You have been assigned 4 patients on an Intermediate Medical Care Unit. Two of the patients are post myocardial infarctions at various stages of their infarctions with multiple types of arrhythmias, the third patient is having drastic blood sugar fluctuations 218 down to 50 within minutes and its rebounds back up with changes in mentation and the fourth is reported to be having frequent TIA’s. One of the MI patients is having some dizziness and your TIA patient is presenting signs of impending stroke.

How would you prioritize your assessments and activities? How would you describe your critical thinking process and how do you organize and prioritize implementation of care?

Your initial response to the post should be 200 words in length and include proper APA formatting when referencing your resources.

  

Write a 2 Paragraph response (with 2-3 sources) to this post offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

Innovative technology in the healthcare industry has made significant strides in patient care by utilizing these advancements to diagnose health conditions and deliver effective treatment quickly. My healthcare organization has adopted the use of interpretation technology, a device that facilitates communication between patients who have limited proficiency in English and healthcare providers through a digital communication system (Scamman, 2018). At my organization, we often use the audiovisual interpretation system when we are communicating with patients with limited English proficiency. The audiovisual call is done through a touchscreen tablet on a wheeled stand that can be rolled into the patient’s room and connects to a medically trained interpreter for the language of choice within seconds. This application is used to translate pertinent information about the treatment plan, provide education, and answer patient questions. Another feature used at my organization is the mobile patient portal, a web-based application that allows patients to communicate with their providers, ask questions, schedule appointments, and review their health records.

As with most technological devices, there is always the risk of encountering a device malfunction. The use of an audiovisual interpretation system presents a risk for technical disruptions, such as sound and video quality issues or inability to connect the call. While these disruptions can be corrected through technology design and adequate internet connection, it can create feelings of frustration in providers who are unable to effectively communicate with the patient (Clay-Williams, Baysari, Taylor, Zalitis, Georgiou, Robinson, Braithwaite & Westbrook, 2017).

Another risk associated with the use of healthcare technology is a patient data breach. Even with advanced security features, electronic systems are still subject to the invasion of cyberhackers. According to Vrhovec (2016), the majority of data breaches in healthcare are directly connected with mobile device loss and theft. Cyberhackers can access patient information shared between medical providers on their personal device or gain access to the patient’s portal system, placing patients at risk for medical identity theft and violation of their privacy (Vrhovec, 2016).

Despite these risks, healthcare technology serves a significant contribution to patient care and the delivery of data. While studies show that language barriers between providers and patients may lead to inappropriate treatment and increased length of hospital stay (Fetterolf, 2017), the use of the interpretation system can mitigate this barrier. By using the audiovisual interpretation system, providers can communicate the treatment plan in a language that the patient understands, and the patient can address any concerns or questions they have. Other studies have shown that patient portals improve outcomes of preventive care and disease awareness and self-management (Alotaibi & Federico, 2017).

The healthcare technology trend, I believe, is most promising for impacting technology in nursing practice is telemonitoring, also known as remote patient monitoring (RPM). RPM uses digital technology to collect data from patients outside of a clinical setting and transmit this information to healthcare providers for further management of behaviors and trends that affect one’s health (Mcgrail, 2019). One example of the use of RPM is the Fitbit study conducted in 2018, which allowed researchers to track multiple variables that contribute to heart disease, thereby allowing providers to determine appropriate interventions (Mcgrail, 2019). Another example of RPM is the use of a remote glucose monitoring device, which provides real-time glucose readings and tracks the patient’s glucose level patterns for proper management with insulin. RPM is a beneficial tool in the management of chronic conditions. These devices allow providers to collect data about the patients’ health-related patterns in their everyday settings and modify the plan of care for improved patient outcomes.

These are the sources you used for my post this. You can use these or any others you want. I trust your judgement

Baniasadi, T., Kalhori, S.R., Ayyoubzadeh, S.M., Zakerabasali, S., & Pourmohamadkhan, M. (2018). Study of challenges to utilize mobile-based health care monitoring systems: A descriptive literature review. Journal of 

Telemedicine and Telecare, 24(10), 661–668. DOI: 10.1177/1357633X18804747

Naseribooriabadi, T., & Sheikhtaheri, A. (2015). Social media and health care: Necessity of facing their challenges. Iranian Journal of Public Health, 44(4), 596–597. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441977/

University of Saint Mary. (n.d.). Five exciting technologies that are changing nursing practice. Retrieved from https://online.stmary.edu/msn/resources/five-technologies-changing-nursing-practice

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32. doi:10.3390/informatics4030032

 week 4

Informatics in the Clinical Setting

Conduct an interview with someone in an informatics role in a clinical setting. Then, compose a 4-5 pages paper discussing the following components:

• Role description and education level required for the role.
• Describe their views on how their role impacts patient safety and improves the quality of patient care.
• Describe the Human Factors faced in the role and other challenges.
• Express insights gained from the interview.
• Research and discuss the impact of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and The Joint Commission Patient Safety Goals in your clinical setting. Describe how these governing agencies impact delivery of direct patient care.
• Research, discuss, and identify the Technology Informatics Guiding Education Reform (TIGER) utilized in your clinical setting. Be sure to get the perspective of your selected informatics professional during your interview.
• On a separate page, cite all sources using APA format.

Discussion: Examining Nursing Specialties

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

To Prepare:

• Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization. (specialty: Mental Health Nurse Practitioner)

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

 

With a society that is so diverse in its own nature, issues pertaining to cultural diversity are bound to occur in the process of team management and leadership. Using the South University Online Library or the Internet, research about cultural diversity. Based on your research and understanding, answer the following questions:

• How does having members of different cultures on a team affect the team’s performance?
• How would you incorporate a person from a culture of your choice into your team, keeping in mind communication differences within your and the chosen culture?

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.