NR 361 Week 6 Assignment; Interview with a Nursing Information Expert: Spring...ANSWERS..

Interview with a Nursing Information Expert Interviewer Form Your Name: Directions: After completing your interview, you must use this form to submit your assignment to the Dropbox. You may use the form to capture information as you conduct your interview, or fill it in later. The form is expandable and will enlarge the textbox to accommodate your answers. Do not rely only on this form for everything you must include! Please look in Doc Sharing for specific instructions in the Guidelines for this assignment. Criteria Fill in the answers in this column. Demographics: Provide initials of the RN, official job title of interviewee, and the date the interview was conducted. C.H. Staff Nurse 10/8/16 Required Questions (answer EVERY question in this section) 1. Describe your career path to your current position. Include information about education and experiences. Nursing was a change of career for me. I was hired as a Cancer Care Technician in Calvary hospital after a brief period of volunteering in their recreation department in 2004. After working as a technician for a year I became very interested in pursuing nursing, but was nervous that I might be smart enough. I took the entrance exam for the L.P.N. course at Westchester Community College, and was accepted. Halfway through the program I fell in love with the prospect of becoming a nurse and through the encouragement of my professors I went on and applied to enter WCC’s associate’s R.N. program. I was once again accepted, and thank goodness to my high G.P.A. I was allowed to complete my studies in three semesters. 2. Discuss the value of best evidence as a driving force in delivery of nursing care at your facility. My facility bases their delivery of nursing care with the core values of non-abandonment, dignity, compassion, caring, and respect of the terminally ill patient. It believes in caring for the patient as a whole. There is an emphasis on symptom management. This includes symptoms such as pain, nausea/vomiting, delirium, safety, spiritual/emotional suffering, wound care, and respiratory distress. 3. What safeguards and decision-making support tools are embedded in patient care technologies and information systems that support safe practice at your facility? Decision making includes the patient, health care proxy, advanced directives, primary doctor, nurse, social workers, dieticians, case managers, and pastoral care. Computer programs include full data assessment collection screens that walk the nurse through body systems with choices that can be documented in relation to body system assessments. There are also screens that prompt the nurse to make selections regarding patient’s support systems and the patient’s emotional status, safety, and fall risks. Computers are also equipped with programs to collect information regarding input and output of each individual patient. Finally, there are also a selection of free text screens in order for the nurse to be able to provide information on out of the ordinary events in a patient’s daily basis. 4. Tell me about patient care technologies that have improved patient care at your facility. Patient care technology that improves patient care at my facility include: turn schedules, in order to prevent unwanted pressure ulcer development/skin breakdown, hourly rounds that help visualize and asses the patient for safety maintenance and prevention of falls, bed alarms, hand held call bells, and at times one to one care provided by a technician for a patient that may be extremely confused and at high risk for falls or injury. 5. What groups of healthcare workers rely on you to collect high quality information/data and how is that information utilized? Technicians and nurses aids rely on the nurses to collect information, so that it may be utilized in a patient’s day to day care. This may include and not be limited to assistance for bathing, eating, ambulating, and wound care. Doctor’s also rely on the nurse’s assessments and data collection in order to determine if a particular medication regimen is effective for each individual patient. Dieticians will make appropriate diet changes bases on the nurse’s assessment regarding a patient’s swallowing ability and nutrient supplement needs. Social workers will become involved if there is need of intervention with family, or the social needs of a patient. Case managers will use collected data in order to evaluate the patient’s ability to be discharged to home or extended care facilities, and finally pastoral care may use information in order to assist a patient in spiritual needs that may include coping with end of life fears. Optional Questions (answer only ONE question from the choices below) 1. Please tell me what challenges you have faced in dealing with other It is hard to single out any one discipline in particular when it comes to their understanding of the nurse’s needs. If anything it drives me crazy to hear someone tell me “it only takes two disciplines who may not “understand the needs of nurses/nursing?” minutes”. A social worker or recreational department staff member may arrive to the unit ready to collect a patient for recreation or mass. Though typically patients are up in their chairs, medicated, washed, and fed; there are instances when a patient may have required additional time, care, or may actually not be feeling up to a recreational activity on a particular day. Still though a recreational staff member my arrive to the unit and demand the patient come to an activity because they’ve enjoyed it before. However, today the patient may have increased pain or delirium due to their disease. Without knowing the medical diagnosis or the day to day care of an individual patient any non-nursing staff member may not understand how delicate a patient is, and how their condition may change from moment to moment. Another example would be an x-ray technician arriving to the unit expecting a patient to be laying in a stretcher waiting to be taken to their scheduled x- ray. However, due to extreme shortness of breath, or pain the patient may have refused to be placed on the stretcher and the nurse respected the patient’s wishes. At this time the medical doctor would have been informed in order to obtain an alternative such as a portable x-ray to the patient’s bedside. 2. Please share an example of how garbage in/garbage out (GIGO) impacted a decision related to your information/data collection. 3. Please give me an example of how the lack of interprofessional collaboration impacted your role. 4. Please describe what a typical day on the job is like for you?