I am currently working on two different research projects going on in Florida Hospital, Tampa. One is on the utilization of ultrasound guided EKOS Catheter System for the treatment of massive/submassive Pulmonary Emboli. The second one is on the percutaneous removal of venous clots using AngioVac Cannula System. I have access to Electronic Medical Records for data compilation and for that I have learnt the use of CERNER system. Although it is a retrospective study, I still go regularly to the catheterization lab to see the new cases as it increases my understanding of these novel techniques.
I worked as an observer at Florida Hospital, Tampa, in the Department of Internal Medicine for a period of 3 weeks. It was the biggest of all US hospitals
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This was the first experience in which I had access to the Electronic Medical Records which was quite exciting. I had already passed the USMLE Clinical Skills exam so I was familiar with the pattern of patient notes; it did not take me long to get hold of the EMRs. Besides attending the daily morning rounds, my duties included interacting with the patient which was more hands-on as compared to previous rotation as it was an externship. I also worked in Radiology and Emergency Departments, outpatient clinic at Black River Medical Clinic, observed sleep studies, echocardiography, exercise and nuclear stress …show more content…
This was a unique experience as I had already done 1 month observership in cardiology in Kingman, AZ so I was able to compare the two systems. Here I was actively involved in the inpatient and outpatient management of common conditions like Congestive Heart Failure, Hypertension, Acute Coronary Syndrome and various arrhythmias like Atrial Fibrillation, Supra-Ventricular Tachycardia and Ventricular Fibrillation. Although I had learnt the basic EKG concepts during my rotation in Internal Medicine, it was here where my EKG interpretation skills were
Steele, A. M., & DeBrow, M. (2008). Efficiency gains with computerized provider order entry. In: Henriksen K, Battles JB, Keyes MA, Grady ML (eds) Advances in patient safety: new directions and alternative approaches AHRQ publication no 08–0034-4, vol 4. Technology and Medication Safety Agency for Healthcare Research and Quality, Rockville, MD. Retrieved from http://www.ahrq.gov/qual/advances2/
An electronic health record (EHR) defines as the permissible patient record created in hospitals that serve as the data source for all health records. It is an electronic version of a paper chart that includes the patient’s medical history, maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care. Information that is readily available includes information such as demographics, progress notes, allergies, medications, vital signs, past medical history, immunizations, laboratory data, & radiology reports. The intent of an EHR can be understood as a complete record of patient
On September 28, when we went to Tripler Army Medical Center, I was placed in the Cardiac Ward. At that time, I was able to learn so many diagnosis dealing with the patients. The nurse had briefly explained what was going on with each individual patient and the type of treatments they are doing to help. She had also neatly clarified each medication she was giving them and told me exactly what it was used for. I was able to get an experience of hands on by taking a patient’s temperature. I had shadowed as she did so many things to make the patient feel comfortable and did everything to the best of her ability to make them happy. She had taught me how to record every piece of information about the patients on the computer by showing me what
Besides the disadvantages of (EMR)’s the advantages pose great benefits to patient care and efficiency. The greater use of electronic medical records or health records can reduce wait times, of seeing doctors or waiting for test results. All staff would need to cohesively work out the technical challenges and software data. With sophisticated IT
It is no secret that the medical profession deals with some of population’s most valuable records; their health information. Not so long ago there was only one method of keeping medical records and this was utilizing paper charts. These charts, although still used in many practices today, have slowly been replaced by a more advanced method; electronic medical records or EMR’s. “The manner in which information is currently employed in healthcare is highly inefficient, which slows down communication and can, as a result, reduce the emergence and
We live in a digital age where everything from photos to important documents is saved or stored online. This includes the use of electronic medical records. The electronic medical record (EMR) is useful in assisting physicians to have a complete and thorough health history of the patient. The EMR serves as a continuity of care from one hospital to another within the same organization (Hsieh, 2014). Consulting physicians also have quick access to recent diagnostic imaging, progress notes, and lab results. EMRs can help manage patients with chronic disease states, aid in data collection for use in research, and prevent adverse drug events (Hsieh, 2014).
Kaplan Home Health will be rolling out a new Electronic Medical Records (EMR) in the summer for 2017. “The Office of the National Coordinator for Health Information Technology (ONC) defines an EMR as a digital version of paper charts in a clinician’s office that contain the medical and treatment history of patients in one practice” (Zahabi, 2015). This will effect health care providers such as physicians, nurses, nurse aides, radiology personnel, and lab personnel. There will be mandatory training on this EMR system starting May 1, 2017. All staff will have an opportunity to learn the new system, ask questions, spend time practicing within the new system, as well as a comprehensive test at the
Catheters are tubes that are used to drain fluids from the body. They are often employed in removing the fluid from the urinary bladder and therefore, are an important element in urology care. It is important to understand their importance and correct use, if you are looking to take care of a patient. It used in a variety of environments.
The lesson and case studies presented for evaluation was a great learning exercise. A better understanding of how to interpret data was gained. Also, weighing the clinical significance versus the statistical significance to show relevance is invaluable. All research is not quality research and one must be equipped to recognize bias, threats to validity and proper population representation. Moreover, critiquing the credibility of a study is essential to the health care advances.
A lengthy list of EHR benefits supports the evolution from paper to electronic medical record keeping. One such benefit, the significant reduction of needed storage space. Bulky paper charts require a lot of space and misplaced charts waste time and effort to locate. Since EHR data remains on the computer, medical practices no longer require secure on-site storage, and electronic files eliminate misplacing files. Another benefit to data remaining on the computer rather than a medical chart, electronic records allow immediate access from several locations. EHRs provide emergency room personnel access to allergies and other pertinent information of unconscious patients. The on-call physician accesses patient information from their home computer, rather than driving to the medical
EMR concerns are plaguing the health care industry today that requires change. Healthcare professionals, such as nurses, are on the front lines in the defense against medical errors. Closing the gap between current clinical and hospital practices and the various approaches to improving patient safety requires changes that are cultural and systemic in nature. The greatest challenge to hospitals using an EMR system is the expense of the new system, and the challenge nurses face with technology adoption in usage of EMR and protection of records. Even though spending depends on both the hospital size and the technologies were chosen, implementation and installation of a Health Information Technology system, which includes EMR, are often multi-year investments. The transition from a paper-based system to an electronic system is a very complicated process within every hospital establishment. The transformation is time-consuming and involves numerous staff from across the hospital, including Information Technology personnel, physicians, nurses, ancillary providers, etc. Although hospitals work hard at managing the changes required to move toward an electronic environment, there is no guarantee that hospital personnel will properly utilize the expensive new IT system or EMR. Therefore, the training in the EMR integration is required to all medical staff to have an efficient and uncomplicated system.
How can EMR’s improve the nursing process now and in the future? Having had the op-portunity to perform my clinicals in three different Emergency Departments in the past two years and being exposed to both the positive and negative to both paper and paperless medical records Training new nurses is vital for an accurate EMR. Bober, M., & Boonstra, J.
As Friday was my first day starting my experience at the cardiac catheterization lab, I was quite nervous and curious about the different things that I would have to do considering in all my time volunteering at the hospital, I have been to the cath lab only one or two times. However, when I went to the lab I was warmly welcomed by some of the staff and I later met many of the nurses and doctors there as well. Everyone was very friendly and they were excited to have my help and to “train me.” In fact, one of the doctors I met wanted me to do some research regarding cardiac catheterization to “get me more involved in the field,” which is pretty exciting because I'm not very familiar with anything related to cardiology but I chose this specific
Electronic medical records can benefit patients in many ways. One major way it can benefit a patient is the efficiency of the records being organized and easy for any practitioner or staff member to read. EMR can lower the risks of
Electronic medical records (EMR) software is a rapidly changing and often misunderstood technology with the potential to cause great change within the medical field. Unfortunately, many healthcare providers fail to understand the complex functions of EMRs, and they rather choose to use them as a mere alternative to paper records. EMRs, however, have many functionalities and uses that could help to improve the patient-physician relationship and the overall quality of patient care. In order for this potential to be realized, both the patient and the healthcare provider must have a deeper understanding of EMR purpose and function. In this paper will highlights the historical developments and its potential effects on the patient physician relationship in order to