Through the many changes in healthcare, technology has made… Through the many changes in health

Through the many changes in healthcare, technology has made… Through the many changes in healthcare, technology has made exponential changes in the way care is delivered and received.  Reflect upon the current state of technology as it impacts patient care, coordination, and quality as proposed by QSEN and TJC.  Choose a patient from this week’s scenario to identify and discuss a technology-based strategy that can help to support a seamless transition and improve healthcare quality and safety.  Additionally.  discuss how technology has impacted workflow and your own professional role development. Be sure to include 2 current references.  You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Unit in an urban hospital.  The unit 7A to 3P staff consists of a nurse manager, 7 RNs, 5 PCTs (Patient Care Technicians), and a unit secretary.  A geriatric nurse practitioner is assigned to this unit and the Geriatric clinic. Interns and residents make rounds and are available by page of on call.   You arrive and receive the following information in a report from the night nurse regarding your assignment. Becky Thomas, Age: 85 Admitting Diagnosis: Cellulitis Right lower legPast History: HTN, Osteoporosis, CABG x 3 (6 years ago), hysterectomy, CholecystectomyAlert and orientedOOB to chair with help – elevate lower legsDressing lower leg – change twice a day Surgical consult today for debridement and wound vacuum therapyIV saline LockAntibiotic Ancef 1 Gm IVPB q8h (8 am, 4 pm, 12 mn) discontinue this am2Gm Na dietBowel sounds x4Lungs clearVoiding – stress incontinenceBM last evening – hardRetired actress with pension and insurance, lives alone with cat  Antonio Banderos, Age: 57 (no beds elsewhere) Admitting Diagnosis: Renal colicPast Hx:  HTN, DM2, Hyperlipidemia, colonoscopy – polyps removedIV 5% D/W – KVO (keep vein open)NPOMorphine Sulfate 1 mg IV q1h prn pain 3 – 6 (0 – 10 scale)Morphine Sulfate 2 mg IV q1h prn pain 7 – 10Metformin 500mg BIDLast dose pain med 0600Voiding – strained – no stoneNo BM x2 daysBowel sounds positive x 4, Blood glucose 71Possible OR todayMarried, no kids, both him and wife employed, only speaks Spanish  Doris Day, Age: 95 Admitting Diagnosis: Contusion Right Shoulder (fall), hematoma right eye, ConfusionCT head without contrast no bleedPast Hx:  CHF, HTN, A-Fib, Osteoarthritis, Fx, Left radiusLung sounds rales on inspiration, clear with deep breathing and coughingO2 sats 91 room air, 95 with O2 2 L NCBowel sounds hyperactive – 1 loose stool this AMTaking liquids only – sore faceVoiding, some incontinenceShoulder with ice and rest on pillow, ice to face/eyePercocet 5/325 mg 1 PO for pain q 4 h 2- 10 (0-10 scale)Not OOB yet – PT consultLives with son and daughter-in-law at home Christine Nichols, Age: 64 Admitting Dx:  Abd pain, cholecystitisPast History:  High cholesterol, HTN, obesity, gastric bypassIV Saline Lock, IVPB AntibioticsLap cholecystectomy yesterdayBowel sounds hypoactive X4 – 1 soft BM yesterday AMVS stableMorphine 2mg IVP q6H PRN pain, recent dose at 0600Lives with sister, still sings at a retirement pub occasionally, no medical insurance  Health ScienceScienceNursing NRS MISC Share QuestionEmailCopy linkComments (0)

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