Peck,2005). Through telenursing, clinicians can work from their desk and monitor patients at their home, by means of, "virtual visits" or "televisits". This system uses voice and video combined with medical peripheral equipment. At the NSLIJ Home Care Network Telenursing Program, patients have immediate access to care givers and care. This allows the provision of care to be more thorough, timely and comprehensive. The program improves productivity, reduces care costs and enhances the quality of patient care (Peck,2005). CHF patients are just one of the disease category patients that are monitored at home using telecommunication technologies. The program improves patient compliance with medications, diet and weight monitoring. The program focuses on the patients self management, restores the quality of life and security by returning control to patients over their disease process.
Telemedicine is medicine practiced at a distance (Wooton,2000). Telemedicine is the use of medical information being exchanged from one site to another via electronic communications for the health and education of the patient or healthcare provider and for the purpose of improving patient care (Linkous, 2006).
Telehealth is broadly defined as the use of audio, other telecommunications and electronic information technologies to offer health services, transfer various types of information, and assist healthcare personnel at remote sites ( Ackerman, Craft, Ferrante, 2002).Telehealth focuses on the individual's long-term wellness, self-management and health (Schlachta-Fairchild &Sparks, 1998). The term telecare is a comparable term to telehealth, a very generic term that refers to the delivery of care over distance (Greenberg,2000). |
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