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According to Merriman-Webster’s Dictionary (2009): <medical technology>  b   :  a capability given by the practical application of knowledge -What does technology mean to you in your work setting?
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More inventions and innovations by nurses 1990’s to present:   1990’s:   Burns Wean Assessment Protocol/Program (BWAP) to wean patients off ventilators; Perioperative nurse invents Omni-Jug for drainage of arthroscopic fluid, the Puddle Guppy that aspirates fluid from hospital floors and the Aqua-Box that disinfects fluid waste prior to sewage disposal; blood draw protector called Med Search Hand Guard ( or hemoshield); Bath-Bag; Bili-Bonnet 2000’s:  eMAR medication bar coding; Cardibra for female post-op cardiac patients;
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PROS CONS
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“ It’s using data to translate into information to make decisions when providing patient care” -Professor Maria Pietrantuono     University of Hartford (2009)
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HOW I USE INFORMATICS IN MY JOB: HIGH MEMBERSHIP PROVIDER LIST Provider ID PPO  HMO TOTAL Provider Region Specialty State Zip code 77623XXXX 112 0 112 Jabe, MD SW FP TX 12345 22930XXXX 339 64 403 Dan, MD SW FP TX 12345 22924XXXX 159 19 178 Maureen, MD SW FP TX 12345 43663XXXX 106 0 106 Mark, MD SW IM TX 12345 31786XXXX 33 3 36 Fort, MD SW FP TX 12345 33245XXXX 69 1 70 Fran, MD SW FP TX 12345 72500XXXX 39 0 39 Kyle, MD SW IM TX 12345 21720XXXX 252 93 345 Joe, MD SW FP TX 12345
PATIENT HEALTH QUESTIONNAIRE-9  (PHQ-9) - Medical questionnaire  consisting of 9 questions that address various symptoms related to  Depression  per the DSM-IV-TR -Patient’s response to each question is scored from 0 (absence of symptom) to 3 (prevalence of symptom). Total scores for each rating are tallied for  Total PHQ9 score -Scoring grid on form indicating absence to severity of Depression -Medical provider has option of referring patient into telephonic case management for medication/treatment plan compliance -Status reports faxed to provider after each contact with patient
ALCOHOL/DRUG ABUSE SCREENING PROGRAM
FORECASTED SEVERITY 8.542  October 2009 8.130  September 2009 8.175  August 2009 ,[object Object],[object Object],[object Object],[object Object],PHARMACY PROFILE Celexa 20mgs qd  Last filled October 20, 2009 Replax 40mgs qd  Last filled October 20, 2009 Nexium  1 tab qd  Last filled October 20, 2009 LAB PROFILE Service Start Date:  October 20, 2009 Laboratory Test:  Hgb/Hct Laboratory Results:  14.8/38.6 Laboratory Abnormal Results:  N/A HEALTH RISK ASSESSMENT
TRANSLATES INTO….
Sources:   NIDA and NIAAA (1998);  Journal of Clinical Psychology   1993;54(11) pp. 405-426
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Barnard, A.& Locsin, R. (2007).  Technology and nursing: Practice, concepts and issues . In A. Barnard and R. Locsin(Eds.). Houndmills, Basingstocke, Hampshire, United Kingdom: Palgrave Macmillan. Drought, T.S. & Liaschenko, J. (1995). Ethical practice in a technological age.  Critical Care Nursing Clinics of North America, 7 (2), 297-304. Hiestand, W. (2000). Think different:  Inventions and innovations by nurses, 1850-1950.  The American Journal of Nursing,  Vol. 100, No. 10,100 th  Anniversary Issue(Oct 2000), pp.72-77. Medical technology (2009). In P. B. Gove & H.B. Woolf (Eds.),  Merriam-Webster's Collegiate® Dictionary, Eleventh Edition.  Springfield, MA.  Retrieved from Internet November 12, 2009. Sandelowski, M. (1997). Making the best of things: Technology in American nursing, 1870-1940.  Nursing History Review  5 (1997), pp. 3-22. YouTube video (2008, June 5). Did you know? [Video file]. Retrieved from http://www.youtube.com/watch?v=KRFRrJlicgE. YouTube video (2008, March 10). Microsoft’s future vision:  Healthcare. [Video file]. Retrieved from http://www.youtube.com/watch?v=V35Kv6-ZNGA&feature=PlayList&p=13AD60E168A30822&playnext=1&playnext_from=PL&index=7. U.S. Dept of Commerce Patent and Trademark office (1999). Buttons to biotech: 1996 update report with supplemental data from 1998, U.S. patenting by women, 1976 to 1996. (Feb 1999).

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Technology And Nursing: Past, Present and Future Perspectives

  • 1.
  • 2.
  • 3.
  • 4. According to Merriman-Webster’s Dictionary (2009): <medical technology> b : a capability given by the practical application of knowledge -What does technology mean to you in your work setting?
  • 5.
  • 6.
  • 7.
  • 8. More inventions and innovations by nurses 1990’s to present: 1990’s: Burns Wean Assessment Protocol/Program (BWAP) to wean patients off ventilators; Perioperative nurse invents Omni-Jug for drainage of arthroscopic fluid, the Puddle Guppy that aspirates fluid from hospital floors and the Aqua-Box that disinfects fluid waste prior to sewage disposal; blood draw protector called Med Search Hand Guard ( or hemoshield); Bath-Bag; Bili-Bonnet 2000’s: eMAR medication bar coding; Cardibra for female post-op cardiac patients;
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 15.
  • 16.
  • 17. “ It’s using data to translate into information to make decisions when providing patient care” -Professor Maria Pietrantuono University of Hartford (2009)
  • 18.
  • 19. HOW I USE INFORMATICS IN MY JOB: HIGH MEMBERSHIP PROVIDER LIST Provider ID PPO HMO TOTAL Provider Region Specialty State Zip code 77623XXXX 112 0 112 Jabe, MD SW FP TX 12345 22930XXXX 339 64 403 Dan, MD SW FP TX 12345 22924XXXX 159 19 178 Maureen, MD SW FP TX 12345 43663XXXX 106 0 106 Mark, MD SW IM TX 12345 31786XXXX 33 3 36 Fort, MD SW FP TX 12345 33245XXXX 69 1 70 Fran, MD SW FP TX 12345 72500XXXX 39 0 39 Kyle, MD SW IM TX 12345 21720XXXX 252 93 345 Joe, MD SW FP TX 12345
  • 20. PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) - Medical questionnaire consisting of 9 questions that address various symptoms related to Depression per the DSM-IV-TR -Patient’s response to each question is scored from 0 (absence of symptom) to 3 (prevalence of symptom). Total scores for each rating are tallied for Total PHQ9 score -Scoring grid on form indicating absence to severity of Depression -Medical provider has option of referring patient into telephonic case management for medication/treatment plan compliance -Status reports faxed to provider after each contact with patient
  • 22.
  • 24. Sources: NIDA and NIAAA (1998); Journal of Clinical Psychology 1993;54(11) pp. 405-426
  • 25.
  • 26.
  • 27.
  • 28. Barnard, A.& Locsin, R. (2007). Technology and nursing: Practice, concepts and issues . In A. Barnard and R. Locsin(Eds.). Houndmills, Basingstocke, Hampshire, United Kingdom: Palgrave Macmillan. Drought, T.S. & Liaschenko, J. (1995). Ethical practice in a technological age. Critical Care Nursing Clinics of North America, 7 (2), 297-304. Hiestand, W. (2000). Think different: Inventions and innovations by nurses, 1850-1950. The American Journal of Nursing, Vol. 100, No. 10,100 th Anniversary Issue(Oct 2000), pp.72-77. Medical technology (2009). In P. B. Gove & H.B. Woolf (Eds.), Merriam-Webster's Collegiate® Dictionary, Eleventh Edition. Springfield, MA. Retrieved from Internet November 12, 2009. Sandelowski, M. (1997). Making the best of things: Technology in American nursing, 1870-1940. Nursing History Review 5 (1997), pp. 3-22. YouTube video (2008, June 5). Did you know? [Video file]. Retrieved from http://www.youtube.com/watch?v=KRFRrJlicgE. YouTube video (2008, March 10). Microsoft’s future vision: Healthcare. [Video file]. Retrieved from http://www.youtube.com/watch?v=V35Kv6-ZNGA&feature=PlayList&p=13AD60E168A30822&playnext=1&playnext_from=PL&index=7. U.S. Dept of Commerce Patent and Trademark office (1999). Buttons to biotech: 1996 update report with supplemental data from 1998, U.S. patenting by women, 1976 to 1996. (Feb 1999).

Notas do Editor

  1. End at 4:50 minutes
  2. 1870: coincided with first formally trained nurses 1816: first stethoscope invented. Doctor’s use only 1853: first prototype of blood pressure monitor invented. Doctor’s use only Webster&apos;s Revised Unabridged Dictionary (1913): Scarify Scar&amp;quot;i*fy, v. t. [imp. &amp; p. p. Scarified ; p. pr. &amp; vb. n. Scarifying .] [F. scarifier, L. scarificare, scarifare, fr. Gr. ? to scratch up, fr. ? a pointed instrument.] 1. To scratch or cut the skin of; esp. (Med.), to make small incisions in, by means of a lancet or scarificator, so as to draw blood from the smaller vessels without opening a large vein.
  3. 1930s: nurses started administering IM injections under MD’s orders U.S. Patent Office does not indicate type of inventor, just gender
  4. Have class look at article with examples of nursing inventions. Discuss
  5. PDA= Personal Data Assistants
  6. ENCOURAGE GROUP DISCUSSION OF ANY OTHER TECHNOLOGICAL ENHANCEMENTS THAT NURSES WANT
  7. *ASK GROUP FOR OTHER PROS AND CONS *Have class read vignette about child patient
  8. REFER TO MARIA’S POSTER AND TALK BRIEFLY ABOUT HER CLASS I TOOK IN JANUARY OF THIS YEAR
  9. Everett M. Rogers ( March 6 , 1931 - October 21 , 2004 ), sociologist , communications scholar, pioneer of diffusion of innovations theory, writer, and teacher
  10. This is my technology in my work setting. This practical application of knowledge acquired by completion of this questionnaire can enable me to assess the patient’s depression status and assist the patient through high level psychosocial counseling and coping techniques to get better
  11. Discuss how Health Risk Assessment is used to predict utilization of future healthcare needs.
  12. Have class read about eMAR then do Learning Activity. Discuss