Step 1 Write one well-developed paragraph addressing each of the following questions:

• Research the IOM competency of informatics. How can informatics be used in each of these aspects of nursing care?
• • Communication
  • Reducing errors
  • Managing knowledge and information
  • Making decisions

Reflect on your practice or clinical experience. Select two of the above elements of the IOM competency of informatics and describe examples of how informatics has been used to improve patient care related to the elements you have selected.

• According to the IOM competency, how might informatics be used to further improve these areas of nursing care?

Step 2 Read other students’ posts and respond to at least two of them. Consider the use of informatics described by the other students. Do you agree or disagree with the uses the students identified? Why or why not? If differences of opinion occur, debate the issues professionally and provide examples to support your opinions. Denver College of Nursing IOM Competency of Informatics Discussion

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Discussion 1 Richard

As nurses, we use informatics daily, all day every day. We use informatics to communicate in a variety of different ways such as using web-based platforms for meetings and conferences, potentially reaching more people quicker (Blais & Hayes, 2016, p 303). We use it to reduce errors, for instance, scanning bar codes and name bands for medication delivery. In 1999, medication errors were the eighth leading cause of death in the United States, since then increased use of nursing informatics including bar code scanners and automated dispensers, has improved patient safety (Gann, 2015). Computerized physician order entry reduces the probability of transcription errors, the pharmacy verifies and releases the meds, and a warning appears on the nurse’s screen if one of the five rights is not met (Gann, 2015). Advances in technology surrounding the management of knowledge and information have assisted nurses in delivering quality care by streamlining workflow processes and ensuring data can be easily retrieved and/or modified (Ang, 2019). All this data collected from assessments, care, and outcomes can be used to help with decision-making on future patients (Blais & Hayes, 2016, p 304). In my nursing practice I use a web-based platform several times per day to communicate. At my facility, we use Webex for our meetings and conferences. My position requires me to attend meetings and since COVID-19 arrived, most of those are on the web. I also seem to be the troubleshooter when our patient monitor data is not flowing over to the EMR. I use the patient occurrence system (SAFE reporting) and Excel to look for trends in patient safety incidents such as where incidents occur, what type of issue, who was involved, etc. I report to risk management via the SAFE system. Denver College of Nursing IOM Competency of Informatics Discussion

Discussion 2 Bobby

 

Informatics competencies include the knowledge, skills, and abilities needed to use and manipulate electronic media in support of these processes ( Schleyer, R. et al. 2011, March). Informatics can be used to manage patient information because it allows providers to store and retrieve an individual’s health-related data. Provider’s can use electronic health records (EHRs) and electronic medical records to document all aspects of a patients health care, health history, assessments, diagnostics, and interventions. Informatics systems we can have workstations, or even have PDA’S or smartphones to access the data needed to help with evidence based practice at bedside. Nurses can acquire basic information such as medication the patient takes. For example when scanning the patients bar code for medication administration, the nurse scans the identifier to the medication and the patient’s identification bracelet to support administrating the right drug to the right patient. The system will alert the nurse if there are any mismatches. Informatics systems can verify the correct patient receiving the proper medications, interventions, or procedures (Blais & Hayes. 2016).

Informatics with communication is effective way to communicate with a provider. We have a system called cortext at my employment that makes communication with a provider much more easier to facilitate. We send a text through the cortext, which has all our hospital physician’s on it. The hospital physicians get back to you right away, and they can give you orders through this system. This kind of communication is much more effective in the care of my patients faster and easier. Informatics helps reduce errors at my workplace. When I do my medication administration I scan the patients barcode on his identification bracelet and the system verifies it is the correct patient, the correct meds and at the right time. I can manage knowledge and information more effectivetly due to informatics. I can click on the medication on monograph, which it gives me the information for that medication, the side affects, drug interaction, dosages, how it is used. Discharging patients is so much easier today with informatics. Physicians can electronically send prescriptions straight to the patients pharmacy. Informatics also shows me the patients lab, microbiology, and other results exactly when the lab puts them in the system. Informatics to me is the best thing that could happen to the health care system. It helps in preventing errors and helps with effective communication. I can have as much information I need about my patients at the tip of my fingers.

Step 1 Select and research a reproductive system disorder. (Cryptorchidism)

Step 2 Using the CDC website or other credible source of medical information, research the pathophysiologic alterations for the reproductive system disorder you chose. Denver College of Nursing IOM Competency of Informatics Discussion

Step 3 Select three to five key alterations in reproductive functioning that are caused by the disorder you selected.

Step 4 In addition to your original post, be sure to provide a meaningful response to at least two of your peer’s posts.

In your response to your peers, provide constructive feedback and/or share a clinical example from your own experience. If differences of opinion occur, debate the issues professionally and provide data to support your opinions.

Discussion 1 Bobbi

Understanding the female reproductive system works .The female reproductive tissues in women are the ovaries, uterus, and fallopain tubes. These tissues are primarily controlled by hormones produced by the brain, which are the pituitary and the ovaries. These hormones also control menstrual cycles, pregnancy, and breast milk production. The female sex hormones are called estrogen and progesterone are produced by the ovaries. These hormones are responsible for sexual development and for preparing the uterine wall every month to hold and norish a fertilized egg during pregnancy. These hormones also help with the health of the heart, bones, liver, brain, and many other tissues. So, a reproductive alteration can affect your estrogen and progesterone production and can also reduce your general health (Centers for disease and Control Prevention. 2017).

I chose to tell you about uterine fibroids. Uterine fibroids are the most common non cancerous tumors in women. Fibroids are made of muscle tissues that grow in and around the walls of the uterus and or the womb. Although the cause is unknown, some risk factors for uterine fibroids is being overweight or being African-American. The symptoms of fibroids include heavy or painful menstrual cycles, feeling “full”in the lower abdomen, frequent urination, pelvic pressure or pain, lower back pain, pain during sex, and reproduction problems. Some women may not eve show any symptoms. This is why routine exams are important (Centers for Disease Control and Prevention. 2018).

Centers for Disease Control and Prevention. (2018). Common reproductive health concerns for women. U.S. Department of Health & Human Services. https://www.cdc.gov/reproductivehealth/womensrh/he…

Discussion 2 Jing

Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age (“Polycystic Ovary Syndrome”, 2020). This condition is one of the most common causes of female infertility, affecting 6% to 12% of the women in the United States (“Polycystic Ovary Syndrome”, 2020). Up to 70 percent of women with PCOS do not know they have it and have never been diagnosed (“Polycystic Ovary Syndrome”, 2020). PCOS may result in complications such as infertility, miscarriage, premature birth, diabetes, and endometrial cancer (“Polycystic Ovary Syndrome”, 2017). The pathogenesis of PCOS has been linked to altered luteinizing hormone action, insulin resistance, and a possible predisposition to hyperandrogenism (Williams et al., 2016). The underlying insulin resistance exacerbates hyperandrogenism by the suppressing synthesis of sex hormone, binding globulin, and increasing adrenal and ovarian synthesis of androgens, thereby increasing androgen levels (Williams et al., 2016). These androgens then lead to irregular menses and physical manifestations of hyperandrogenism (Williams et al., 2016). Signs and symptoms of PCOS vary, and a diagnosis of PCOS is made when the individual experience at least two of the following symptoms: oligomenorrhea, amenorrhea, hirsutism due to hyperandrogenism, weight gain, and multiple ovarian cysts after ultrasonography (“Polycystic Ovary Syndrome”, 2020). There is no cure for polycystic ovary syndrome, however symptoms of PCOS can be managed by weight loss, metformin, birth control pills, progestin therapy, and other fertility drugs (“Polycystic Ovary Syndrome”, 2017). Denver College of Nursing IOM Competency of Informatics Discussion