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Intrapartum Computer Monitoring. Presented by Yvette M. Kreitz, RN. Objectives. Definitions. Describe the purpose of intrapartum computer monitoring. Describe the hardware and software utilized with this technology. Assess the role and function of the nurse involved with this technology.

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intrapartum computer monitoring

Intrapartum Computer Monitoring

Presented by

Yvette M. Kreitz, RN

objectives
Objectives
  • Definitions.
  • Describe the purpose of intrapartum computer monitoring.
  • Describe the hardware and software utilized with this technology.
  • Assess the role and function of the nurse involved with this technology.
  • Examine related legal and/or ethical issues.
  • Discuss the advantages and disadvantages from a nursing perspective.
definitions
Definitions
  • Electronic fetal monitoring (EFM)
  • Fetal heart tracing
  • Fetal monitor
  • Intrapartum computer monitoring
  • Intrauterine pressure catheter (IUPC)
  • Tocodynamometer (“Toco”)

(Taber’s, 2005)

purpose of intrapartum computer monitoring
Purpose of intrapartum computer monitoring
  • Comprehensive, computerized network consisting of:
    • Centralized server/network
    • Bedside stations
    • Remote access points
    • Printers
purpose of intrapartum computer monitoring6
Purpose of intrapartum computer monitoring
  • Diverse access points allow for:
    • Remote patient surveillance
    • Increased participation from support staff
    • Continuous monitoring
    • Improved continuity of care

(Sandelowski, 2000)

purpose of intrapartum computer monitoring7
Purpose of intrapartum computer monitoring
  • Software advancements enable:
    • Comprehensive data over a nine-month period
    • Point-of-care and real-time charting
    • Immediate alarm features and critical value notifications
    • Software integrated with evidence-based practices

(www.lmsmedical.com, 2009)

system hardware
System hardware
  • Centralized server/network
  • Network printers
  • Main station computers
  • Bedside stations
  • Remote access points
system hardware9
System hardware
  • Fetal monitor & belts
  • Toco or IUPC
  • Ultrasound transducer or fetal scalp electrode
  • Blood pressure cuff
  • Pulse oximeter

(Ladewig, London & Davidson, 2006)

system software
System software
  • Top 5 Windows-based intrapartum software monitoring programs:
    • Clinical Computer Systems: OBiXPerinatal Systems
    • GE Healthcare: Centricity Perinatal
    • Hill-Rom: NaviCareWatchChild Solutions
    • LMS Medical: CALM Suite
    • Philips: IntelliVue OB Care

(www.klasresearch.com, 2009)

system software12
System software
  • Modular design for flexibility and efficiency
  • Patient-focused surveillance and continuous monitoring
  • On-line documentation
  • Alerts and reminders

(www.gehealthcare.com, 2009)

system software13
System software
  • Archival of data
  • Functions and communicates with other hospital programs and departments
  • Maintains patient confidentiality and data security.
  • Decision support

(www.gehealthcare.com, 2009)

software usability evaluation
Software usability evaluation
  • Users must be an early and continuous focus during interface design.
  • The design process should be iterative, allowing for evaluation and correction of identified problems.
  • Formal evaluation should take place using rigorous experimental and/or qualitative methods.

(Staggers, 2003), (Effken, 2009)

information system review
Information System Review
  • What is an information system?
  • Information system used for intrapartum computer monitoring, and its function.
    • Part clinical/part special-purpose
    • A communication system
    • A patient care system

(McGonigle & Mastrian, 2009)

information system review16
Information System Review
  • Who uses the information system?
  • How is the information system configured?
  • What data standards are used in this system?
  • What Disease and Procedure Classification System is used?
information system review17
Information System Review
  • Nursing practice standards
    • NIC
    • NOC
    • AWHONN
    • NICHD
  • Recommendation regarding this system
advantages of intrapartum computer monitoring
Advantages of Intrapartum Computer Monitoring
  • Nurse-patient interaction
  • Reporting
  • Storage
  • Time Management
  • Flexibility
  • Safety

(www.obix.net/overview/advantages.asp, 2009)

disadvantages of intrapartum computer monitoring
Disadvantages of Intrapartum Computer Monitoring
  • Critical thinking
  • System down-time
  • Responsibility
  • Cost
ethical and legal issues
Ethical and Legal Issues
  • Privacy, confidentiality
  • Responsibility
  • Documentation
  • System over-reliance
informatics competencies
Informatics Competencies
  • Operates Windows applications
  • Uses instant messaging and e-mail
  • Knowledge of applicable intrapartum monitoring system – hardware and software
  • Knows hospital-specific nursing policies for charting, storage & medication administration.
functions and responsibilities of the informatics nurse
Functions and Responsibilities of the Informatics Nurse
  • Perspective
  • Theories, principles, concepts
  • Ergonomics
  • HCI principles
  • Social, legal and ethical impacts
  • Role

(McGonigle & Mastrian, 2009)

summary
Summary
  • Purpose
  • Hardware/software
  • Role and function of the nurse
  • Information system review
  • Advantages/disadvantages
  • Nursing informatics
slide24

References

  • Clinical Computer Systems, Inc. (2009). OBiX Overview. Retrieved from
    • http://www.obix.net/overview/advantages.asp.
  • Effken, J. A. (2009). Improving the Human-Technology Interface. Nursing
    • Informatics. Sudbury, MA: Jones and Bartlett, (p. 65-71).
  • GE Healthcare, Inc. (2009). Centricity Perinatal Product Technology. Retrieved
    • from https://www.gehealthcare.com/portal/site/usen/1006e73922.asp.
  • KLAS Reseach, LLC. (2009). Rating Healthcare Technology. Retrieved from
    • http://www.klasresearch.com/1106/ob_soft.asp.
slide25

References

  • Laedwig, P. A., London, M. L, & Davidson, M. R. (2006). Contemporary
    • Maternal-Newborn Nursing Care. (6th ed.). Upper Saddle River, NJ: Pearson-Prentice Hall, (p. 432-438).
  • LMS Medical, Inc. (2009). High reliability in obstetrics. Retrieved from
    • http://www.lmsmedical.com/4105/print.asp?url=/4105/03_04_02_calm_curve.asp.
  • McGonigle, D. & Mastrian, K. (2009). Nursing informatics and the foundation
    • of knowledge. Sudbury, MA: Jones and Bartlett Publishers, (p. 206 - 217).
slide26

References

  • Sandelowski, M. (2000, May). Retrofitting technology to nursing: the case of
    • electronic fetal monitoring. JOGNN: Journal of Obstetric, Gynecologic, & Neonatal Nursing, 29(3), 316-325. Retrieved September 8, 2009, from CINAHL database.
  • Staggers, N. (2003). Human factors: Imperative concepts for critical care, 14(3),
    • 310-319. Retrieved October 1, 2009, from CINAHL database.
  • Taber’s cyclopedic medical dictionary (20th ed.). (2005). Philadelphia, PA: F. A
    • Davis, 749.
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