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PDA Introduction to the PDA Initiative Initiative for nurses Venue Issues Adult Ed Lexi Comp Pepid Nursing + Agenda Handouts Initiative for nurses PDA Ice Breaker Workshop Objectives By the end of the workshop, participants will: Have increased awareness of the MOH’s

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PDA

Introduction to the PDA Initiative

Initiative for nurses


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Venue Issues

Adult Ed

Lexi Comp

Pepid

Nursing +

Agenda

Handouts

Initiative for nurses

PDA



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Workshop Objectives

By the end of the workshop, participants will:

  • Have increased awareness of the MOH’s

  • goals for the PDA pilot project.

  • Have reviewed the basic functionality of their

  • specific mobile device.

  • Have learned how to use the clinical resource provided for the project.


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What is the PDA Initiative?

  • A government funded project designed to improve the quality and safety of care provided to clients in Ontario.

  • Providing PDAs with evidence-based practice resources to front-line nursing staff to improve access & integration of evidence at the point-of-care.

  • Phase 1 involved approx 1400 nurses

  • Phase 2 involves approx 1500 nurses


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Anticipated Project Outcomes

  • Improved client outcomes

  • Enhanced quality of work-life for nurses.

  • Increased support for evidence-based practice by improving nurses’ access to the following clinical resources at the point-of-care:

    • RNAO’s Best Practice Guidelines.

    • Up-to-date nursing-specific resources

      • Lexi Comp

      • Pepid Nursing Suite

      • Nursing+


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Significance of the Project

  • Alignment with provincial eHealth vision to advance the use of technology & best evidence in clinical practice.

  • Nurses are increasingly challenged to regularly access information that is current & reliable.

  • Bridge gap between practice & current evidence.

  • Reduce errors &improve client outcomes.



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PDA

Getting to Know Your Device:

iPhone & iPod Touch

Initiative for nurses


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Learning Objectives

Upon completion of this module you should be able to:

  • Successfully power on/off your iPod Touch/iPhone

  • Identify the basic hardware features

  • Navigate your device using the Touch screen

  • Access the Internet using your iPod Touch/iPhone

  • Employ proper care and disinfectant procedures


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iPod Touch & iPhone

  • A PDA is a handheld, multifunction mobile device equipped with computing and information storage and retrieval capability.

  • iPod Touch is a portable media player & personal digital assistant

  • iPhone is a Multimedia smart-phone & personal digital assistant

iPod Touch

iPhone


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PDA Use in Healthcare

  • Clinical resources

  • Nursing education

  • Client education

  • Evidence-based practice

  • Clinical documentation


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Basic Functionality

Scavenger Hunt

Practice Exercise #1


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Basic iPhone Features



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Calendar

TAPCalendar


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Contacts

TAP >Contacts


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Clock

  • TAP >Clock

  • Set alarm

  • Set timer

  • Set ring tone for both

  • Can you think of a clinical use for the timer?


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Notes

TAP >Notes


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Basic PDA Functionality

Calendar, Contacts & Notes

Practice Exercise #2



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Accessing the Internet

TAP > Settings > Wi-Fi



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Mail

TAP >Mail


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Settings

TAP >Settings>Brightness


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Synchronization

  • Sync:

  • - Contacts

  • - Calendar

  • Appointments

  • - Applications

  • e.g.Lexi/Pepid

  • Connecting &

  • Disconnecting WiFi


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Charging iPod Touch/iPhone

  • Connect to USB port on computer not keyboard

  • Do not charge if computer turned off or in Sleep/Standby

  • Avoid charging while using iPod Touch/iPhone

  • Low battery indicators

OR


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Safe Handling & Security Measures

  • Protecting Your Device

    • Glass cover (iPod Touch)

    • Handling iPod Touch/iPhone

    • Using connectors and ports

    • Acceptable temperatures

    • Avoiding water and wet locations

    • Anti-theft strategies

  • Protecting information.

    • Synchronization

    • Password


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Infection Control

Items that do not ordinarily touch the patient or

touch only intact skin are not involved in disease

transmission, and generally do not necessitate

disinfection between uses on different patients

(CDC, 2002)

  • Cleaning iPod Touch/iPhone

    • Use polishing cloth or damp lint-free cloth

    • Avoid getting moisture in openings

    • Avoid window/household cleaners, aerosol sprays, solvents, alcohol, ammonia, or abrasives


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Sometimes the device will not work as it should

First - Check to see if the battery is charged

If you have been charging the battery and the device is not charging move the connector to another port - If this doesn’t work restart the computer and reconnect

This will reset it and may solve the problem

Soft reset sometimes works

Call IT/IS

Basic Trouble shooting............


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Turning Off & Resetting Your Device

OR

  • Turning Off the Device

  • Press and hold down the Sleep/Wake button until the red slider appears

  • Slide your finger across the slider to turn off iPod Touch

  • Press and hold Sleep/Wake until the Apple logo

  • Re-setting the Device

  • Press and hold the Sleep/Wake button and the Home button at the same time for at least ten seconds, until the Apple logo appears.



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Rishma Nazarali, RN, BScN, MN

Program Manager

Registered Nurses’ Association of OntarioPDA Initiative


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  • Provide a brief overview of the RNAO Best Practice Guideline (BPG) program.

  • Review BPGs available for the PDA Initiative

  • Review content of PDA versions of the BPGs

  • Review when to use the BPGs and how to access them

  • Have the participants utilize the BPGs in clinically relevant case scenarios.

Objectives


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What are Best Practice Guidelines (BPGs)? Guideline (BPG) program.

“Systematically developed statements to assist practitioners and patient decisions about appropriate health care for specific clinical (practice) circumstances.”

Field and Lohr, 1990


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Purpose: Guideline (BPG) program.to develop, pilot, implement, evaluate, disseminate and support the uptake of nursing BPGs

Funding: Government of Ontario, Ministry of Health & Long Term Care

Result of one of the recommendations from the Nursing Task Force Report -“Good Nursing Good Health: An Investment for the 21st Century” (1999)

RNAO received funding & became leader of this project

International Affairs and Nursing Best Practice Guideline (BPG) Program



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Clinical Guideline Goals Development

  • Improve client care

  • Reduce the variation in care

  • Stop interventions that have little effect or cause harm

  • Transfer research evidence into practice

  • Promote nursing knowledge base

  • Assist with clinical decision making

  • Identify gaps in research

  • Reduce cost


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Healthy Work Environment (HWE) Guideline Goals


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BPG of client cares & PDA Initiative

  • Selected BPGs converted to a condensed web based format

  • Practice recommendations readily accessible at the point of care by clinicians through PDAs and Tablets



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Content of client care

Every software application consists of the following:

  • Table of Contents

  • Background

  • Practice Recommendations

  • Tools

  • Resources


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When to use the BPGs? of client care

  • Support current practice

  • Practice direction

  • Quick reference tools

  • Educate clients &/or other healthcare professionals


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Web-based BPGs of client care

  • Condensed BPGs are web-based

  • Require web browser & data plan

    or WIFI access

  • To view :

    • open the web browser and enter the

      appropriate link e.g. http://www.rnao.org/pda/lead

  • Recommend bookmarking all links for easy access


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Accessing RNAO BPGs of client care

1. Click on your Internet Browser, then enter

https://rnap.org/pda_initiative

or Google > RNAO PDA Initiative

2. Click on the link for the PDA versions of the BPGs.

3. Click on any of the BPGs displayed to view the Table ofContents “home page”

4. Click on each subtopic to explore the available information :

  • Background, Practice Recommendations, Tools and Resources.

    NOTE: Some content has linking information e.g. definitions.


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Hands-on Exercise of client care


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Scenario #1 of client care

A homecare nurse is making a visit to a client who has a pressure ulcer and will be changing the dressing for the first time since discharge from the hospital.

While the nurse has previous experience changing dressings, there is some uncertainty as to what to assess for during a dressing change.

What steps would you take to access this information on the PDA?


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Scenario #2 of client care

A nurse has been taking care of a client for the past three days & realizes that they are constipated (has not had a bowel movement for 3 days).

Upon review of the client’s chart, including medications, it is recognized that they are not on a bowel routine & is receiving 9 different medications daily.

What steps would the nurse take on the PDA device to check which medications are associated with an increased risk for developing constipation?


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Scenario #3 of client care

A nurse on a medical unit is offering smoking cessation intervention to a client. The client asks about nicotine replacement therapy options.

The nurse would like to offer current and accurate information to the client but does not want to disrupt the interaction by leaving the room to access the information.

How would the nurse go about using a PDA to retrieve information on nicotine replacement therapy options?


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Scenario # 4 of client care

A nurse is making a home visit to a mother with a new baby to help her with breastfeeding. During this visit, the nurse observes that the older son, who is watching TV, is overweight and notices a family picture that where the whole family is overweight.

After coaching the mother on breastfeeding, the nurse decides to explore/assess the family’s eating patterns and physical activities.

Unsure of how to proceed, the nurse decides to use her PDA as a reference tool in this endeavor. What steps would be taken to do this?


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Scenario # 5 of client care

An emergency nurse is assigned a client who has attempted suicide. This client has been waiting for over one hour to be seen by the psychiatrist.

This nurse is considered an experienced ER nurse….However, has had minimal contact with psychiatric clients.

How would the nurse use the PDA to help in the interaction and assessment with this individual?


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Questions or comments? of client care

Rishma Nazarali

[email protected]


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Nutrition Break of client care


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PDA of client care

Pepid Professional Nursing Suite

Initiative for nurses


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Objectives of client care

  • At the end of this module, the participants should be able to:

    • Describe the purpose of each Pepid clinical resource available on their devices.

    • Use the navigation bar to access each of the Pepid clinical resources.

    • Explain how accessing Pepid via their specific mobile device at the POC might enhance nursing practice.


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Pepid of client care Professional Nursing Suites

  • A collection of point-of-care clinical resources written by nurses for nurses at the POC.

  • All Pepid Nursing Suite applications include:

    • Drug Database

    • Medical Calculators*

    • Drug Interactions Database

    • IV Compatibility Tool

    • Embedded Illustrations

    • Comprehensive Clinical Database:

      Nursing Assessments Interventions

      Medical topics  Procedures

       Pain Management  Common Abbreviations etc.

*Medical Calculator not available on the Blackberry


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Benefits of Using of client carePepid

  • Quick access to high quality clinical resources in all areas of nursing practice including fast-paced acute care settings.

  • No “connectivity issues” – application downloaded to the mobile device*

  • Current medical & pharmacological information –updates to Pepid every 8-10 weeks.

*Application not stored on the Blackberry. An Internet connection & data plan are required to access Pepid on this device..


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Pepid Online Features of client care


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Pepid Online Features of client care


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Pepid Online Features of client care


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Pepid Online Features of client care


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Pepid Online Features of client care


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Pepid of client care Demo - TOC


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TOC can be accessed by ... of client care

Clicking on the Help Symbol (?)

Clicking on the home page then choosing a clinical application

Clicking on the TC icon

Using the index bar and typing in”table of contents”

Table of Contents


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The Table of Contents (TC) can be a standard place to start any search

This can link you to any of the areas of interest quickly

As you move from the TC page in a search you may want to go back to the TC to begin another search or to revise your search pattern

Table of Contents


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Pepid any search Demo - illustrations


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Pepid any search Demo – Imbedded Illustrations


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Imbedded camera icon any search

1. Type “Torsades”

  • Information will appear

  • Note the camera icon

  • Click on it and view the rhythm strip

    The Torsades rhythm can also be accessed by going to illustrations section

2. Type Chicken Pox

  • Go to chicken pox (peds)

  • Click on the camera icon beside chicken pox

  • Scroll through the information

  • Or click on diagnosis

  • Look for papules

  • Note the camera icon

  • Click on it and view the illustration


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“EB” any searchicon will lead you to evidence based practice information

“Page” icon will take you to a definition of the word that it follows

Calculator icon will take you to the related medical calculator

 “drops” icon will take you to IV drip rate calcuator

Watch for OTHER IMBEDDED ICONS


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Pepid any search Demo

Pepid Demonstration CD


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PDA any search

Lexi - Comp

Initiative for nurses


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Objectives any search

  • At the end of this module, the participants should be able to:

    • Describe the purpose of each Lexi clinical resource available on their devices.

    • Use the navigation bar to access each of the Lexi’s clinical resources.

    • Explain how accessing Lexi via their specific mobile device at the POC might enhance nursing practice.


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What is any searchLexi-Comp?

  • Point of care clinical resource for nurses*:

    • Nursing Lexi-Drugs

    • - Research information on ~ 4800 drugs

    • Lexi-Interact

      - Analyze potential drug interactions

    • Lexi-Lab & Diagnostic Procedures

    • -Review >1200 lab tests & diagnostic procedures.

    • Lexi-Calc

      - Perform medical calculations (e.g. IV drip rate)

    • Lexi-I.V. Compatibility

      - Determine drug compatibility

      *Not all resources are available on each device


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Benefits of Using any searchLexi-Comp?

  • Quick access to high quality clinical resources in all areas of nursing practice including fast-paced acute care settings.

  • Resources downloaded to PDAs avoiding “connectivity issues”*

  • Current medical & pharmacological information –daily updates to Lexi-Comp

  • *Resources not stored on the Blackberry. An Internet connection & data plan are required to access Lexi-Comp on this device.


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Lexi any search-Comp Demo

Lexi-Comp Demonstration CD


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Hands-on Exercise any search


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Nutrition Break any search


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PDA any search

Best Evidence for Nursing+

Initiative for nurses


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Learning Objectives any search

  • By the end of this section, participants will be able to:

  • Describe the services available through Nursing+.

  • Discuss the significance of Nursing+for the

  • participants

  • Discuss how to access the Nursing+Search

  • Database


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What is any searchNursing+?

  • Access to current best research evidence

  • Tailored to individual clinical interests.

  • Services provided by McMaster University:

    • Information filter

    • Email alerting system

    • Searchable database

    • Links to selected evidence-based resources


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Information Filter any search

Step 1: Journal Review

Step 2: Clinical Relevancy

Relevance & Newsworthiness

Scientific

Criteria


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Email Alerting System any search

  • Email alerts consistent with clinical interest:

    • Highly efficient way to keep abreast of current research.

    • Frequency determined by personal profile

    • Includes citation & link to article’s abstract

    • Links to the full text of articles if access is free

    • If no free full text option, access will require an institutional or personal subscription


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Accessing any search Nursing+

  • PDA Version:

    • Go to http://plus.mcmaster.ca/npm

    • (NOTE: "npm" = "nursing plus mobile".)

  • Online Version:

    • Go to http://plus.mcmaster.ca/np

    • Use the same User Name and Password

    • created during registration.


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    Nursing any search+ Search Database

    • Repository of all articles pre-rated for quality, relevance and newsworthiness since 2006.

    • Best accessed online

      • http://plus.mcmaster.ca/np


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    CNO Reflective Practice any search

    • Nursing+tracks usage:

      • Each abstract accessed  5 mins

      • Each full text link accessed 10 mins

      • Each search of the PLUS database 15 mins

    • Report may be used to demonstrate reflective practice in accordance with CNO requirements

    • Report will be sent only to your email address upon request.


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    Questions any search


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    Post-Workshop Support any search

    • 1-Month Follow-up

    • Teleconferences

    • PDA Website Resources

    • Email (McMaster)

    • RNAO contacts

    • Vendor website


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    Questions any searchcommentsEvaluations


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