What is one new thing you learned in this module, or something that you knew but had forgotten?
One thing that I found very helpful during this module that I had very little knowledge about where the definitions found in the Hebda & Czar book on page 249-231. This section talks about viruses, worms, trojan horses, logic bombs, and bacteria. The only knowledge I had about a program that damages computer data were viruses, but I was able to see that there are a lot of other programs that can damage and infect computer software.
In my opinion, it is important to keep abreast about what is out there in order to protect our information whether personal or private information about our patients. I also enjoyed the reminder about phishing, spam, and cybercrime. We must be attentive to these threats in order to protect ourselves from fraud or identity theft.
The information covered in this module was very helpful and informative; I have a better idea on how to protect my information and myself from scams.
Monday, August 1, 2011
Monday, July 18, 2011
Module # 5
How did the readings influence your perception of your own clinical decision making?
I thoroughly enjoyed the readings on heuristics, particullarly the video by Kahneman. This module helped me analyze how I come up with decisions,a nd why do I make them (based on my knowledge and past experiences). I liked the fact that I can combine my nursing knowledge with intuition, and experience in order to help a patient solve a heal problem.
As a school nurse I saw a particular student come into my office every day right after lunch because she felt ill. I used my knowledge and assessed the student, listened to bowel sounds, talked about what the student had eaten, and questioned her about hand-hashing prior meals. Everything seemed to be in order, and I could not find anything physically wrong with this student. Then, I used my intuition and began asking the student what class she had after lunch and she replied Math. We talked about her group of classmates in math class and if there was anything that was bothering her or making her uncomfortable. After a long chat, the student admitted that she hated math, and did not want to go because she was "dumb" and could not solve math problems as fast or as well as everyone else. Finally, my experience kicked in and I was able to help the student by talking to the teacher and getting some tutoring help for her; I also talked to the school counselor about helping this child with her self esteem and to offer her healthy coping skills when she encounters difficulty in school . Nursing is not balck and white, I was reassured that using my experience, and intuition along with knowledge is beneficial for the patient. Not everything is learned from a textbook, heuristics also plays an inportant role in nursing practice.
In my practice, I have seen the benefit of using clinical decision support systems because it offers evidence based clinical information at my fingetips. Thanks to reliable and up to date information, I can offer my patients quality health care that is patient centered, and also provide teaching that will help the patient make the best decisions for their health.
I thoroughly enjoyed the readings on heuristics, particullarly the video by Kahneman. This module helped me analyze how I come up with decisions,a nd why do I make them (based on my knowledge and past experiences). I liked the fact that I can combine my nursing knowledge with intuition, and experience in order to help a patient solve a heal problem.
As a school nurse I saw a particular student come into my office every day right after lunch because she felt ill. I used my knowledge and assessed the student, listened to bowel sounds, talked about what the student had eaten, and questioned her about hand-hashing prior meals. Everything seemed to be in order, and I could not find anything physically wrong with this student. Then, I used my intuition and began asking the student what class she had after lunch and she replied Math. We talked about her group of classmates in math class and if there was anything that was bothering her or making her uncomfortable. After a long chat, the student admitted that she hated math, and did not want to go because she was "dumb" and could not solve math problems as fast or as well as everyone else. Finally, my experience kicked in and I was able to help the student by talking to the teacher and getting some tutoring help for her; I also talked to the school counselor about helping this child with her self esteem and to offer her healthy coping skills when she encounters difficulty in school . Nursing is not balck and white, I was reassured that using my experience, and intuition along with knowledge is beneficial for the patient. Not everything is learned from a textbook, heuristics also plays an inportant role in nursing practice.
In my practice, I have seen the benefit of using clinical decision support systems because it offers evidence based clinical information at my fingetips. Thanks to reliable and up to date information, I can offer my patients quality health care that is patient centered, and also provide teaching that will help the patient make the best decisions for their health.
Tuesday, July 5, 2011
Module #4
link to mobile device wiki
What sort of teaching is done in your professional role? Is there any nursing/health care provider role that does not involve teaching in some manner?
In my professional role, teaching is essential. As a family nurse practitioner I teach patients medication administration and disease management. I am also involved in teaching staff at all levels regarding diseases; for example, if a patient is sitting in the waiting room and has a hypoglycemic episode, the receptionist (after receiving the teaching and training), will be prepared to recognize low blood sugar signs and symptoms. I will be able to teach colleagues as well, after gaining knowledge in a conference or if I have learned some type of special procedure that will be new to our practice.
All nursing and health care provider roles involve teaching in some manner. Nurses possess a body of knowledge that must be shared with patients, staff, the community, and our families. I believe that even if nurses did not want to teach, individuals would still ask the nurse for advice. Teaching is a very important part of nursing, it allows us to improve the health and outcomes of entire communities.
What sort of teaching is done in your professional role? Is there any nursing/health care provider role that does not involve teaching in some manner?
In my professional role, teaching is essential. As a family nurse practitioner I teach patients medication administration and disease management. I am also involved in teaching staff at all levels regarding diseases; for example, if a patient is sitting in the waiting room and has a hypoglycemic episode, the receptionist (after receiving the teaching and training), will be prepared to recognize low blood sugar signs and symptoms. I will be able to teach colleagues as well, after gaining knowledge in a conference or if I have learned some type of special procedure that will be new to our practice.
All nursing and health care provider roles involve teaching in some manner. Nurses possess a body of knowledge that must be shared with patients, staff, the community, and our families. I believe that even if nurses did not want to teach, individuals would still ask the nurse for advice. Teaching is a very important part of nursing, it allows us to improve the health and outcomes of entire communities.
Monday, June 20, 2011
Module #3
The assignments in module 3 have been very helpful in forcing me to search and become more familiar with different databases (PubMed, CINHAL, etc.). My chosen topic, Gestational Diabetes, is very interesting and I have decided to use it for my capstone project. I am acquiring a very nice reference library on the subject through EndNote, which allows me to keep all my articles organized in alphabetical order by author's last name. All the information is at my fingertips and allows me to read articles in my spare time.
The activities in module 3 are very relevant ot my graduate course work. When I compared the type of information found on Google as opposed to the National Guideline Clearinghouse (NGC), I could see the difference in information that these 2 sites provided. Google provided some good information in a very informal way, and also some not so reliable information; the NGC presented information about gestational diabetes in depth. I found EVERYTHING in the NGC site from ICD9 codes to guideline objectives, intended users, clinical specialties that can use the information, etc.
I can see myself using the activities in module 3 for the rest of my professional life. Once I finish school, the need to obtain evidence based information continues; I am planning in using CINHAL, PubMed, the NGC, and other sites that provide relevant, up to date information in order to deliver quality care to my clients.
The activities in module 3 are very relevant ot my graduate course work. When I compared the type of information found on Google as opposed to the National Guideline Clearinghouse (NGC), I could see the difference in information that these 2 sites provided. Google provided some good information in a very informal way, and also some not so reliable information; the NGC presented information about gestational diabetes in depth. I found EVERYTHING in the NGC site from ICD9 codes to guideline objectives, intended users, clinical specialties that can use the information, etc.
I can see myself using the activities in module 3 for the rest of my professional life. Once I finish school, the need to obtain evidence based information continues; I am planning in using CINHAL, PubMed, the NGC, and other sites that provide relevant, up to date information in order to deliver quality care to my clients.
Monday, June 6, 2011
Module 2
I worked as a School Nurse for the Weber School District (greatest job ever!), and had the opportunity to interact with the IT department at the district in selecting, evaluating and implementing an information system. If any of you ask around, school nurses usually don't have a way to chart and keep record of the children or school staff that come into the nurse's office ill;, which is terrible because "If it's not charted, it wasn't done" right?. I believe the Weber School District was the first in UT to have computer charting available for school nurses. During our yearly school nurse conference, other nurses from all over UT asked to see our computer charting, that way they could decide if it would fit their needs and adopt it for their school district as well.
The most exciting part about being involved in this project, is not that I created the program (I am not computer educated enough to do that), but I was able to give my input and come together with my supervisor and the IT department and help select what medical conditions should be included in the charting, desing how the page would look like, etc.
Evaluating our school nursing information system was an ongoing project. Year after year, we had meetings with IT and worked with them asking them to take off certain diagnosis and add others. I believe that all school nurses in our district (13 of us at that time) had the opportunity to help with the implementation process. I know that the "older nurses" or those who were hired a long time ago had the toughest time learning the system than the "new" or recently hired nurses. Perhaps it was because the newer nurses didn't know any different and adjusted quickly.
What made this project successful was two essential things. First, the willingness we nurses had to help each other was outstanding! This was evidenced by the staff meetings scheduled twice a month where we could come together to discuss system problems or any other issues. The second thing was how friendly the IT department was; they were very willing to work with us, and showed no frustration if we asked the same thing 10 times :) I felt they always listened to our concerns, and fears about the system.
If I had the opportunity again to become involved with implementing a system at the workplace, I would do it in a heartbeat!
The most exciting part about being involved in this project, is not that I created the program (I am not computer educated enough to do that), but I was able to give my input and come together with my supervisor and the IT department and help select what medical conditions should be included in the charting, desing how the page would look like, etc.
Evaluating our school nursing information system was an ongoing project. Year after year, we had meetings with IT and worked with them asking them to take off certain diagnosis and add others. I believe that all school nurses in our district (13 of us at that time) had the opportunity to help with the implementation process. I know that the "older nurses" or those who were hired a long time ago had the toughest time learning the system than the "new" or recently hired nurses. Perhaps it was because the newer nurses didn't know any different and adjusted quickly.
What made this project successful was two essential things. First, the willingness we nurses had to help each other was outstanding! This was evidenced by the staff meetings scheduled twice a month where we could come together to discuss system problems or any other issues. The second thing was how friendly the IT department was; they were very willing to work with us, and showed no frustration if we asked the same thing 10 times :) I felt they always listened to our concerns, and fears about the system.
If I had the opportunity again to become involved with implementing a system at the workplace, I would do it in a heartbeat!
Saturday, May 21, 2011
Module 1
1.- My name is Alison Polston, I am in the DNP-FNP cohort. I have been a nurse for 6 years with experience in post-partum and nursery, community health, and school nursing. I currently work for the state as a CNA skills examiner.
I have been married for 14 years and have 2 wonderful children ages 10 and 5. This is my first experience with blogging, so my blog is going to probably look plain. I have read other classmates bloggs and they look awesome with pictures and other stuff.
2.- Why as a graduate level nurse do you need to know about information management?
As an Advance Practice Nurse I need to have evidenced based information about treatment options, medications, research, clinical practices that will benefit my patients. Also it will help me securely maintain patient documentation, and make such information available to other health care providers that need to know such information..
3.- In my practice setting, IT is helping all nurses access information regarding the standards to which CNAs need to be tested in order to be state certified. As skills examiners, we cannot test each student according to our personal standard, but must adhere to what the state requires CNA students to know. Without IT, this process will take longer (perhaps weeks or months), and would be less effective. For example, if there is a change in a skill, it would take a long time to implement a change until all skills test examiners are up to date on the information. IT makes it possible for us to implement changes quickly and effectively.
I have been married for 14 years and have 2 wonderful children ages 10 and 5. This is my first experience with blogging, so my blog is going to probably look plain. I have read other classmates bloggs and they look awesome with pictures and other stuff.
2.- Why as a graduate level nurse do you need to know about information management?
As an Advance Practice Nurse I need to have evidenced based information about treatment options, medications, research, clinical practices that will benefit my patients. Also it will help me securely maintain patient documentation, and make such information available to other health care providers that need to know such information..
3.- In my practice setting, IT is helping all nurses access information regarding the standards to which CNAs need to be tested in order to be state certified. As skills examiners, we cannot test each student according to our personal standard, but must adhere to what the state requires CNA students to know. Without IT, this process will take longer (perhaps weeks or months), and would be less effective. For example, if there is a change in a skill, it would take a long time to implement a change until all skills test examiners are up to date on the information. IT makes it possible for us to implement changes quickly and effectively.
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