Wednesday, February 15, 2017

CLINICIAN WORKFLOW ENHANCED BY TECHNOLOGY







 
The first rule working as a nurse is "WORK SMARTER, NOT HARDER"! If you are a nurse and no one told you about the first rule, then you are at a disadvantage. The number one priority to every nurse is the PATIENT also known as the big Boss! As a nurse, my focus is all about my patient, so I depend on Technology to help me deliver the best level of care that is efficient and cost effective. It is hard to deliver the quality of care with outdated technology or technology that are hard to use. Miscommunication between caregivers can lead to medical errors, as well as the lack of collaboration among the team. Improving communication, and responding time, patient safety and connecting with staff members effortlessly can be achieved with the help of a technological tool.The IT department helps with the struggles that we encounter as nurses using technology to help us deliver the best care to the patient.IT department helps nurses with technological advances on workflow through consultation and collaborations on what works best for the nurses. If you have ever walked into a hospital, majority of the nurses if not in the patient room delivering care will be found right at the nurse's station, also known as the Mecca of the hospital. The majority of what nurses do centers around the nurse's station, its the HEART of patient care.



 WHAT IS WORKFLOW?Workflows represent how work actually gets done, not the protocols that have been established to do the work. This eliminates waste, improve communication, and helps the clinical workflow to run efficiently.

 HOW DOES TECHNOLOGY IMPACT THE CARE NURSES PROVIDE?

 Imagine being a patient in a hospital, you put on your call light, someone answers, you told them you would like to go to the bathroom, 15 minutes later you are still in bed waiting for that someone to help you to the bathroom.You got so tired of waiting you peed on yourself, and had to sit in it for another 10 minutes to get help. Now, how many of us nurses have been caught in a patient room unprepared for an emergency, but encounter one once in the patient room and there is nobody around. What do we typically do? Well, this is what is typically done, put on the call light, wait, and hope someone answers it. Finally, how many of us have walked away from the bulky phone that is assigned to you by the charge nurse, which is too heavy for your pocket, can't find a place in your cart so it get left behind right at the nursing station where you got it. Then  you need to call a doctor, so we walk to the nursing station to page a provider. Okay, so maybe I exaggerated a little bit, but this has and can happen in any hospital setting.This is where technology comes in, in a form of a portable clip on phone called Vocera.With a centralized call system, anyone can answer the call lights but not everyone will do what is required by the patient. With the new call system, with a push of the button, the call light goes directly to the patient care providers; the nurse and the nursing assistance. At my work setting, this goes directly to an assigned Vocera phone that vibrate and lights up with the room number to alert you if you are not looking at the central call board or can not hear the call light going off. This is achieved by assigning all patients the nurse will be caring for on the phone beginning of the shift, and then you record your name and record "start shift" to activate it and "end shift"at the end of the shift. It's lite, and cute and effective communication tool. Vocera phones are the truth! For example, if a nurse finds themselves in an emergency situation alone with the patient and needs help, with the help of the Vocera, all he/she needs to do is speak her command and it shall be done. What this phone does is improve point of care right at the bedside. Typically, in an emergency situation, you need to put on your call light or walk away from the patient to call for help. Vocera phone enhance patient care, prevent delays, keep you at the side of the patient and save lives. All nurses and staff members can be assembled with just a simple command such as "call all nurses to room 44", "call hospitalist" "call pharmacy" and much more. These can be done hand free since the vocera is clipped on compared to the old fashioned wireless phones nurses don't carry around because of it weight. Vocera does not only prevent falls, or call providers, it also sends alerts such as increased heart rates about patients on telemonitors, or Massimo reading that is not satisfactory. This way the nurse can react in time, communicate effectively with all teams involved in the patient care, and prevent adverse effects. This is effective since it prevents delays in care, prevent falls that are due to toileting, prevent fatal injuries that can be costly to the organization.This way, people can be accountable for their patient and improve patient satisfactions and outcomes. This was done in a collaborative effort with the IT department by making sure the IT system can handle the traffic coming in with the patient technology experience. An extensive education was given to nurses and aides by the IT team and nurse educators.
 INFO GRAPHIC OF WORKFLOW




BENEFITS:  

Enhance Healthcare Services

 

    Watch this video to see the technology story from both sides!

     

    Keep up with evolving patient needs, compete with industry peers through access to vital information at the right time,  improve patient safety and improve patient outcomes WITH VOCERA. 

     

    NOW THIS WILL SET OFF YOUR ALARMS!

    REFERENCES

    REDESIGNING WORKFLOW 

    CLINICAL WORKFLOW 

    IMPROVE WORKFLOW

    12 comments:

    1. Wow! Vocera commands works like magic. We thank our IT team for their support, this makes patients care more safe, faster and easier for all people involved in caregivers. Very good information Lovelace. Thanks for sharing

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    2. Thank you, Tina. It sure does. It is a great tool for communication and alerting, and any nurse that have to work in an isolation room will appreciate it the most. Thank you for your contribution.

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    3. Awesome technology there...I wish for a lot of things like this to be in Ghana so that our nurses can work better and more efficiently. I learn something new every time I read from this amazing blog. God bless you Lovelace.

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      1. Thank you,Issah. I understand where you are coming from. It is my hope that technological advancement will be possible at the besdside all over hospitals in Ghana as well. All it takes is educating the people who it assist the most, the nurses and the administrators to help improve patient outcomes in Ghana. Thank you so much once again.

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    4. Amazing!!! I love the video on the new technology integrated into patient care at that hospital. It seems it enhances communication between all the important parties necessary for care. It even ties in the visitors of the patients with the screens that offer directions. I recently traveled to another coutry in South America. I unfortunately had to go for medical treatment. The lack of communication and technology had an awful impact on my outcome as a patient. You dont really realize the effect until you go without it lol. The dual effort of these technologies are to increase communications while increasing patient awareness. They all lead to better patient outcomes. Great article.

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      1. Thank you so much. I am glad your were able to make that connection that without advanced technology and proper communication, patient outcomes can suffer. I am so sorry to hear about your outcomes, but the United States health care is very advanced and can not be compared to a third world country. This can be changed, you as a patient have the power to change that healthcare through your reviews and suggestions and hopefully they will improve. Thank you so much once again for your contributions.

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    5. It's always important when there is a technology that helps improve the quality of care in the health care system. Vocera is definitely a great bridge between the patients and nurses. Thanks for another great read.

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      1. Thank you, Emmanuel, it definitely improves patient outcomes. Thank you once again.

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    6. Yes! This is one area I have found so interesting in healthcare; technology. Workflow has gotten better with improved technology and staff are able to communicate/work better within the same facility or different facilities. From checking the patient in, to seeing the doctor, running lab test and even having insurance pay for her healthcare, the workflow is just convenient; it doesn't just prevent medical errors but duplication which all help save costs (one main aim in healthcare). EPIC is an example of how technology is helping with workflow.
      I have enjoyed reading this piece Lovelace. Keep it coming!

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      1. Work flow management can go smoothly with the right technology. Without it, there are delays, errors, waste and worse, patient care suffers. I am glad you love this. Thank you so much Mandy for your contributions each week. I am grateful.

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    7. I enjoyed reading this piece. It is great to know that communication has so much advantage in the health care industry. I also like the idea that you mentioned that nurses need to communicate effectively.I now understand why patients rate some hospitals as best or worst. Great job Lovelace!

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      1. Thank you, Sarah, patient satisfaction is important in healthcare and we strive to deliver nothing but the best for our patients. Patient rates hospitals from the cleanliness of the place, the food, the nursing and physician care, even the room temperature. Nursing leaders are using all the technological tools out there to enable nurses to deliver care in a safe, cost effective way and improve patient outcomes. Once again, thank you so much for your weekly contributions.

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