Selection and implementation of a simulated electronic medical record emr in a nursing skills lab
Download
1 / 10

David G. Curry, PhD, APRN Associate Professor of Nursing SUNY Plattsburgh May 26, 2010 - PowerPoint PPT Presentation


  • 97 Views
  • Uploaded on

Selection and Implementation of a Simulated Electronic Medical Record (EMR) in a Nursing Skills Lab. David G. Curry, PhD, APRN Associate Professor of Nursing SUNY Plattsburgh May 26, 2010.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' David G. Curry, PhD, APRN Associate Professor of Nursing SUNY Plattsburgh May 26, 2010' - cooper-wilkerson


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Selection and implementation of a simulated electronic medical record emr in a nursing skills lab

Selection and Implementation of a Simulated Electronic Medical Record (EMR) in a Nursing Skills Lab

David G. Curry, PhD, APRN

Associate Professor of Nursing

SUNY Plattsburgh

May 26, 2010


Why an emr in the skills lab

  • IOM’s “To Err is Human: building a safer health system” (2000) showed need for better systems to prevent errors

    • Better systems include EMRs

  • Robert Wood Johnson Foundation, through QSEN project (2007) and NLN Board of Governor’s Position Statement (2008) both recommend integration of informatics in nursing curricula

  • Students don’t get much informatics experience in their clinical rotations…

Why an EMR in the skills lab?


Closing the loop

  • Nursing students generally don’t get practice with admission assessments or order entry, for example.

  • Since simulation is becoming an integral part of student clinical experience, a simulated EMR gives students the opportunity to practice these activities in the safety of the skills lab

  • So how to find the simulated EMR that fits your needs?

Closing the loop


The plattsburgh experience

  • We used “evolving scenarios” in skills lab and wished to add e-documentation

  • We had acquired Laerdal’s SimMan, had integrated him in our med-surg courses and wished to add e-documentation with SimMan simulations as well

  • Research for a solution began in Summer, 2008

  • The solution included an application for a campus technology grant of $25,000

The Plattsburgh experience


What systems to choose from

  • Three systems were considered: add e-documentation

    • Elsevier’s Simulation Learning System (SLS)

    • Cerner’s Academic Education Solution (AES)

    • Nursing Data System’s NurseSquared (N2)

  • Criteria for evaluation:

    • Functionality

    • Flexibility

    • Price

  • We wanted bedside charting for entire skills lab PLUS integration with SimMan PLUS documentation of hospital clinicals

What systems to choose from?


Evaluation of the criteria

  • Functionality – all the systems had fairly comparable functions and features

  • Flexibility – only NurseSquared allowed scenario creation. N2 also supported documentation of hospital clinicals

    • We wanted to integrate with SimMan, so writing our scenarios was highly desirable

  • Price – SLS was least expensive, then N2, with AES most expensive

  • NurseSquared was chosen

Evaluation of the criteria


Acquisition and planning

  • Summer, 2009 – N2 folks made site visit to provide orientation to faculty

  • Plans were made to include N2 in Nursing Fundamentals and Med/Surg in Fall, 2009

    • Used for clinical documentation

  • During late Fall, plans for using N2 in Spring Med/Surg SimMan lab began

    • Students would do order entry in advance, as well as real-time documentation of vital signs, medications and assessment during scenarios

Acquisition and Planning


Implementation

  • Fall semester began slowly orientation to faculty

    • Challenge of getting all affected students and faculty online with personal computers

    • Most challenges were easily overcome with experience

  • Spring semester was bigger challenge with some adjunct faculty affected

    • Again, with experience things got smoother

  • We are now evaluating our first-year experience…

Implementation


Results

  • This is a work-in-progress with challenges and successes one might expect when combining two technologies – SimMan and N2 – and moving an entire curriculum toward more informatic content

  • Please stay for my colleagues’ presentation that follows mine

  • Tami Pobocik and JoAnn Gleeson-Kreig have focused on students’ perceptions of the technology…

Results


Resources

Resources


ad