Module 6

In this module I learned about problems you could have on you computer when down loading things, such as applications or just looking at a web page. I also really did not understand the concept of phishing.
I have enjoyed this module in learning more about electronic health records and how they can be used. I was not aware that a patient can have connections with his or her healthcare provider and access to their health records via electronic devices, such as PDA or cell phones.

Module 5 Blog

This module's readings were interesting. I was able to take a look at my own clinical decision making and of others within my practice. I so use heuristic thinking at times in decision making, but that is part of my past learning. Through the readings have found that that is not all that bad, if I use evidenced based studies to back up or enhance my thinking.

The more I learn about decision making in the clinical setting the more systematic I am about clinical decisions. As in the video or podcast the gentleman pointed out the importance of the scientific equations for predictions and how they were more accurate than the human mind with recollection of experience.

Module 4 Blog :)

Teaching done in my professional role as an Neonatal Nurse Practitioner, including teaching the new RN to the NICU, orienting them to the population of patients and helping her to understand my role as an APRN as it is collaborative in the NICU with theirs. I can do this by helping the RN and other team members to understand my rationals with orders for the baby. I also feel it important to teach through listening with respect to the RN's at the bedside and their ideas for care, so that a real understanding and professionalism can be achieved. I also have a responsibility to talk with the parents of these neonates in the NICU about their baby and what is going on. I want them to understand as much as they can my thoughts as I am taking care of the medical management of their baby they need to be involved in the process. I also want them to feel I care about them and their infant through my interactions.

There is no aspect of my health care provider that does not involve teaching, be it teaching to a resident, colleague, bedside RN, Respiratory Therapist, Dietitian, pharmacy, social worker or family member. In my teaching there is also learning for me from the above mentioned people. I believe in every aspect of teaching there is learning as well. We as health care providers need to be humble enough to take in the teaching of colleagues and give them credit for their willingness to share their knowledge. Also not be to authoritative in my teaching.

Blog Entry Module 3

I have so much to learn about informatics and can see how this will help me throughout this program and in my practice.

I used PubMed search data base and I learned how to use the MeSH data base in PubMed and found it easy to use for me giving me a better way to obtain a more detailed citation list. I have never used the MeSH portion of PubMed before because I felt it was too confusing. I will use it now.

I felt the guideline index was too broad and limited as to the subjects I was looking for. Not as user friendly as PubMed.

I did go onto Google scholar and was impressed. I always thought it was not professional. I found it easy to use and not as technical as PubMed. I also used the Google alert for articles that went with my clinical problem. Some of the article references forwarded to me were not really applicable to what I asked for.

I really enjoyed the articles from about find reliable information on the web. Very informative not just for the academic world, but for the public as well. You have no know what your looking at and not just take it as the truth. You can not believe everything you read, many things written there are not truly credible.

Good module. I really needed it and feel more confident with PubMed and EndNote.

Module 2

In the NICU's within Intermountain Healthcare we use Clinical Workstation for our charting as NNPs. We refer to it as the EMR (electronic medical record). Intermountain hired computer specialists to design the program for us in conjuction with 3M. Back then a group was made up of representitives from all NICUs to help with the design of the program. I was not one of them, but was asked, as an end user, for ideas and for an opinion on other's ideas. Now we are at a point where the current EMR is not functional for us any longer. Now we are on the search for aother ecletronic record. Again I am not on the committee for designing, due to school. I will be involved in the evaluation process for NICU EHR that are available. It seems that the decision is not up to the NICUs, but the corporation, after out input. Some of the programs I have seen are wonderful, but expensive. I am leaning toward selecting a EHR program available for our use since the first product design with IHC did not work out.

Cindy's REAL blog address

Sorry I forgot to identify the blog with the class. So the real one is Cindys6004.blogspot.com

Thanks