Sunday, 30 May 2010

The course I am currently enrolled in at the University of Utah asks me to respond to two questions related to informatics in the healthcare arena. The two questions are as follows:

1. Why do you as a graduate level nurse need to know about information management?

As a graduate level nurse I have the opportunity to assume the role of an advanced practice healthcare provider. This role carries with it greater responsibility and accountability including that of making appropriate clinical diagnoses, prescriptive recommendations, safe and effective clinical interventions, timely decision making strategies and accurate billing practices. The primary reason why it is imperative that I know about information management (IM) is to provide safe, effective and efficient care to the patients entrusted to my care.
Several of the articles in Module 1 identify the overwhelming volume of data collected by the healthcare system. An attempt at identifying, collecting, tabulating, deciphering and condensing all the pertinent data into useable information and then translating it into applicable knowledge without the assistance of a sound information management infrastructure is not only impossible in today’s society, but could be considered negligent practice.
Colleagues, consumers of healthcare and yes, even lawyers are expecting us to accurately manage a stream of constant flowing and changing information. The Institute of Medicine (IOM) report reshaped the delivery of healthcare in this country by mandating safety and quality in the delivery of care. Since the release of the IOM findings, IM theories, strategies, systems and tools are being invented and refined at a pace never before seen. It is through skillful use of such IM knowledge that both the internal and external customers/consumers of healthcare will benefit from evidence based medicine when evidence is seen as a constantly moving target.


2. Describe what is happening related to IT in your clinical or practice setting.



After seeing Dr. Sward’s nursing graduation picture on her blog site, I could not resist putting mine on as well. It reminds me of how far we have journeyed since the days of counting on one or two textbooks to get us through the nursing program. My practice area is currently as an educator in a baccalaureate nursing program. I have the distinct pleasure of working with some of the brightest and enthusiastic nursing students in the country. I facilitate a leadership and management course and oversee students in several clinical settings including Medical, Surgical and Cardiovascular ICU, ED, Med/surg, and OR. As one can imagine it is a challenge to keep up with the latest and greatest in one area of healthcare let alone a variety of settings. In the not too distant past, faculty questioned whether or not allowing the use of laptops in class was more a distraction than a learning opportunity. Today’s students have sources of information flowing to them at the speed of light. Laptop computers connected to the world wide web, PDAs and cell phones packed with applications related to healthcare, podcasts, Facebook, Skype, YouTube and the entire arsenal of healthcare literature are just a few ways in which today’s students are expected to find data, gather information and discover knowledge. As an educator, I am expected to keep up with the pace at which my students are learning and discovering new knowledge. In order to accomplish this, I must be familiar with the current IT resources available. “PowerPoint by Death” can quickly close the window of learning opportunity in this new generation of students. They are a “techno-savvy” generation and demand the latest in IT. Within the classroom environment I have begun to use podcasts, incorporated training videos and examples from YouTube and incorporate the use of student laptops into classroom work. IClickers, a device used for instantaneous feedback within the classroom allows ongoing evaluation and feedback from students. Complex simulation lab models benefit the student prior to actually experiencing real patient hands on activities. The examples go on and on and on….but I shouldn’t.


I guess this is too long winded as well…..hmmm…the older we get, the longer our story becomes!

Monday, 24 May 2010

My name is Jim and I welcome you to my first blog. I currently teach at Brigham Young University in the College of Nursing and attend the University of Utah where I am enrolled in the DNP/Acute Care NP program. I have been a nurse for more than 30 years and am continually amazed in the technological advances being made in healthcare. I graduated from a 3 year diploma program in Green Bay, Wisconsin at a time when a single computer filled an entire room and the internet was only being used by the military. When I graduated from the University of San Diego with my BS degree I actually had a computer, but alas, if I wanted to save any information, I had to save it to a 5 1/2 inch floppy disk. In the 80's, I was able to graduate up to an internal hard drive and could actually surf the internet while I attended the University of Maryland for my MS in nursing. It was here at the University of Maryland where I truly began to appreciate the power and influence informatics could have on healthcare. My cadre of fellow nursing students were the first to actually develop interactive nursing case scenarios for the internet.

I currently call Washington state my home, but since I teach at BYU it is more like my home away from home. My wife and I love the island life north of Seattle so much that after I retired from a 26 year career in the Navy we cannot part from the salty sea air so I do a long distance commute. Living on an island affords me the opportunity to feed several of my passions in life which include ocean kayaking and scuba diving. In fact, I enjoy scuba diving so much that last year I decided I needed more to keep me occupied and became a diving instructor. My wife and I have four kids who makes everyday a joy to experience.

Sunday, 23 May 2010

In case you are wondering what tsua bing is.....it is the greatest snow on earth. OK...it is shaved ice with a variety of fruits. I am partial to fresh mango, pineapple, kiwi and banana. The mountain of ice is then topped with mango fruit jam and condensed milk. Some people prefer to go the healthier route and top the ice with just a variety of beans....but my sweet tooth loves the fruit!

My new found friends in Tainan, Taiwan. They make the best tsua bing in all of Taiwan.....and believe me, I have eaten my share of tsua bing.

Sunday, 16 May 2010

Taiwan

Less then one week left before I have to leave my students and friends behind in Taiwan. It has been a great month and once again the great hospitality of the people in this country continually amazes me. I will miss my good friends at Chi Mei Hospital and my diving buddies down in Kenting.