Critical Care

Applications
CRITICAL CARE NURSING
• is an area of expertise within nursing
that focus specifically with human
responses to life-threatening
problems.
 Critical Care
• Multidisciplinary healthcare
specialty that cares for patients
with acute, life-threatening
illness or injury
A Critical care nurse

• is responsible to ensure that

critically ill clients and seriously
conditioned individuals should
receive optimum care.
 A Critical care nurse
work in a wide variety of applications
•filling many responsibilities and work
around. Examples are:
 bedside clinicians,
educators,
guidance,
researchers,
report managers,
 A Critical care nurse
 advocate,
 specialists
 practitioners.
 They need to keep pace with the
latest information and develop skills
to manage new treatment methods
and technologies
 CRITICAL CARE AREAS
• are areas where patients require
complex assessment, high-intensity
medication, continuous therapy and
interventions, and unrelenting nursing
attention and continuous
watchfulness.
 Critical Care areas
• Intensive Care Units (ICU)
 Critical Care areas
• Pediatric Intensive Care Units (PICU)
 Critical Care areas
• Neonatal Intensive Care Units (NICU)
 Critical Care areas
• Cardiac Care Units (CCU)
 Critical Care areas
• Surgical Intensive Care Units (SICU)
• The clinician integrates data from:
• Hemodynamic devices
• Mechanical ventilators
• Bedside testing devices
• Observation from direct patient
assessments
CRITICAL CARE INFORMATION
SYSTEM (CCIS)
• Designed to collect,
store, organize, retrieve,
and manipulate all data
related to care of the
critically ill patient.
CRITICAL CARE INFORMATION
SYSTEM (CCIS)
• Primary purpose is to organize
patient’s current and historical data for
use by all care providers in patient
care
• Should include data and information
from bedside devices and
comprehensive plans of care to guide
patient
Components of the CCIS
– Patient management
– Vital sign monitoring
– Diagnostic testing results
– Clinical documentation to support the
process of physical assessment
findings
Components of the CCIS
– Decision support
– Medication management
– Interdisciplinary plans of care
– Provider order entry
What Information technology
applications are used?
• The Medical Information Bus (MIB)
provides a generalized method of
attaching patient monitoring devices to
a common interface.
• It also has the ability to “filter”, store
and select information sent for
inclusion into the clinical medical
record on the clinical computer system
What Information technology
applications are used?
Bed side monitoring
system such as
•Heart rate & BP from
the ECG monitor
What Information technology
applications are used?
Bed side monitoring
system such as
•temperatures,
•arterial saturation and heart
rate from pulse oximetry
What Information technology
applications are used?
Bed side monitoring system such as
•infusion pumps
What Information technology
applications are used?
Bed side monitoring system such as

Mechanical
ventilators
ADVANTAGES OF CRITICAL CARE
INFORMATION SYSTEM
• Intelligently integrates and process
physiologic and diagnostic
information and store it to secure
clinical repository
• Creates trends analysis with
graphical representation of results
• Offline simulation can be performed
to test the condition of the patient
ADVANTAGES OF CRITICAL CARE
INFORMATION SYSTEM
• Provide clinical decision support
system
• Provide access to vital patient
information
• Provide feedback and quick
evaluation of the patient condition
and provides alert
AMBULATORY CARE
APPLICATION
AMBULATORY CARE
• covers a wide range of health care
services that provided for clients who
are not admitted overnight to a
hospital.
• These services are performed at
outpatient clinics
 ER
primary care centers
 AMBULATORY CARE
INFORMATION SYSTEM
provides automated processing of
data and information such as:
•allergies and medical alerts,
•client accounting system,
•registration management for booking
of appointments,
 AMBULATORY CARE
INFORMATION SYSTEM
• client registration,
• emergency management and many
more.
• With this system, the client waiting
time is optimized through effective
queue management.
advantages of the ambulatory
care information system
• Real-time and easy access to clients’
medical records by healthcare
providers
• Improved workflow, which allows more
time for comprehensive patient
counseling and review
advantages of the ambulatory
care information system
• Reduced errors with the availability of
various automation engines – drug
interaction engine; medical alert
engine; etc
• Automated and integrated back-end
processes such as pharmacy, billing,
etc
advantages of the ambulatory
care information system
• Improved clinical outcome analysis –
enhanced research productivity through
data mining and facilitate institutional
handling of managed care challenges in a
timely manner
• Improvement in hospital inventory
management
• Better monitoring & management of costs –
prescription, consumables, doctor’s fee, etc
COMMUNITY HEALTH
APPLICATION
 COMMUNITY HEALTH
INFORMATION SYSTEM
• is a collective term for the methodical
application of information sciences
and technology to community and
public health process.
• Environmental factors are among the
common concern of the community
health information system.
• It also emphasizes on the prevention
of diseases, medical intervention and
public awareness.
• Hospital Information System,
Clinical Information System,
EHR focused more on individual
and single resource contrary to
• Community health information
system which focused on
information about majority of
populations.
ADVANTAGES OF COMMUNITY HEALTH
INFORMATION SYSTEM
• Consistent exchange of response
• Disease tracking
• Data and information sharing
• Building strategies
• Early detection and monitoring of
disease and sickness
• Control of spread of disease
ADVANTAGES OF COMMUNITY HEALTH
INFORMATION SYSTEM
• National alertness and preparedness
• Building strong communication
• Maintain strong relation between
nurses and other healthcare
providers
• Continuous coordination of the
healthcare professionals
EMERGENCY PREPAREDNESS
AND RESPONSE
 EMERGENCY AND RESPONSE
PROCESS
• is to halt the spread of diseases,
infection, widespread sickness,
epidemics, etc. Dengue outbreaks, for
example, immediately spread in many
areas, because there is lack of
preparation, emergency measures
and proper response of the healthcare
providers, government, and most
specially the public.
• Through the effective use of National
Health Information System (NHIS) it
will link all hospitals, practices and
health practitioners as well as
students in the country through the
used of computer-based
communications channels.
• The EHR, HIS, CIS, etc are
integrated through a central
database system that are
controlled and protected by a
government health institution such
as the Department of Health.
 it can IMPROVE
HEALTHCARE SERVICES
by providing healthcare
professionals
better data access,
quicker data retrieval,
readily translated data into
information,
more versatile data output and
presentation,
 it can IMPROVE
HEALTHCARE SERVICES
 less mathematical skills,
 no need to memorized index,
patient profile, tables for
references and
 good visualization of the results.
To enhance the emergency preparedness
and response system
• a special system such as national
electronic disease surveillance
system can be coupled and
integrated to national information
system.
• Data tracker should be incorporated
in the hospital information system
through public and community health
systems.