INTERNET TOOLS FOR

ADVANCED NURSING PRACTICE

ELTON JOHN D. DELOS SANTOS, RN, MA Ed, MAN
Instructor IV
 SPINT
- Commercial pioneer of fixed
wireless broadband technology;
provides geographic mobility up to
35 miles Wireless applications
permit Internet connectivity.
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS
I. ASSESSMENT
- tools include forms, miscellaneous screening tools, risk
assessment instrument, & information of the manifestation of
signs and symptoms.
Examples:
1. Comprehensive Nursing Assessment form
http://www.hospitalsoup.com/public/nursingassess2001.pdf
2. four cardinal signs of alcoholism (craving, loss of control,
physical dependence & tolerance)
http://www.niaaa.nih.gov
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: ASSESSMENT
3. Vermont Department of Health's professional
approach to interviewing on primary care practice
http://www.state.vt.US/health/abuse.htm
4. Connecticut Clearinghouse- a program of the
Wheeler Clinic consists of multiple assessment and
screening hyperlinks, useful in advanced nursing
practice
http://www.ctclearinghouse.org/
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: ASSESSMENT
GOVERNMENT DOMAINS
a. FDA- www.fda.gov
b. NLM Pubmed databases: www.fda.org
c. National Center for Complementing and
Alternative Medicine (NCCAM)
http://nccam.nih.gov/clinicaltrials/stjohnswort
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: ASSESSMENT

EDUCATIONAL DOMAINS
P450 drug interactions
http://medicine.inpui.edu/
flockhart/table.htm
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: ASSESSMENT
5. Body Mass Index calculator from the National
heart, lung, and blood institutes of the National
Institute of Health (NIH)
http://nhlbisupport.com/bmicalc.htm
6.Cancer Risk Tools available at Harvard Center for
cancer Prevention
http;//www.yourcancerrisk.harvard.edu/
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: ASSESSMENT
7. Coronary Heart disease risk calculator
http://hin.nhlbi.nih.gov/atpiii/calculator.asp?
usertype=prof
8. Health Risk calculators from the University of
Maryland Medicine for 24 health conditions,
including asthma, depression, diabetes, pregnancy
due date, HIV risk, nicotine-dependency, teen
suicide risk and more
http://www.umm.edu/healthcalculators/
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: ASSESSMENT
http://search.nlm.gov/homepage/query?
FUNCTION=search&PARAMETER=MEDLINE+Plu
s+AND+symptoms+AND+manifestations&DISA
MBIGULATION=true&START=&END=25&MAX=2
50&ASPECT=1
= Outstanding resource for consumers and
health professionals from NLM medline plus
health information hyperlink
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS:
II. DIAGNOSIS
-treatment is diagnostic-specific. Hence,
diagnosis & treatment information are
frequently not discreet
- diagnosis is dependent on the
knowledge base of the person
diagnosing
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: DIAGNOSIS
1. ICD-10-CM by WHO, 1992 (http://www.cdc.gov/
nchs/about/otehract/icd9/abticd10.htm) and the
ICD-9 of American Medical Association, 2004 (http://
www.cms.hbs.gov/medlearn/icd9code.asp) 
2. NANDA Classification of nursing diagnoses
-nursing classification of human responses to illness
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: DIAGNOSIS
3. International Classification of Functioning in
Health & Disability (WHO, 2002)
http://www3.who.int/icf/onlinebrowser/icf.cfm
-classification display in a systematic manner
the array of diagnoses that represent the
knowledge bases of the professions
represented.
CLINICIANS TODAY ARE
FACED WITH NEW
THREATS TO HEALTH:
a. emerging infections
b. bioterrorism events
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: DIAGNOSIS
BIOTERRORISM INFORMATION AVAILABLE THRU
ACADEMIC HEALTH SCIENCE CENTERS:
1. Agency of Health Research & Quality in
collaboration with the University of Alabama: website
at http://www.bioterrorism.uab.edu/
2. George Mason University National Center for
Biodefense at http://www.gmu.edu/centers/
biodefense/
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: DIAGNOSIS
BIOTERRORISM INFORMATION AVAILABLE THRU
ACADEMIC HEALTH SCIENCE CENTERS:
3. SLU center for the study of bioterrorism & emergency
infections at http://bioterrorism.slu.edu/
4. University of Pittsburgh Center for Biosecurity at http:/
/www.upmc-biosecurity.org/
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS:
III. TREATMENT
-used in lieu of interventions and nursing actions for it
expresses more precisely the broad clinical
management focus of the section
1. NURSING TREATMENT
NIC -Nursing Interventions classification (Dochterman &
Bullecheck, 2003) at http://www.nursing.uiowa.edu/centers/
cncce/nic/index.htm
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
2. Home Health Care Classification
(Saba, 2003) at www.sabacare.com
3. Omaha system (Martin, Elfrink & Morson,
2001) at http://www.omahasystem.org/
4. Perioperative nursing data set at http;/
/www.aorn.org/research/pnds.htm
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
CALCULATORS:- USED IN PLANNING TREATMENT
EXAMPLES:
1. Martindale's calculator online part 1 nutrition at http;//
www.martindalecenter.com/Calculators1B-4-Nut.html
2. Nursing calculators for drug administration purposes at
http://www.manuelsweb.com/nrs_calculators.htm
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
CALCULATORS:- USED IN PLANNING
TREATMENT EXAMPLES:
3. Medical Calculators developed by
Cornell University Medical College,
Pediatric Critical Care Medicine at http://
www-users.med.cornell.edu/~spon/picu/
calc/medicalc.htm
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
DRUG MANAGEMENT
1. Drug enforcement agency (www.dea.
gov) - excellent information on drugs and
chemicals of concern
http://www.deadiversion.usdoj.gov/drugs-
concern/index.html
 INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
DRUG MANAGEMENT
2. FDA (www.fda.gov) - herbal products are listed under foods
not drugs
a. Center for Drug Research & Evaluation at http://www.fda.
gov/cder/index.html
b. Medwatch: The FDA safety information & Adverse event
reporting program at http://www/fda.gov/medwatch/index.
html
c. Medwatch Adverse Event & Product Problem forms at http://
www.fda.gov/medwatch/get- forms.htm
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
DRUG MANAGEMENT
3. NLM Clinical Alerts database- maybe
accessed in the left hand margin of the
www.pubmed.gov web page or directly at
http://www.nlm.nih.gov/databases/alerts/
clinical_alerts.html
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
DRUG MANAGEMENT
4. NIH provide outstanding drug information
a. NI on alcohol abuse and alcoholism at http://www.
nida.nih.gov
b. National institute on Drug abuses
c. National center for complementary and
alternative medicine at www.nccam.nih.gov
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
DRUG MANAGEMENT
5. CDC information about vaccine as well as updated vaccine
schedules for all age groups
a. CDC vaccines & immunizations at http://www.cdc.gov/node.
do/id/0900f3ec8000ef3
b. CDC national immunization program at http://www.cdc.gov/
nip/
c. Vaccines at http://www.cdc.gov/nip/menus/vaccines.htm
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
DRUG MANAGEMENT
6. University sites
a. Indiana University- Purdue University Indianapolis
for P450 drug interacting table http://medicine.iopui.
edu/flockhart/table.htm
b. University of Missouri- Columbia Pharmacy
Services Department for its formulary http://www.
muhealth.org/~formulary
INTERNET AVAILABLE CLINICAL PRACTICE
TOOLS: TREATMENT
DRUG MANAGEMENT
7. Commercial sites (drugs)
a. Medscape- www.medscape.com
b. RxList- www.rxlist.com
c. Family practice notebook- http://www.fpnotebook.com/
END135.htm
- connects to AIDA, a free diabetes software program for
purposes of teaching insulin dosing at http://www.
fpnotebook.com/END135.htm
 EVIDENCE-BASED PRACTICE GUIDELINES

1. CDC (www.cdc.gov)
A. Diseases and conditions at http://www.cdc.gov/node.do/
id/0900f3ec8000e035
B. STD treatment Guidelines 2002 at http://www.cdc.gov/std/
treatment
C. Tuberculosis core curriculum on Tuberculosis 2000 at http;//
www.cdc.gov/nchstp/tb/pubs/corecurr/
D. Tuberculosis treatment for American Thoracic Society, CDC, &
Infectious Disease Society of American (CDC, Morbidity &
Mortality Report 2003) at http://www.cdc.gov/mmwr/PDF/rr/
rr5211.pdf
 EVIDENCE-BASED PRACTICE GUIDELINES

2. National Guidelines
Clearinghouse (www.hgc.gov)
- include practice guidelines for the major
nursing and medical specialty
organizations as well as those developed
by Schools of Nursing and Schools of
Medicine
 EVIDENCE-BASED PRACTICE GUIDELINES

3. National Institute of Health

A. Guidelines for the Diagnosis and
management of asthma from the National
heart, lung, & blood institute at http://www.
nhlbi.nih.gov/guidelines/asthma/asthgdln.htm
B. Detection, evaluation, & treatment of high
blood cholesterol in adults from the National
heart, lung, & blood institute at http://www.
nhlbi.nih.gov/guidelines/cholesterol/index.htm
 EVIDENCE-BASED PRACTICE GUIDELINES

3. National Institute of Health

C. HTN from the National Heart, lung, & blood
institute
- BP tables for children & adolescents at http://www.
nhlbi.nih.gov/guidelines/hypertension/child_tbl.htm
- High BP guidelines: Joint National Commission
(JNC) 7 at http://www.nhlbi.nih.gov/guidelines/
hypertension/index.htm
D. Overweight & Obesity Clinical Guidelines from the
National Heart, lung, & blood Institute at http://
www.nhlbi.nih.gov/guidelines/obesity/ob_home.
htm
PRACTICE & TREATMENT GUIDELINES: PROFESSIONAL
ORGANIZATION SITES
1. American Diabetes Association Clinical Recommendations
at http://www.diabetes.org/for-health-professionals-and-
scientists/cpr.jsp
2. American Cancer Society Guidelines for Screening,
Surveillance, & Early Detection of Adenomatous Polyps &
Colorectal Cancer at http://www.diabetes.org/for-health-
professionals-and-scientists/cpr.jsp
3. American Academy of Family Physicians Clinical
Recommendations at http://www.aafp.org/x132.xml
PATIENT SAFETY- OUTCOME ISSUE
1. Agency for Healthcare Research and Quality Web
Morbidity and Mortality Rounds- online forum for
presentation and discussion of medical errors at http:
//www.webmm.ahrq.gov/
2. Patient Safety page of Medscape.com at http://
www.medscape.com/pages/editorial/
resourcecenters/public/patientsafety/rc-
patientsafety.ov?src=hp24.rcbottom
3. Institute for Healthcare Improvement
 NURSING OUTCOMES
1. NOC (Nursing Outcome Classification)-
standardized nursing terminology
- 330 outcome listed in the 3rd edition (Moorhead, Johnson &
Maas, 2003)
-can be obtained from the University of Iowa Center for
classification and clinical effectiveness at http://www.nursing.
uiowa.edu/centers/cncce
2. NMDS and iNMDS
-NMDS are data set managed by the US nursing Minimum Data
Set Consortium at http://www.nursing.uiowa.edu/sites/NI/
research_frm.htm
iNMDS- International version developed by the International
Council of Nurses at http://www.icn.ch/matters_i-NMDS_print.
htm
 NURSING & HOME HEALTH CARE SETTING
OUTCOMES
1. Centers for Medical and Medicaid minimum data set
assessment instrument at http://www.cms.hhs.gov/medicaid/
mds20/
-it provides historical questions, manual forms, & technical
specifications hyperlinks
-complete version- available at http://www.cms.hhs.gov/
quality/mds20/MDSAllForms.pdf
2. OASIS (Outcome Assessment Information Set)- used to
evaluate healthcare settings at http://www.cms.hhs.gov/
quality/hhqi/HandOut1.pdf
 HEALTHPLAN OUTCOMES
- HEDIS (Health Plan Employer
Data and Information Set)
available at http://www.ncqa.org/
Programs/HEDIS/index.htm
-updated annually
OFFICE TOOLS ONLINE HEALTHCARE RECORD AUDIT & PATIENT
SATISFACTION FORMS

INCLUDED FOR 2 REASONS:

1. both the quality of the heath care record and
patient satisfaction reflect upon the quality of
the care provided, a healthcare outcome
2. patient satisfaction variables provide
clinicians with criteria to evaluate their own
performance and that of the office in which
they are practicing
OFFICE TOOLS ONLINE HEALTHCARE RECORD AUDIT & PATIENT
SATISFACTION FORMS: REASONS

Example:
a. Healthcare Record Audit criteria adapted from the Santa
Barbara Regional Health Authority at http://www.sbrha.org/
sections/ensuring-quality/provider_audit/pdf/
Medical_Record_Review_Criteria.pdf
b. Patient satisfaction form (4-point scale) at http://www.
geomedics.com/downloads/pss4.rtf
c. Patient satisfaction form (5-point scale) at http://www.
geomedics.com/downloads/pss5.rtf
 SCHOOL FORM HEALTH SURVEY
a. 36-item SF health Survey = SF.36.org
available at http://www.sf-36.org
b. Medical outcomes trust=- non-profit trust at
http://www.outcomes-trust.org
-the survey tool is especially useful for
population-based intervention studies or in
cohort studies.
 OUTCOMES MEASUREMENT: INTERNET AVAILABLE
BIOSTATISTICAL AND ANALYTICAL TOOLS

1. Qualitative data creation, management, &

analysis software (CDC)
http://www.cdc.gov/hiv/software/ez-text.htm
2. Qualitative database software (CDC)
http://www.cdc.gov/hiv/software/answr/howto.htm
3. Epidemiologic Analysis software (CDC)
http://www.cdc.gov/epiinfo/
 OUTCOMES MEASUREMENT: INTERNET AVAILABLE
BIOSTATISTICAL AND ANALYTICAL TOOLS

4. Chi-square calculator (Georgetown University)

http://www.georgetown.edu/faculty/ballc/webtools/
web_chi.htm
5. Student t-test calculator (College of St. Benedict, St
John's University)
http://www.physics.csbsju.edu/stats/t-test.html
6. Extensive listing of free biostatistical software and
biostatistical tests online (AOL)
http://members.aol.com/johnp71/avastat.htm
Eclinicalog (http://www.eclinicalog.org)

- a web-based clinical encounter database

- part of an educational strategy, initially designed
to build data entry, analysis and synthesis skills in
nurse practitioner students
-it is a useful pedagogic tool. It guides students thru
an informatics skill building and refinement process
and assists professionals development
VENDOR APPLICATIONS
*Niche applications- focus on discrete set
of nursing functions like care planning
*Departmental systems- address more
comprehensive set of functions for a single-
point of service like labor and delivery; or
department like cardiology; or closely aligned
group of departments like perioperative suites.
NURSING PROFESSION LACK due respect due
to TRIPLE BIASES:
1. RNs in a MD-centric medical world
2. Female (primarily) in male-dominated
executive suites
3. expense items in a revenue-
constrained and cost conscious fiscal
environment
 PATIENT CARE BEING UNDERVALUED & NURSING
INITIATIVES UNDERFUNDED DUE TO:

a. nursing profession does not charge for

services rendered
b. lack of standard nomenclature and nursing
data not codified which makes the direct
correlation between nursing interventions and
patient outcomes difficult to quantify
 Root Causes of poorly designed nursing
applications
1. Vendor product design processes driven by engineers,
financial systems analysts, or MDs (non-nurse)
2. insufficient nursing representatives on vendor executive and
development teams (majority of clinicians in sales and
marketing)
3. HCIT industry- lack of adequate requirements definition,
functional specifications, and process analysis
4. early focus on automation of the paper chart without a full
understanding of underlying nursing process, workflows, and
ergonomic challenges.
 VENDOR RESPONSE
HCIT vendors are delivering more robust and
tightly integrated clinical solutions that better
address the needs of all care providers for
more coordinated, streamlined patient care
delivery.
- They are now expected to deliver 'next
generation' clinical applications
 'next generation' clinical applications:

a. support multi- and interdisciplinary care, i.e.,

nurses & allied health professionals (Physical
therapy -PT, respiratory therapy-RT), social
services, and so forth, with all provider orders,
care plans, and notes online and integrated in
a common patient-centric patient record
'next generation' clinical applications:

b. promote data integrity via data validity

checks and embedded tools, e.g. intravenous
dose/drip calculators
c. provide ready access to internal standards,
e.g. policies and procedures, and external
knowledge bases, e.g. reference guides and
drug databases.
 'next generation' clinical applications:
d. enable evidence-based care via automation of
integrated multidisciplinary clinical pathways and
incorporation of decision support mechanisms, eg
prompts and alerts.
e. collect work load management data as a
byproduct of clinical documentation, including
deriving prospective acuity data from orders and
retrospective acuity data from clinical
documentation
'next generation' clinical applications: expected to

f. support productivity management,

staffing, and budgeting activities
g. support process & outcomes
monitoring, management, and continual
improvement via standard reports and
database mining.
'next generation' clinical applications:
h. support change capture, supply
management, & inventory reconciliation, e.g.
replenishment of supplies and medications
as a by product of clinical documentation.
i. support for medical (case, quality, risk,
utilization, and infection control), disease,
and population management.
ADMINISTRATIVE APPLICATIONS
 CHALLENGES, CHANCES, & CHOICES OF
NURSING MANAGEMENT TODAY
- 3 major issues that have administrative impact in the
workplace/profession/nursing manager's future/
administrators:
1. Nursing shortage
Factors:
=Steep population growth
=diminishing pipeline of new nursing students
=aging workforce
3 major issues
2. Increased demand for patient safety- JCAHO &
Leapfrog
- need to measure outcomes, thru the following areas:
a. organizational performance
b. clinical effectiveness
c. patient satisfaction
d. service quality
e. appropriateness of care
f. patient responses to treatments
g. cost of services
h. efficiency of services delivered
3 major issues
3. Need for visibility
- "If it is not documented, It is not done"
- if nursing cannot establish its
contribution to patient outcomes,
nursing becomes invisible and in a
fiscally lightened market, invisibility can
mean EXPENDABILITY.
NURSING MANAGEMENT ADMINISTRATIVE NEEDS

- unique date requirements, and also:

a. clinical needs: Individual patient care, documentation,
implementing services
b. business/strategic needs: organizational performance,
management , & support purposes
c. quality management needs: outcomes measurement and
regulatory compliance
d. response & personnel management needs: scheduling,
costing, & allocating nursing staff, managing productivity,
continuing educational staff development .
2 LEVELS OF NURSING ADMINISTRATORS:

1. NURSE MANAGER- responsible for:

a. proper allocation of available resources to provide efficient and
effective nursing care
b. providing input into executive level decisions and collaborating
with the nurse executive and others in organizational
programming and committee work
c. implementing the philosophy, goals and standards of the
healthcare organization
d. implementing clinical nursing services within their defined areas
of responsibility
e. planning, organizing, implementing, & controlling the care of
individuals and aggregates across the spectrum of healthcare
setting
2 LEVELS OF NURSING ADMINISTRATORS:

2. NURSE EXECUTIVES- responsible for:

a. managing organized nursing services and the environment in
which clinical nursing is practiced. Collaboration with other
healthcare organizations executives, to make decisions about
healthcare services, and organizational priorities.
b. ensuring that standards of nursing practice are established
and implemented & are consistent with standards of
professional organizations and regulatory agencies
c. evaluating care delivery models and of services provided to
individuals and aggregates
d. fostering a climate for practice that enhances productivity, job
satisfaction, & professional development
TECHNOLOGY AND MANAGEMENT
-to be effective, nursing
information system must be
integrated into organizations'
overall IT networks.
 OTHER RESPONSIBILITIES of Administration for effective
management of financial & patient care data:

1. demonstrate compliance with standards set by the

JCAHO & other standard-setting organization
2. document conformity to state and federal government
regulations
3. manage credentialing
4. develop risk management programs to reduce
organizational liabilities, identify legal risks, and minimize
financial liability in legal matters
5. recruit and retain qualified staff
 OTHER RESPONSIBILITIES of Administration for effective
management of financial & patient care data:

6. support the personnel, information, and technologic

infrastructure necessary to further organizational goals
7. assure customer (patient) satisfaction
8. establish patterns of care, benchmarks & outcomes
necessary for evaluating past and forecasting future
patient care quality
9. ensure effective & efficient use of facility, equipment,
service, & financial resource utilization.
 OTHER RESPONSIBILITIES of Administration for effective
management of financial & patient care data:

10. determine case mix in terms of patient diagnosis, age,

& other variables to optimize 3rd party payer
reimbursement
11. assure follow-up care of chronic patients & assess
efficiency of that care
12. satisfy data requirements of managed care contracts
13. demonstrate organizational efficiency, effectiveness &
performance to optimize competitive position
THE NEED FOR NURSING DATA STANDARDS

NIDSEC- Nursing Information and Data

Set Evaluation Center
- established by ANA to create and disseminate
standards for information systems to ensure
complete, accurate documentation of nursing
practice & to serve as a guide by which to
evaluate information systems.
NURSING ADMINSITRATIVE SYSTEMS FALL INTO 3
BASIC CATEGORIES:

a. strategic
b. operational
c. tactical
 NURSING BENEFITS FROM IT
1. improve communication
2. improve order entry
3. improve continuity of care
4. spend more time on patient care
5. guide critical thinking
6. tap into expert resources
7. evaluate care
OTHER specific benefits identified by nurse
administrators:
1. expanded use of nursing staff resources
2. improved quality of patient care
monitoring
3. improved documentation
4. improved communication
5. improved planning
6. increased standardization of nursing
practice
 OTHER specific benefits identified by nurse
administrators:
7. ability to define nursing practice and associated
problems/issues
8. ability to define methods to track patient care
delivered, outcomes achieved, and revenue
generated
9. enhanced recruitment & retention
10. improved evaluation of care provided
11. support for the dynamic organization, capable
of change
 SPECIFIC COMPUTER APPLICATIONS FOR NURSING
ADMINISTRATORS & MANAGERS:

A. FOR NURSE MANAGERS

Nursing intensity, Patient classification, Acuity systems,
Staffing and scheduling systems, Inventory, Budgeting &
payroll, Claims processing & reimbursement, Patient billing,
Unit activity reports, Utilization review, Shift summary
reports, Computer-based patient records (CPR), Census,
Poison control, Allergy and drug reaction, Error reports,
Incident reports, Infection control, Communication
networks, Training and education
 SPECIFIC COMPUTER APPLICATIONS FOR NURSING
ADMINISTRATORS & MANAGERS:

B. FOR NURSE EXECUTIVES

Forecasting and planning, Financial planning,
Hospital expansion, Preventive maintenance,
Planning systems, Quality assurance, Regulatory
reporting, Consumer surveys, Evidence-based
nursing, Personnel files, Risk pooling, Costing nursing
care, & Case mix management
 EMERGING TECHNOLOGIES FOR NURSING
THE TECH TREND REQUIREMENTS USES/IMPLICATIONS
CPOE Point-of-care devices Reduction in medical
Speech recognition errors
software Improved patient care
Relational databases Streamlined
Clinical data repositories documentation

Mobile PDAs Notification/messaging

technology WLANs Internet access
(mHealth) Tablet PCs Clinical decision support
Smart phones Telemetry/ patient care
Asset management
Information system access
EMERGING TECHNOLOGIES FOR NURSING
THE TECH TREND REQUIREMENTS
Picture archiving & Workflow management systems
communication systems Middleware
(PACs) High-resolution workstations
Flat panel displays
Physical imaging devices
High-speed networks
High-volume archives
Single sign-on (SSO) Smart cards
biometrics
Thin-client computing Terminals
Cell phones
PDAs
USES/IMPLICATIONS
Streamlined intra &
interdependent workflow
Instant access to patient data
Accelerated patient care
Security
Expanded access
Reduced support staff costs
Rapid & uniform deployment
of applications
Improved access
Enhanced security