PDA Introduction to the PDA Initiative Initiative for nurses
Venue Issues Adult Ed Lexi Comp Pepid Nursing + Agenda Handouts Initiative for nurses PDA
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.
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
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+
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.
PDA Getting to Know Your Device: iPhone & iPod Touch Initiative for nurses
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
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
PDA Use in Healthcare • Clinical resources • Nursing education • Client education • Evidence-based practice • Clinical documentation
Basic Functionality Scavenger Hunt Practice Exercise #1
Contacts TAP >Contacts
Clock • TAP >Clock • Set alarm • Set timer • Set ring tone for both • Can you think of a clinical use for the timer?
Notes TAP >Notes
Basic PDA Functionality Calendar, Contacts & Notes Practice Exercise #2
Accessing the Internet TAP > Settings > Wi-Fi
Searching the Internet TAP >Safari
Mail TAP >Mail
Settings TAP >Settings>Brightness
Synchronization • Sync: • - Contacts • - Calendar • Appointments • - Applications • e.g.Lexi/Pepid • Connecting & • Disconnecting WiFi
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
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
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
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............
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.
Rishma Nazarali, RN, BScN, MN Program Manager Registered Nurses’ Association of OntarioPDA Initiative
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
What are Best Practice Guidelines (BPGs)? “Systematically developed statements to assist practitioners and patient decisions about appropriate health care for specific clinical (practice) circumstances.” Field and Lohr, 1990
Purpose: 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
Clinical Guideline Goals • 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
Improved working conditions for nurses and improved quality of client care • Accessible, evidence-based tool for creation of HWEs Healthy Work Environment (HWE) Guideline Goals
BPGs & 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
Content Every software application consists of the following: • Table of Contents • Background • Practice Recommendations • Tools • Resources
When to use the BPGs? • Support current practice • Practice direction • Quick reference tools • Educate clients &/or other healthcare professionals
Web-based BPGs • 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
Accessing RNAO BPGs 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.
Scenario #1 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?
Scenario #2 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?
Scenario #3 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?