• Inability of aging facilities to be retrofitted to meet tomorrow’s needs
• Increase in patient volume because of the aging baby boomers
• Changes and demand for new technology
• Increasing competition from physicians and nontraditional (retail) healthcare providers
• New opportunities for hospital-physician alignments
• Changes in patient populations

At the Summit on the Global Agenda 2011 in Abu Dhabi, United Arab Emirates, the World Economic Forum’s Global Agenda Council on Emerging Technologies asked some of the world’s leading minds within the entire GAC Network which technology trends would have the greatest impact on the state of the world in the near future.
Below, the Global Agenda Council on Emerging Technologies presents the technological trends expected to have major social, economic and environmental impacts worldwide in 2012. They are listed in order of greatest potential to provide solutions to global challenges:

1. Informatics for adding value to information
The quantity of information now available to individuals and organizations is unprecedented in human history, and the rate of information generation continues to grow exponentially. Yet, the sheer volume of information is in danger of creating more noise than value, and as a result limiting its effective use. Innovations in how information is organized, mined and processed hold the key to filtering out the noise and using the growing wealth of global information to address emerging challenges.
2. Synthetic biology and metabolic engineering
The natural world is a testament to the vast potential inherent in the genetic code at the core of all living organisms. Rapid advances in synthetic biology and metabolic engineering are allowing biologists and engineers to tap into this potential in unprecedented ways, enabling the development of new biological processes and organisms that are designed to serve specific purposes – whether converting biomass to chemicals, fuels and materials, producing new therapeutic drugs or protecting the body against harm.
3. Green Revolution 2.0 – technologies for increased food and biomass
Artificial fertilizers are one of the main achievements of modern chemistry, enabling unprecedented increases in crop production yield. Yet, the growing global demand for healthy and nutritious food is threatening to outstrip energy, water and land resources. By integrating advances across the biological and physical sciences, the new green revolution holds the promise of further increasing crop production yields, minimizing environmental impact, reducing energy and water dependence, and decreasing the carbon footprint.
4. Nanoscale design of materials
The increasing demand on natural resources requires unprecedented gains in efficiency. Nanostructured materials with tailored properties, designed and engineered at the molecular scale, are already showing novel and unique features that will usher in the next clean energy revolution, reduce our dependence on depleting natural resources, and increase atom-efficiency manufacturing and processing.
5. Systems biology and computational modelling/simulation of chemical and biological systems
For improved healthcare and bio-based manufacturing, it is essential to understand how biology and chemistry work together. Systems biology and computational modelling and simulation are playing increasingly important roles in designing therapeutics, materials and processes that are highly efficient in achieving their design goals, while minimally impacting on human health and the environment.

6. Utilization of carbon dioxide as a resource
Carbon is at the heart of all life on earth. Yet, managing carbon dioxide releases is one of the greatest social, political and economic challenges of our time. An emerging innovative approach to carbon dioxide management involves transforming it from a liability to a resource. Novel catalysts, based on nanostructured materials, can potentially transform carbon dioxide to high value hydrocarbons and other carbon-containing molecules, which could be used as new building blocks for the chemical industry as cleaner and more sustainable alternatives to petrochemicals.
7. Wireless power
Society is deeply reliant on electrically powered devices. Yet, a significant limitation in their continued development and utility is the need to be attached to the electricity grid by wire – either permanently or through frequent battery recharging. Emerging approaches to wireless power transmission will free electrical devices from having to be physically plugged in, and are poised to have as significant an impact on personal electronics as Wi-Fi had on Internet use.
8. High energy density power systems
Better batteries are essential if the next generation of clean energy technologies are to be realized. A number of emerging technologies are coming together to lay the foundation for advanced electrical energy storage and use, including the development of nanostructured electrodes, solid electrolysis and rapid-power delivery from novel supercapacitors based on carbon-based nanomaterials. These technologies will provide the energy density and power needed to supercharge the next generation of clean energy technologies.
9. Personalized medicine, nutrition and disease prevention
As the global population exceeds 7 billion people – all hoping for a long and healthy life – conventional approaches to ensuring good health are becoming less and less tenable, spurred on by growing demands, dwindling resources and increasing costs. Advances in areas such as genomics, proteomics and metabolomics are now opening up the possibility of tailoring medicine, nutrition and disease prevention to the individual. Together with emerging technologies like synthetic biology and nanotechnology, they are laying the foundation for a revolution in healthcare and well-being that will be less resource intensive and more targeted to individual needs.
10. Enhanced education technology
New approaches are needed to meet the challenge of educating a growing young population and providing the skills that are essential to the knowledge economy. This is especially the case in today’s rapidly evolving and hyperconnected globalized society. Personalized IT-based approaches to education are emerging that allow learner-centred education, critical thinking development and creativity. Rapid developments in social media, open courseware and ubiquitous access to the Internet are facilitating outside classroom and continuous education.
SECURITY AND BIODEFENSE

Biodefense research: can secrecy and safety coexist?

Source

Program on Science and Global Security, Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, New Jersey 08542, USA. Lkahn@princeton.edu

Abstract

Over the next 10 years, the United States will spend 6 billion US dollars to develop countermeasures against biological and chemical weapons. Much of this research on highly virulent pathogens will be done in academic settings around the country. This article explores the challenges in ensuring secrecy to protect national security while accommodating the right of local communities to have access to safety information regarding select agents and laboratory-acquired infections. Secrecy has been defended as being vital for protecting national security. Problems with secrecy can include the misinterpretation of intentions, particularly in laboratories located in nuclear weapons design facilities, and the restricted access to information relevant to public health and safety. While federal select agent legislation requires laboratories to have emergency plans in place with first responders, these plans do not necessarily include public health professionals, who will be responsible for any future public health action, such as quarantine, surveillance, or mass vaccinations, in the unlikely event that a laboratory-acquired infection spreads into a community. Laboratory-acquired infections do occur, even with the best safety mechanisms in place; however, the epidemiology of the incidence and severity of these infections are not known since there is no national surveillance reporting system. Evidence suggests that many of these infections occur in the absence of an actual laboratory accident. The best emergency plans and surveillance systems are only as good as the participation and vigilance of the laboratory workers themselves. Thus, laboratory workers have a responsibility to themselves and others to report all laboratory accidents and spills, regardless how minor. In addition, they should have a lower threshold than normal in seeking medical attention when feeling ill, and their physicians should be aware of what pathogens they work with to reduce the risk of a delay in diagnosis.
NANOTECHNOLOGY
Nanotechnology Health Cards

Compiled by Takako Egawa, PhD, RN
Board Member and Chair, IC

Nursing informatics certificate program 

 on the use of technology. I do believe the Philippines would be a better country something that everyone would be proud at  if we give importance to technology and science. The journey to meaningful use of electronic health records 

flying between cities such as Taipei, Fukuoka, Narita, Sapporo, Incheon, Hong Kong and Guam. 

 

I SHALL EXPERIENCE THIS HIGH CLASS STYLE OF FLYING! I SHALL TRY THIS BEFORE I DIE. :)

POST MORTEM CARE

Assessment:1. Check vital functions and pronounce patient dead if permitted to do so, notify physician and record time of death and time pronounced dead.
2. Notify the following:

A. Attending Physician
B. Nursing Supervisor
C. Admitting or Census Department
D. Appropriate Agency for Organ Procedures
E. Medical Examiner
F. Designated Mortician

Planning:
1. Plan for any special religious/cultural practices desired by family.
2. Offer to transfer any other patients in room to another location temporarily.
3. Wash hands.
4. Gather equipments.
Implementation:
1. Place “No visitor – Check at Nurses’ Station” sign to door.
2. Place body in supine position with bed flat.
3. Place pillow under head.
4. Close patient’s eyes.
5. Remove watch, jewelry and all possessions, give it to the nearest relative.
6. Put on clean gloves.
7. Place small towel under chin.
8. Remove IV and other tubes unless autopsy is to take place.
9. Remove soiled dressings, ostomy bags and replace them.
10. Wash soiled areas of body.
11. Place ABD’s (disposable pads) to the perineal area to absorb any stool or urine released as the sphincter muscle relaxes.
12. Remove and discard gloves.
13. Put a clean gown on the patient.
14. Leave the wrist identifications band in place
15. Attach a second identification tag to the ankle or great toe.
16. If the body is to be viewed, replace top linens and tidy the unit.
17. Care for dentures and eye glasses, after viewing leave dentures in patients mount or place them in a denture container. Dentures and eyeglasses are sent to the morticians with the body.
18. Gather personal effects and give to the family or provide for safekeeping.
19. Wrap body and attach identification tag on outside, if facility policy indicates.
20. Transport body to facility morgue or wait for the arrival of the mortician.
21. Put away or dispose equipment and supplies used.
22. Wash your hands.
1. Evaluate using the following criteria:

A. Body cared for and transported appropriately.
B. All necessary notifications carried out.
C. Family able to carry out rituals, viewing, and spend time with patient as desired. Possessions were carefully handled.

Documentation:
1. Document Post Mortem activities including:

A. Time of cessation of Vital Signs.
B. Persons notified and time of notification.
C. List and documentation of valuable and personal effects.
D. Time body removed from unit, destination and by whom removed.
E. Other information required by faculty.

sourcehttp://nursingcrib.com/demo-checklist/post-mortem-care/

1. Gather equipment.
2. Explain procedure to the patient
3. Assist patient into supine position with legs spread and feet together
4. Open catheterization kit and catheter
5. Prepare sterile field, apply sterile gloves
6. Check balloon for patency.
7. Generously coat the distal portion (2-5 cm) of the catheter with lubricant
8. Apply sterile drape
9. If female, separate labia using non-dominant hand. If male, hold the penis with the non-dominant hand. Maintain hand position until preparing to inflate balloon.
10. Using dominant hand to handle forceps, cleanse peri-urethral mucosa with cleansing solution. Cleanse anterior to posterior, inner to outer, one swipe per swab, discard swab away from sterile field.
11. Pick up catheter with gloved (and still sterile) dominant hand. Hold end of catheter loosely coiled in palm of dominant hand.
12. In the male, lift the penis to a position perpendicular to patient's body and apply light upward traction (with non-dominant hand)
13. Identify the urinary meatus and gently insert until 1 to 2 inches beyond where urine is noted
14. Inflate balloon, using correct amount of sterile liquid (usually 10 cc but check actual balloon size)
15. Gently pull catheter until inflation balloon is snug against bladder neck
16. Connect catheter to drainage system
17. Secure catheter to abdomen or thigh, without tension on tubing
18. Place drainage bag below level of bladder
19. Evaluate catheter function and amount, color, odor, and quality of urine
20. Remove gloves, dispose of equipment appropriately, wash hands
21. Document size of catheter inserted, amount of water in balloon, patient's response to procedure, and assessment of urine

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NEW TREND IN INFORMATICS

Martes, Mayo 8, 2012 | 3:22 AM | 0 comments

NEW TRENDS IN INFORMATICS

Future Information Technology Trends

Future Information Technology Trends : There's no denying that we are in a worldwide downturn. Governments are in debt; jobs are being cut; houses are being repossessed and people pain because it. However, there is a way to plan for the declining eminent and that is through IT guidance. If you are like most people, the last thing on your opinion is paying for tuition, especially in a specialty as baffling as information technology. However, IT education may be your label out of the slump and into a fulfilling and stable career.

Here's why : Universality of IT: For most of us, our prospect is not set in pelt, especially with the downturn. There is no concrete way of aware that you will forever be in the site, or even with the visitors you are with now. However, IT guidance can organize for a potential in information technology at any sector. The diligence needs IT technicians whether you work in television, marketing, communication, client check, etc. IT technology can open doors to more than just your own effective Future Information Technology Trends environment. You can take these skills and concern them to other sectors and industries as well. This will make the leap to another career in the upcoming much fewer overwhelming, if that time ever comes.

Technology and Telecommunication: While many people are trailing their jobs in marketing, buyer ceremony, factual estate and construction, more and more people are verdict their mission via telecommunication. This is because, while the nation is gradually lessening, the "nation" is blossoming. Websites are in stable penury to IT help including webmasters, graphic designers and programmers. This Future Information Technology Trends trend will prolong as the internet is one of the best customs to join to the world and will only maintain to grow in the future. Technological trends in the future: According to the Bureau of Labour Statistics, the technology world will maintain to upsurge with jobs in IT increasing by 16 percent in the next ten existence. This is sooner than most other industries in the United States due to the many technological advances within many industries.

IT Training for all Industries: even if you never want to dine in a career as an, IT technician, information technology exercise can help prepare you for advancement in your own sector. Information technology exists everywhere and this is why it's important to advantage the skills desirable to understand the information technological phase of your sector. IT is Universal: Another important touch of information technology is that, while some systems modify from troupe to troupe, and from country to country, they are all relatively the same. This means that, if you desire to do so, you can move and convey with career guidance in IT. Spend a year in Japan since the sights and running in IT on the section, or take your skills to Australia when the frost months get too cold. The possibilities Future Information Technology Trends for those with information technology training not only transport from trade to industry, but they also outdo continental boundaries as well.

TRENDS IN HEALTH AFFECTING IT IN FUTURE

Researchers surveyed key industry leaders to identify the trends and issues affecting future healthcare construction. The findings show a combination of factors driving rehab and construction costs for the hospitals of the future, including:

Continued shift of care to ambulatory care settings

• Inability of aging facilities to be retrofitted to meet tomorrow’s needs
• Increase in patient volume because of the aging baby boomers
• Changes and demand for new technology
• Increasing competition from physicians and nontraditional (retail) healthcare providers
• New opportunities for hospital-physician alignments
• Changes in patient populations

Hospitals are also going green. Not only are many new facilities more energy-efficient, but thanks to their materials and smart designs they’re healthier for physicians, patients, and nurses and can lower utility costs by 20% to 50%.

Yet the luxury of all these advancements doesn’t come without a cost; thereby leaving many hospital executives to question where they will get the funds to compete.

"The construction boom is causing a huge surge in capital needs", said Randy Waring, Hospital Segment Leader at GE Healthcare Financial Services. "In today's volatile capital market, hospitals are looking at a wide variety of financing approaches, from traditional tax-exempt bond issues to private placements, physician joint ventures, third-party developer involvement, and other forms of private funding."

TOP TECHNOLOGIES

The top 10 emerging technologies for 2012

Emerging technologies are critical to building a sustainable and resilient future. But without new understanding, tools and capabilities, their safe and successful development is far from guaranteed.

At the Summit on the Global Agenda 2011 in Abu Dhabi, United Arab Emirates, the World Economic Forum’s Global Agenda Council on Emerging Technologies asked some of the world’s leading minds within the entire GAC Network which technology trends would have the greatest impact on the state of the world in the near future.
Below, the Global Agenda Council on Emerging Technologies presents the technological trends expected to have major social, economic and environmental impacts worldwide in 2012. They are listed in order of greatest potential to provide solutions to global challenges:

1. Informatics for adding value to information
The quantity of information now available to individuals and organizations is unprecedented in human history, and the rate of information generation continues to grow exponentially. Yet, the sheer volume of information is in danger of creating more noise than value, and as a result limiting its effective use. Innovations in how information is organized, mined and processed hold the key to filtering out the noise and using the growing wealth of global information to address emerging challenges.
2. Synthetic biology and metabolic engineering
The natural world is a testament to the vast potential inherent in the genetic code at the core of all living organisms. Rapid advances in synthetic biology and metabolic engineering are allowing biologists and engineers to tap into this potential in unprecedented ways, enabling the development of new biological processes and organisms that are designed to serve specific purposes – whether converting biomass to chemicals, fuels and materials, producing new therapeutic drugs or protecting the body against harm.
3. Green Revolution 2.0 – technologies for increased food and biomass
Artificial fertilizers are one of the main achievements of modern chemistry, enabling unprecedented increases in crop production yield. Yet, the growing global demand for healthy and nutritious food is threatening to outstrip energy, water and land resources. By integrating advances across the biological and physical sciences, the new green revolution holds the promise of further increasing crop production yields, minimizing environmental impact, reducing energy and water dependence, and decreasing the carbon footprint.
4. Nanoscale design of materials
The increasing demand on natural resources requires unprecedented gains in efficiency. Nanostructured materials with tailored properties, designed and engineered at the molecular scale, are already showing novel and unique features that will usher in the next clean energy revolution, reduce our dependence on depleting natural resources, and increase atom-efficiency manufacturing and processing.
5. Systems biology and computational modelling/simulation of chemical and biological systems
For improved healthcare and bio-based manufacturing, it is essential to understand how biology and chemistry work together. Systems biology and computational modelling and simulation are playing increasingly important roles in designing therapeutics, materials and processes that are highly efficient in achieving their design goals, while minimally impacting on human health and the environment.

6. Utilization of carbon dioxide as a resource
Carbon is at the heart of all life on earth. Yet, managing carbon dioxide releases is one of the greatest social, political and economic challenges of our time. An emerging innovative approach to carbon dioxide management involves transforming it from a liability to a resource. Novel catalysts, based on nanostructured materials, can potentially transform carbon dioxide to high value hydrocarbons and other carbon-containing molecules, which could be used as new building blocks for the chemical industry as cleaner and more sustainable alternatives to petrochemicals.
7. Wireless power
Society is deeply reliant on electrically powered devices. Yet, a significant limitation in their continued development and utility is the need to be attached to the electricity grid by wire – either permanently or through frequent battery recharging. Emerging approaches to wireless power transmission will free electrical devices from having to be physically plugged in, and are poised to have as significant an impact on personal electronics as Wi-Fi had on Internet use.
8. High energy density power systems
Better batteries are essential if the next generation of clean energy technologies are to be realized. A number of emerging technologies are coming together to lay the foundation for advanced electrical energy storage and use, including the development of nanostructured electrodes, solid electrolysis and rapid-power delivery from novel supercapacitors based on carbon-based nanomaterials. These technologies will provide the energy density and power needed to supercharge the next generation of clean energy technologies.
9. Personalized medicine, nutrition and disease prevention
As the global population exceeds 7 billion people – all hoping for a long and healthy life – conventional approaches to ensuring good health are becoming less and less tenable, spurred on by growing demands, dwindling resources and increasing costs. Advances in areas such as genomics, proteomics and metabolomics are now opening up the possibility of tailoring medicine, nutrition and disease prevention to the individual. Together with emerging technologies like synthetic biology and nanotechnology, they are laying the foundation for a revolution in healthcare and well-being that will be less resource intensive and more targeted to individual needs.
10. Enhanced education technology
New approaches are needed to meet the challenge of educating a growing young population and providing the skills that are essential to the knowledge economy. This is especially the case in today’s rapidly evolving and hyperconnected globalized society. Personalized IT-based approaches to education are emerging that allow learner-centred education, critical thinking development and creativity. Rapid developments in social media, open courseware and ubiquitous access to the Internet are facilitating outside classroom and continuous education.
SECURITY AND BIODEFENSE

Biodefense research: can secrecy and safety coexist?

Kahn LH.

Source

Program on Science and Global Security, Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, New Jersey 08542, USA. Lkahn@princeton.edu

Abstract

Over the next 10 years, the United States will spend 6 billion US dollars to develop countermeasures against biological and chemical weapons. Much of this research on highly virulent pathogens will be done in academic settings around the country. This article explores the challenges in ensuring secrecy to protect national security while accommodating the right of local communities to have access to safety information regarding select agents and laboratory-acquired infections. Secrecy has been defended as being vital for protecting national security. Problems with secrecy can include the misinterpretation of intentions, particularly in laboratories located in nuclear weapons design facilities, and the restricted access to information relevant to public health and safety. While federal select agent legislation requires laboratories to have emergency plans in place with first responders, these plans do not necessarily include public health professionals, who will be responsible for any future public health action, such as quarantine, surveillance, or mass vaccinations, in the unlikely event that a laboratory-acquired infection spreads into a community. Laboratory-acquired infections do occur, even with the best safety mechanisms in place; however, the epidemiology of the incidence and severity of these infections are not known since there is no national surveillance reporting system. Evidence suggests that many of these infections occur in the absence of an actual laboratory accident. The best emergency plans and surveillance systems are only as good as the participation and vigilance of the laboratory workers themselves. Thus, laboratory workers have a responsibility to themselves and others to report all laboratory accidents and spills, regardless how minor. In addition, they should have a lower threshold than normal in seeking medical attention when feeling ill, and their physicians should be aware of what pathogens they work with to reduce the risk of a delay in diagnosis.
NANOTECHNOLOGY
Nanotechnology Health Cards

specifictions:
1.promote micro-circulation
2.improve sleep
3.enhance immunity
4.keep fruit fresh

Quantum energy card03/nanotechnology health cards

Product Efficiency:
1.If you ware it, it can promote micro-circulation, improve sleep, enhance immunity;
2. take a cigarette, friction the card fast 3-5 seconds, which will make
cigarettes healthier;
3.placed in the bottom of the alcohol glass 60 seconds, it can reduce the spicy wine and will make wine sweeter, more fragrant.
4. Placed in the refrigerator, which ionize the air so that can keep fruit
fresh? Antibacterial deodorant
Beauty effect:
The card can be placed beside the cosmetics group decomposition of
macromolecules into small molecules, which will help absorb and nutrition.
Usage:
Put in a pocket (or can be pin fixed on the underwear). Valid for three years.
Storage:
3years validity
Please put the in dry, and room temperature.
 Applicable to the crowd:
1.      all kinds of heart disease;
2.      the work of tension, pressure of the mental and physical workers;
3.      middle-aged persons decreased heart function;
4.       hypertension, hyperlipidemia, diabetes, obesity, heart disease and
other high-risk people.

REFERENCE

http://informationtechnologytrendsideas.blogspot.com/2009/10/future-information-technology-trends.html

http://www.healthcaredesignmagazine.com/news-item/report-identifies-trends-affecting-future-healthcare-construction

http://forumblog.org/2012/02/the-2012-top-10-emerging-technologies/

http://www.ncbi.nlm.nih.gov/pubmed/15225401        

http://www.alibaba.com/product-gs/541271484/Quantum_energy_card03_nanotechnology_health_cards.html

Additional reference for nanotechnology

http://www.raterenterprise.com/nanotech.htm    

module 8 article -3

Biyernes, Mayo 4, 2012 | 3:32 AM | 0 comments

Title: Japan Society of Nursing Diagnosis. (International Nursing Language News) 

Full Text: 

The 8th Nursing Research Conference of Japan Society of Nursing Diagnosis, "Nursing Diagnosis and Informatics: The Meeting of Care and Technology," will be held Friday, July 19, and Saturday, July 20, 2002, in Aomori City Cultural Hall, Aomori, Japan.

The 21st century is being called the information age, and true to its name, people around the world are using information technology in all areas for either the benefit or detriment of society. The field of nursing involves recognizing the patient as a total human entity. I am sure you are all well aware of the developments that have been made in nursing diagnosis to provide the people under our care with the appropriate nursing diagnosis and care they need. From the start, the goal has been to systematize information by computer, but now that many hospitals are promoting the systematization of medical information, the momentum towards systematizing nursing information has increased. The theme for this meeting was chosen with the idea of looking into the systematization of nursing diagnosis.

The President's Address, "Trends and Current Status of the Computerization of Nursing Diagnosis," will be delivered by Sachie Shindo, PhD, RN, Dean, Aomori University of Health and Welfare. Margaret Lunney, PhD, RN, College of Staten Island, New York, will lecture on "Critical Thinking and Accuracy of Nursing Diagnosis as a Foundation for Computer-Based Documentation." Judy Ozbolt, PhD, RN, FAAN, Professor, Vanderbilt University, Nashville, Tennessee, will speak on "International Standards for Nursing Terminology: Effects on Nursing Diagnosis."

We welcome the participation of the members of NANDA.

Compiled by Takako Egawa, PhD, RN
Board Member and Chair, IC

Egawa, Takako

Source Citation

Egawa, Takako. "Japan Society of Nursing Diagnosis. (International Nursing Language News)." Nursing Diagnosis Jan.-Mar. 2002: 32+. Academic OneFile. Web. 4 May 2012.

Document URL
http://go.galegroup.com/ps/i.do?id=GALE%7CA84801230&v=2.1&u=phspuqc&it=r&p=AONE&sw=w

INSIGHT:
          Japan does not surprise me in being advanced in technology.I do not just envy America for their focus and attention to technology and nursing informatics. Japan makes a point to be updated in technology when it comes to their health needs. It is a good thing and I hope Philippines would realize it sooner.

module 8 article-2

| 3:28 AM | 0 comments

Nursing informatics certificate program 

NURSING INFORMATICS CERTIFICATE PROGRAM. AORN and the University of Colorado Denver School of Nursing are offering preferred tuition rates for an online Nursing Informatics Certificate program. Health care informatics is an interdisciplinary field that draws on knowledge from computer information and health sciences. This program uses informatics as a broad framework with a specific focus on nursing.

The curriculum for this program was developed using the American Nurses Association's definition of nursing informatics. The certificate program courses focus on the core content for nursing informatics and provide a total of 16 graduate-level, academic credits.

Source Citation

"Nursing informatics certificate program." AORN Journal June 2008: 1257. Academic OneFile. Web. 4 May 2012.

Document URL
http://go.galegroup.com/ps/i.do?id=GALE%7CA263432305&v=2.1&u=phspuqc&it=r&p=AONE&sw=w

 

INSIGHT:

                I don't have any idea if the Philippines offer a course on nursing informatics.I envy how America is so advanced that they focus on being updated with technology. But I think even if the Philippines would offer this course Filipinos wouldn't go crazy about it. If Filipinos would know and appreciate the use and importance of technology the Philippines would be a better and advanced place.We wouldn't be left out

 on the use of technology. I do believe the Philippines would be a better country something that everyone would be proud at  if we give importance to technology and science.

Module 8 article -1

| 3:08 AM | 0 comments

The journey to meaningful use of electronic health records 

Abstract: 

* The American Recovery and Reinvestment Act and its important Health Information Technology Act provision became law on February 17, 2009.

* Commonly referred to as "The Stimulus Bill" or "The Recovery Act," the landmark legislation allocated $787 billion to stimulate the economy, including $147 billion to rescue and reform the nation's seriously ailing health care industry.

* Of these funds, $19 billion in financial incentives were earmarked for the relatively short period of 5 years to drive reform through the use of advanced health information technology (HIT) and the adoption of electronic health records (EHRs).

* The incentives were intended to help health care providers purchase and implement HIT and EHR systems, and the HITECH Act also stipulated clear penalties would be imposed beyond 2015 for both hospitals and physician providers who failed to adopt use of EHRs in a meaningful way.

* Nurses will be integral to achieving a vision that will require a nationwide effort to adopt and implement EHR systems in a meaningful way.

IN 2004, THOSE OF US IN nursing informatics or who follow health information technology (HIT) trends were thrilled when President George W. Bush said in his 2004 State of the Union address "... an Electronic Health Record for every American by the year 2014 ... by computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care" (Bush, 2004]. This was the first time a president formally recognized the value of HIT and set a deadline to do something about it! President Bush went on to establish the Office of the National Coordinator for HIT (ONC), and Dr. David Brailer was appointed as the first coordinator by Tommy Thompson, then Secretary of the Department of Health and Human Services (HHS).

The support continued. In 2005, funding from HHS was earmarked to establish organizations for standards harmonization (HIT Standards Panel) and for certification of electronic health record (EHR) systems (Certification Commission for HIT). In 2006, the Agency for Healthcare Research and Quality (AHRQ) launched its National Resource Center for HIT. Government attention persisted in 2007 with the funding of National Health Information Network prototypes. Momentum was building and there was much attention on HIT from the federal government.

Fast forward to 2009. President-Elect Barack Obama says he wants the federal government to invest in EHRs so all medical records are digitized within 5 years and vows to continue to push for the 2014 deadline established by Bush. "This will cut waste, eliminate red tape, and reduce the need to repeat expensive medical tests," he said, adding that the switch also will save lives by reducing the number of errors in medicine (Obama, 2009).

President Obama then does more than talk about HIT. He works with Congress to pass the American Recovery and Reinvestment Act (ARRA), providing unprecedented funding to promote health care reform through the use of HIT. Incentives totaling $19 billion are allocated for "meaningful use" of EHRs in hospitals and ambulatory settings beginning in 2011. This sets the stage for today's focus on the use of HIT, and the proliferation of EHR implementation projects in our clinical settings. Let's explore the legislative background and details surrounding the federal incentives.

Legislative Background

On March 23, 2010, President Obama signed into law the landmark Patient Protection and Affordable Care Act (PPACA), a federal statute that represents the most recent legislation in a sweeping health care reform agenda driven into law by the Democratic 111th Congress and the Obama Administration. The new law is dedicated to replacing a broken system with one that ensures all Americans have access to health care that is both affordable and driven by quality standards. It includes broad provisions for improving health care delivery that will take affect from the moment of enactment through 2018.

For the Obama Administration, the hard-fought legislative success of PPACA turns the spotlight on the growing recognition advanced HIT is and will be essential to support the massive amounts of electronic information exchange foundational to reform. In fact, the universal agreement that meaningful health care reform cannot be separated from the national, and arguably global, integration of HIT based on accepted, standardized, and interoperable methods of data exchange provided the linchpin for other critically important legislation that created the glide path for PPACA.

This consensus resulted in the broad support and passage into law of the ARRA and its key Health Information Technology Act (HITECH) provision in the early weeks of Mr. Obama's presidency in 2009. Backed with an allocation of over $19 billion, this legislation authorized the Centers for Medicare and Medicaid Services (CMS) to provide reimbursement incentives for hospitals and eligible providers that take steps to become "meaningful users" of certified EHR technology to improve care quality and better manage care costs.

At the core of the new reform initiatives, the incentivized adoption of EHRs will improve care quality and better manage care costs, meeting clinical and business needs by capturing, storing, and displaying clinical information when and where it is needed to improve individual patient care and to provide aggregated, cross-patient data analysis.

EHRs will manage health care data and information in ways that are patient centered and information rich. Improved information access and availability will increasingly enable both the provider and the patient to better manage each patient's health by using capabilities provided by enhanced clinical decision support and customized education materials.

ARRA and its HITECH Act Provision

ARRA and its important HITECH Act provision were passed into law on February 17, 2009. Commonly referred to as "The Stimulus Bill" or "The Recovery Act," the landmark legislation allocated $787 billion to stimulate the economy, including $147 billion to rescue and reform the nation's seriously ailing health care industry. Of these funds, $19 billion in financial incentives were earmarked for the relatively short period of 5 years to drive reform through the use of advanced HIT and the adoption of EHRs. The incentives were intended to help health care providers purchase and implement HIT and EHR systems, and the HITECH Act also stipulated clear penalties would be imposed beyond 2015 for both hospitals and physician providers who failed to adopt use of EHRs in a meaningful way. Here are some of the key components of ARRA (Murphy, 2010) and HITECH (Blumenthal, 2010; HITFHC, 2009a).

Meaningful use. The majority of the HITECH funding will be used to reward hospitals and eligible providers for "meaningful use" of certified EHRs by "meaningful users" with increased Medicare and Medicaid payments (HITFHC, 2009b; Murphy, 2009). Both programs have start dates of fiscal year 2011 (October 1, 2010) for hospitals and calendar year 2011 (January 1, 2011) for eligible providers. On December 31, 2009, the Centers for Medicare and Medicaid Services (CMS), with input from ONC and the HIT Policy and Standards Committees, published a Proposed Rule on Meaningful Use of EHRs and began a 60-day public comment period. After reviewing more than 2,000 comments, HHS issued the final rule on July 13, 2010. The final criteria for meeting "meaningful use" are divided into five initiatives:

1. Improve quality, safety, and efficiency, and reduce health disparities.

2. Engage patients and families.

3. Improve care coordination.

4. Improve population and public health.

5. Ensure adequate privacy and security protections for personal health information.

Specific objectives were written to demonstrate that EHR use has a "meaningful" impact on one of the five initiatives. Under the final rule, there are 14 "core" (required) objectives for hospitals and 15 for providers. Both hospitals and providers have 10 other objectives in a "menu set" from which they must choose and comply with five. If the objectives are met during the specified year and the hospital or provider submits the appropriate measurements, then the hospitals or providers will receive the incentive payment. The hospital incentive amount is based on the Medicare and Medicaid patient volumes; the provider incentives are fixed per provider. The incentives are paid over 5 years, and the hospital or provider must submit measurement results annually during each of the years to continue to qualify. The objectives will mature every other year, with new criteria and standards being published in 2011, 2013, and 2015.

Quality measures. One of the "meaningful use" criteria for both hospitals and providers is the requirement to report quality measures to either CMS (for Medicare) or to the state (for Medicaid). For providers, the final rule lists 44 measures, with a requirement to comply with six. For hospitals, the rule lists 15 measures, with a requirement to comply with them all.

Because HHS will not be ready to electronically accept quality measure reporting in 2011, the Proposed Rule specifies that hospitals and eligible providers will submit summary information on clinical quality measures to CMS through attestation in 2011. HHS expects to be ready to electronically accept quality measure reporting in 2012, so hospitals and providers will be expected to submit their results on the clinical quality measures electronically beginning in 2012.

The quality measurement is considered one of the most important components of the incentive program under ARRA/HITECH, since the purpose of the HIT incentives is to promote reform in the delivery, cost, and quality of health care in the United States. Dr. David Blumenthal, current national coordinator of HIT, emphasized this point when he said "HIT is the means, but not the end. Getting an EHR up and running in health care is not the main objective behind the incentives provided by the federal government under ARRA. Improving health is. Promoting health care reform is" (Blumenthal, 2009; Manos, 2009).

Research support. ARRA and HITECH increased funding by more than $1 billion for comparative effectiveness research through AHRQ and the National Institutes of Health (NIH). In addition, NIH designated over $200 million for a new initiative called the NIH Challenge Grants in Health and Science Research. NIH anticipates funding 200 or more grants, each up to $1 million, addressing specific scientific and health research challenges in biomedical and behavioral research.

In addition, the National Library of Medicine (NLM) offers applied informatics grants to health-related and scientific organizations that wish to optimize use of clinical and research information. These grants help organizations exploit the capabilities of HIT to bring usable, useful biomedical knowledge to end users by translating the findings of informatics and information science research into practice through novel or enhanced systems, incorporating them into real-life systems and service settings.

SHARP grants. Alongside the NIH and NLM focus on incentivizing research, ONC also made available $60 million to support the development of Strategic Health IT Advanced Research Projects (SHARP). The SHARP Program funds research focused on achieving breakthrough advances to address well-documented problems that have impeded adoption of HIT and accelerating progress toward achieving nationwide meaningful use of HIT in support of a high-performing, continuously learning health care system.

Beacon communities. Also funded by HITECH, the Beacon Community Program includes $250 million in grants to build and strengthen the HIT infrastructure and HIT capabilities within 17 communities. These communities will demonstrate the future where hospitals, clinicians, and patients are meaningful users of HIT, and together the community achieves measurable improvements in health care quality, safety, efficiency, and population health. The funding was awarded to communities already at the cutting edge of EHR adoption and health information exchange to push them to a new level of sustainable health care quality and efficiency. The communities are expected to generate lessons learned on how other communities can achieve similar goals enabled by HIT.

Workforce training. Finally, ARRA funding has also been designated to educate the workforce required to modernize the health care system by promoting and expanding the adoption of HIT by 2014. Four grant programs support the training and development of the necessary skilled workforce:

* $32 million to establish nine university-based certificate and advanced degree HIT training programs, including one sponsored by the University of Colorado-Denver School of Nursing.

* $360 million to create five regional community college consortia of more than 80 member community colleges in all 50 states to help address the demand for skilled HIT specialists.

* $10 million to support HIT education curriculum development.

* $6 million to develop an HIT competency examination program.

Nursing Informatics Empowering Meaningful Use

In this massive transformation from disconnected, inefficient, paper-based islands of care delivery to a nationwide, interconnected, and interoperable system driven by EHRs and advancing HIT innovation, the importance of nurses and nursing informatics will be difficult to overstate. For decades, nurses have proactively contributed resources to the development, use, and evaluation of information systems. Today, they constitute the largest single group of health care professionals, including experts who serve on national committees and participate in interoperability initiatives focused on policy, standards and terminology development, standards harmonization, and EHR adoption. In their front-line roles, nurses continue to have a profound impact on the quality and cost of health care and are emerging as leaders in the effective use of HIT to improve the safety, quality, and efficiency of health care services.

Informatics nurses are key contributors to a working knowledge about how evidence-based practices designed in information systems can support and enhance clinical processes and decision making to improve patient safety and outcomes. In addition, as drivers in organizational planning and process reengineering to improve the health care delivery system, informatics nurses are increasingly sought out by nurses and nurse managers for leadership as their profession works to bring IT applications into the mainstream health care environment.

Therefore, it will be increasingly essential to the success of today's health care reform movement that informatics nurses are involved in every aspect of selecting, designing, testing, implementing, and developing health information systems. Further, the growing adoption of EHRs must incorporate nursing's unique body of knowledge with the nursing process at its core.

The Future

Many nursing and health care leaders agree that the future of nursing depends on a profession that will continue to innovate using HIT and informatics to play an instrumental role in patient safety, change management, and quality improvement, as evidenced by quality outcomes, enhanced workflow, and user acceptance. In an environment where the roles of all health care providers are diversifying, nurses will guide the profession from their positions as HIT project managers, consultants, educators, researchers, product developers, decision support and outcomes managers, chief clinical information officers, chief information officers, advocates, policy developers, entrepreneurs, and business owners. To achieve our nation's health care reform goals, health care leaders must leverage the patient care technologies and information management competencies that informatics nurses provide to insure their investment in HIT and EHRs is implemented properly and effectively over coming years.

In fact, in its October 2009 recommendations to the Robert Wood Johnson Foundation on the future of nursing, the Alliance for Nursing Informatics (ANI) argued nurses will be integral to achieving a vision that will require a nationwide effort to adopt and implement EHR systems in a meaningful way. "This is an incredible opportunity to build upon our understanding of effectiveness research, evidence-based practice, innovation and technology to optimize patient care and health outcomes. The future of nursing will rely on this transformation, as well as on the important role of nurses in enabling this digital revolution" (ANI, 2009, p. 9).

For no professional group does the future hold more excitement and promise from so many perspectives than it does for nursing.

Source Citation

Murphy, Judy. "The journey to meaningful use of electronic health records." Nursing Economics July-Aug. 2010: 283+. Academic OneFile. Web. 4 May 2012.

Document URL
http://go.galegroup.com/ps/i.do?id=GALE%7CA236729322&v=2.1&u=phspuqc&it=r&p=AONE&sw=w

 

INSIGHT:

         I envy the United States of America because their ex-president and their currrent president is greatly concerned and greatly involved on EHR. They know EHR's importance and how it could make their citizens life easier and their health records easy to access.I envy them because they provide enough attention and fund for the health of their people. They take their citizens health seriously,not like here in the Philippines where they don't focus/ give attention to it. America would be so lucky if former president bush's deadline that every american would be have an electronic health record by the year 2014 would be met. I hope our government would realize these things too and give funds for our health. This is something worth imitating.

 

FLY WITH HELLO KITTY

Huwebes, Mayo 3, 2012 | 3:04 AM | 0 comments

flying between cities such as Taipei, Fukuoka, Narita, Sapporo, Incheon, Hong Kong and Guam. 

 

I SHALL EXPERIENCE THIS HIGH CLASS STYLE OF FLYING! I SHALL TRY THIS BEFORE I DIE. :)

Miyerkules, Mayo 2, 2012 | 5:47 PM | 12 comments

POST MORTEM CARE

Assessment:1. Check vital functions and pronounce patient dead if permitted to do so, notify physician and record time of death and time pronounced dead.
2. Notify the following:

A. Attending Physician
B. Nursing Supervisor
C. Admitting or Census Department
D. Appropriate Agency for Organ Procedures
E. Medical Examiner
F. Designated Mortician

Planning:
1. Plan for any special religious/cultural practices desired by family.
2. Offer to transfer any other patients in room to another location temporarily.
3. Wash hands.
4. Gather equipments.
Implementation:
1. Place “No visitor – Check at Nurses’ Station” sign to door.
2. Place body in supine position with bed flat.
3. Place pillow under head.
4. Close patient’s eyes.
5. Remove watch, jewelry and all possessions, give it to the nearest relative.
6. Put on clean gloves.
7. Place small towel under chin.
8. Remove IV and other tubes unless autopsy is to take place.
9. Remove soiled dressings, ostomy bags and replace them.
10. Wash soiled areas of body.
11. Place ABD’s (disposable pads) to the perineal area to absorb any stool or urine released as the sphincter muscle relaxes.
12. Remove and discard gloves.
13. Put a clean gown on the patient.
14. Leave the wrist identifications band in place
15. Attach a second identification tag to the ankle or great toe.
16. If the body is to be viewed, replace top linens and tidy the unit.
17. Care for dentures and eye glasses, after viewing leave dentures in patients mount or place them in a denture container. Dentures and eyeglasses are sent to the morticians with the body.
18. Gather personal effects and give to the family or provide for safekeeping.
19. Wrap body and attach identification tag on outside, if facility policy indicates.
20. Transport body to facility morgue or wait for the arrival of the mortician.
21. Put away or dispose equipment and supplies used.
22. Wash your hands.

Evaluation:

1. Evaluate using the following criteria:

A. Body cared for and transported appropriately.
B. All necessary notifications carried out.
C. Family able to carry out rituals, viewing, and spend time with patient as desired. Possessions were carefully handled.

Documentation:
1. Document Post Mortem activities including:

A. Time of cessation of Vital Signs.
B. Persons notified and time of notification.
C. List and documentation of valuable and personal effects.
D. Time body removed from unit, destination and by whom removed.
E. Other information required by faculty.

sourcehttp://nursingcrib.com/demo-checklist/post-mortem-care/

Insertion of Female Foley Catheter

| 4:33 PM | 14 comments

1. Gather equipment.
2. Explain procedure to the patient
3. Assist patient into supine position with legs spread and feet together
4. Open catheterization kit and catheter
5. Prepare sterile field, apply sterile gloves
6. Check balloon for patency.
7. Generously coat the distal portion (2-5 cm) of the catheter with lubricant
8. Apply sterile drape
9. If female, separate labia using non-dominant hand. If male, hold the penis with the non-dominant hand. Maintain hand position until preparing to inflate balloon.
10. Using dominant hand to handle forceps, cleanse peri-urethral mucosa with cleansing solution. Cleanse anterior to posterior, inner to outer, one swipe per swab, discard swab away from sterile field.
11. Pick up catheter with gloved (and still sterile) dominant hand. Hold end of catheter loosely coiled in palm of dominant hand.
12. In the male, lift the penis to a position perpendicular to patient's body and apply light upward traction (with non-dominant hand)
13. Identify the urinary meatus and gently insert until 1 to 2 inches beyond where urine is noted
14. Inflate balloon, using correct amount of sterile liquid (usually 10 cc but check actual balloon size)
15. Gently pull catheter until inflation balloon is snug against bladder neck
16. Connect catheter to drainage system
17. Secure catheter to abdomen or thigh, without tension on tubing
18. Place drainage bag below level of bladder
19. Evaluate catheter function and amount, color, odor, and quality of urine
20. Remove gloves, dispose of equipment appropriately, wash hands
21. Document size of catheter inserted, amount of water in balloon, patient's response to procedure, and assessment of urine

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