NURSING

INFORMATI
CS

START!
 Table of Contents

Section 1 Section 2
CRITICAL CARE APPLICATION
A. NI in Critical Care
PRACTICE APPLICATION
B. Role of Critical Care
Nurse
C. Used Technology
Section 3 Section 4
AMBULATORY CARE SYSTEMS
COMMUNITY HEALTH APPLICATTION A. Definiton of Terms
B. Primary Responsibilities of Ambulatory Nurse
C. Characteristics
A. NI in Community Health D. Sub-Categories of Ambulatory Care
B. Clinical Care Classification System • Wellness
C. Typically Used Community Health Systems • Diagnosis
D. Primary Focus of CHS • Treatment
• Rehabilitation
E. Advantages and Disadvantages
F. Clinical Model in Ambulatory Care Practice
 Table of Contents
Section 5
EMERGENCY PREPAREDNESS AND RESPONSE
A. Nursing During a Disaster
B. Common Elements for Disaster Planning
•
•
Mitigation
Preparedness
• Response
• Recovery
C. Pandemic Severity Index
D. Centers for Disease Control and
Prevention (CDC)
E. Disaster Medical Assistance Teams
Section 7
TELEHEALTH/TELEMEDICINE/E-HEALTH
A. Understanding Basic Concepts
B. Role of Telehealth in Nursing
C. Common Conditions Treated by Telemedicine
D. Benefits of Telemedicine
E. Types of Telemedicine
F. Four Established Telemedicine Services by WHO
G. Examples of E- Health
Section 6
ADMINISTRATIVE/ ASSISTIVE DEVICES
AND WORKPLACE TECHNOLOGIES
A. Defining Basic Terminologies
B. Benefactors of Assistive Technology
C. Benefits of Assistive Technology
D. Types of Assistive Devices
E. Use of Technology in Workplace
F. Function of Healthcare Assitive Technology
Section 8
REFERENCE
 Table of
Contents

Section 1

Section 2

0 1. Section 3

Section 4
Section 1
PRACTI
CE
APPLICA
START! TION
 Table of
Contents

This is defined as the Section 1

systematic application of Section 2

information, computer Section 3

science and technology to Section 4

health practice.
 Table of
Contents

Section 1

Nursing Informatics Section 2

- is the combination of nursing

Section 3
science, information science, and
computer science to manage and Section 4

process nursing data, information

and knowledge to support the
practice of nursing and the delivery
of nursing care.
 Table of
Contents

Section 1

Section 2

Goal of NI Goal is achieved Section 3

- using technology in the direct

- improve the health of Section 4
provision of care; establishing
populations, communities,
administrative systems;
families, and individuals
managing and delivering
by optimizing information
educational experiences;
management and
supporting life-long learning,
communication.
and supporting nursing
research.
An Evolving Definition Table of
Contents

• Since 1980, nursing informatics has been generally Section 1

characterized as either a concentration on the
technological elements, the notion of nurses engaging Section 2
with technology to create more knowledge, or the role of
nurses who specialized in creating applications of Section 3

technology to nursing practice.

Section 4

• A combination of nursing science, information science,

and computer science to manage and process nursing data,
information and knowledge to support the practice of
nursing and the delivery of nursing care - Grave &
Corcoran 1989
 Table of
Contents

Section 1

Section 2

I NUR S ES
N Section 3
p ro v e d p atient
im
- supports g h t h e i r e xpertise
throu
outcomes p r o c e sses,
Section 4
ti on
in informa te ch n o l ogies,
an d
structures, r s e s a n d other
g nu
thus helpin t o c re a te and
de r s
care provi d e n c e o f t heir
evi
record the
practice.
 Table of
Contents

Section 1

02.
Section 2

Section 3

Section 4

tion 2
Sec
A L C ARE START!

RI TI C I O N
C IC AT
AP PL
 Table of
Contents

Section 1

This area of nursing Section 2

focuses on patients with Section 3

ill-threatening (acute, life Section 4

threatening illness or
injury) health problems.
 Table of
A. Nursing Informatics in Critical Care Contents

Section 1
- It helps the nurses to be more effective and efficient in
their work. Section 2
- It focuses on human responses to life-threatening
situations. Section 3
- It provides high-quality and cost-effective care.
- It store and integrate physiological and diagnostic. Section 4
information from various sources.
- It accepts and store patient care documentation in a
lifetime’s clinical repository.
- It provide clinical decision support through alerts.
- access patient vital information from any location.
 Table of
B. Role of Critical Care Nurse Contents

Section 1

Section 2

rely on committed
Section 3
knowledge, skills, and
experience, as well as an Section 4
automated support and
intelligent system, to give
care to patients and their
families and to build healing,
compassionate, and caring
settings.
C. Used Technology Table of
Contents

Section 1

Section 2

Physiologic monitors; Section 3

- arrhythmia and hemodynamic Section 4

monitors -developed in the 1950’s
to monitor vital signs of astronauts;
1970’s for hospital setting.
Hemodynamic monitor functions; Table of
Contents

Section 1

 measure hemodynamic parameters

 examine cardiovascular function Section 2
 evaluate cardiac pump output and
volume status
 Section 3
assess vascular integrity
 assess pt’s response to stimuli
 assess capnography (respiratory gases) Section 4
 evaluate glucose levels
 store waveforms
 transmit selected data to computerized
patient database
 measure blood’s oxygenation saturation.
Arrhythmia monitor function Table of
Contents

Section 1

Section 2

analyzes cardiac rhythm Section 3

Section 4
reliable in detecting lethal
heart rhythms

detect ventricular fibrillation

Mechanical ventilators Table of
Contents

Section 1

Section 2
- a machine that helps
a patient breathe Section 3

(ventilate) when they Section 4

are having surgery or
cannot breathe on
their own due to a
critical illness.

CCIS Critical Care Information System
- integrates the critical
care unit to an intelligent
computer system capable of
processing all data to provide
real-time resource utilization
data, information management,
and access to critical care areas.
 
Table of
Contents
Section 1
Advantages of Critical Care
Information System Section 2
 Section 3
creates trends analysis with graphical representation
of results.
 offline stimulation can be performed to test the
condition of the patients. Section 4
 provide a clinical decision-making aid through alerts.
 provide access to critical patient information, as well
as feedback and a quick assessment of the patient's
status and alerts.
 monitors vital sign, records patient management and
guides care through alerts and reminders.
 facilitates medication administration management
 holds all NCPs
 scheduling of patient care activities and procedures
 Table of
Contents

Section 1

Section 2

Section 3

START!
Section 4

03. Section 3
COMMUNITY
HEALTH
APPLICATION
 Table of
Contents

Section 1

Section 2

It is the application of Section 3

information science and

Section 4
technology to community
and public health process.
 Table of
Contents

A. Nursing Informatics in Community Health

Section 1

Section 2

- emphasizes the disease prevention , medical

intervention and public awareness. Section 3

Section 4
-  effective and timely assessment that involves
monitoring and tracking the health status of
populations including identifying and
controlling disease outbreaks and epidemics.
 Table of
Contents

B. Clinical Care Classification System

Section 1

- previously known as HHCC ( Home Section 2

Health Care Classification).It is designed

Section 3
to document, code and classify for
computer processing patient care in any Section 4

clinical setting by any healthcare provider

using standardized framework.
 Table of
Contents

Section 1

CCC of Nursing CCC of Nursing Section 2

Diagnosis Interventions Section 3

- these are patient problems - these are the nursing

with 3 modifiers; improve services given to patient Section 4

patient condition, stabilize with 3 modifiers; assess

patient condition and or monitor, care or
support patients perform, and teach or
deteriorating condition. instruct.

C. Typically Used Community
Health Systems
The ff. are some of the typically
used CHS;
• Categorical Systems
• Screening Programs
• Client Registration Systems
• Medical Information Systems
• Statistical Reporting Systems
Table of
Contents
Section 1
D. Primary Focus of CHS
Section 2
• Preventing, , investigating and eliminating
communicable health problems.
•  Accessibility of data and information,
Section 3
through communication
• Educating and empowering individuals to Section 4
adopt health life style.
• Facilitate the retrieval of data
• Creation of computerized patient records,
medical information system
• Simple Graphical User Interface (GUI) for
nurses and other healthcare provider, patient
and consumer.
 Table of
Contents

Section 1

Section 2
START!

Section 3

Section 4

Section
AMBUL
4 04.
ATORY
CARE S
YSTEM
S
 A. Definition of Terms

 Ambulatory Care Patient

It is the nursing care
of patients who receive - is an individual presenting for
treatment on an personal health services who is neither
outpatient basis. The bedridden nor currently admitted to any
setting can vary widely health care institution.
 
from hospital-based
 Ambulatory Care Nurse
clinics to patient
homes. -takes care of patients in environments
  outside of hospitals.
B. Primary Responsibilities
of Ambulatory Nurse

- focus on pain management and

general health education for patients C. Characteristics
with chronic injuries or illnesses.
- provide medical screening and case - Nursing autonomy
management to help restore a patient’s
- Client advocacy
ability to live independently.
- Skillful rapid assessment
- Ensuring patient safety and efficacy
of care. - Holistic Nursing Care
- Educating patients on their condition. - Client Teaching
- Long Term Relationships with
- Collaboration with healthcare teams. Clients and Families
- Performing diagnostic tests.  
D. Sub-categories of Ambulatory Care
E. Advantages & Disadvantages
Wellness - services are mostly for prevention
and basic medical care. It include doctor’s  
clinics, such as primary care, as well as Advantages
counseling centers for mental health and weight
- Less exposure to serious conditions than
loss.
 
inpatient nursing
Diagnosis - services that can be provided on - Schedules and workloads more predictable t
their own, or as part of a wellness or treatment for inpatient care
program. It includes X-Rays, lab and blood - High demand and above average salaries
tests, MRIs and screening for various cancers  
and illnesses. Disadvantages
- Fewer opportunities to make a dramatic
Treatment - this include same-day surgery difference in patients lives than in inpatient
centers, substance abuse clinics, chemotherapy
nursing.
and other forms of therapy.
- Possible burnout due to over scheduling or
Rehabilitation - includes post-operative working overtime.
therapies, occupational and physical therapy and - Limited professional autonomy for RNs
rehabilitation for drug and alcohol abuse. 
F. Clinical Model in Ambulatory Care Practice
- in this model, health is conceptualized as the
absence of the clinical manifestations of the
disease. Body as machine, and modern medical
technology is believed to “fix the machine”.
Expensive care with technology treatments and
little attention to preventions.