Pre-Planning: Nursing informatics refers to a nursing specialization that enlightens the professionals on how to integrate nursing science and computer knowledge as a strategy aimed at conceptualizing how to effectively handle data in nursing practice (Austria, 2017). It is an essential aspect of the nursing process because it provides the insights that primary caregivers require to analyze the patterns present in the data sets documented in healthcare institutions. It also provides the expertise which aids in detecting errors in the data collection systems and formulating effective strategies that meet the needs of the medical institutions.
Introduction: Nursing informatics also has a notable impact on nursing practice. It provides the knowledge required to articulate critical nursing content accurately. The introduction of computerized systems of documenting data in the healthcare systems has impacted the functionality of the sector tremendously. EHR refers to the use of technological devices to record patient information for easy accessibility. Kaiser Permanente utilizes the EPIC system as a provider of health information technology in order to store, organize, access, and share electronic medical records on the verge of providing quality care to patients. This essay, therefore, will demonstrate how useful the EPIC system is in the continuous management of my patient through the access to previously stored data that can influence the current care management.
Background: This week I encountered a 52-year-old female patient with a history of gastric bypass surgery followed by 3 revisions ranging from 2001 to 2018. She also has a history of DVT and PE. Most recently, she was admitted for an abdominal infection which required tissue debridement. My patient was prescribed Enoxaparin, which is an anticoagulant that helps prevent the formation of blood clots. It is used to treat or prevent a type of blood clot called deep vein thrombosis (DVT), which can lead to blood clots in the lungs (pulmonary embolism). Before administering the medication, I wanted to ensure my patients platelet count was within normal range. Given that this medication is known for causing thrombocytopenia, I wanted to make certain her platelet count was not below the normal range as well as assessing if she had ever had previous complications. I found EPIC to be very useful in being able to go back multiple days in order to trend her platelet counts as well as how she had been tolerating each dose.
Noticing: While analyzing the patient’s chart, I noticed that her last dose of Enoxaparin was administered into her left arm. Given this information, I suggested using the right arm for the next dose. I gave the patient the option of choosing and she also agreed to use the opposite arm. (Elaborate more on this based on Tanner’s model).
Interpreting: Use Tanner’s model to answer all questions.
Responding: Use Tanner’s model to answer all questions.
Reflection-in-action: Use Tanner’s model to answer all questions.
Reflection-on-action and Clinical Learning: Use Tanner’s model to answer all questions.
*You can copy the Pre-Planning, Introduction, and Background for this paper as I have already written them. Please add more info to the Noticing segment as well as all other segments listed. I will attach the Tanner’s guideline for you to follow as a rubric. Please make sure all questions are answering according to the rubric. I will also paste the reference from the Pre-Planning paragraph for you to include on the reference page. Please let me know if you have any questions or clarifications.
Reference:
Austria, P. J. M. (2017). Exploring the influence of informatics in nursing: The Filipino student nurses’ perspective. On-Line Journal of Nursing Informatics, 21(2).
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