Name of Group/Meeting:Nursing Informatics Advisory Committee (formerly HED Advisory Committee)

Date / Time / Location: : April 18, 2013, 2-3:30pm, Wadlington Conference Room, A side, VCH / Next Meeting: May 2, 2013, 2-3pm, 5053/54, MCE, North Tower
Chair: Vickie Thompson, Karen Hughart
Attending Arlene Boudreaux, 6T3; Jessica Newman, PICU; Ben Small, CRC; Mary Koziura & Jodi Perry, VPH; Cheri Wood, NICU; Mimi Arthur, 8C; Maria Morrissey, PCICU; Martha White & Aaron Hirsch, 9N/S; Heather Campbell, 5S/6S; Abigail Luffman, 10N; Shawn Hall, 6RW/10S; Shelley Padget, 7N; Emily Stubbs, 8N; Nancy Rudge, Bill Raines, Kristen Beruti, Karen Wilson, Deborah Ariosto, Informatics; Lillian McGehee, Val Kibler, Debi Camp, Stephanie Philo, Heather Freeman, Blair Anderson, Nicole Callendar, Tom Mack, Julia Lankes, Gwen Holder, Jackie Sharpe, & Karen Hughart, Systems Support Services
(anyone who failed to sign in, please let me know if you are not listed and I’ll be glad to correct the record)
Meeting Objectives:
  1. Information sharing on new features & training and implementation plans if applicable
  2. Decision making on new enhancements
  3. Begin to identify significant enhancements needed (for future prioritization).

AGENDA

/ MINUTES
Who/Time / Topic / Summary / Decision / Next Steps
R0014780 Jessica Newman, PICU, 10 min. / We need a place to chart assessments of a pt's eyes, and eye interventions (i.e. eye irrigation, eye lubricant, eye gtts, eye patches, eye shields placed, or eyes dilated by opthomology).
Present mockup of what dropdowns would include. / See attached. Much discussion about proposed assessment. Will review “mock up” at next mtg. to finalize / Clin App Spt Team to mock up requested assessment for final validation
R0039418 Abigail Luffman, 10N Trauma (5 min.) / Trauma now has intouch beds with isogell air mattresses, this is not an currently an option.
Feedback from WOC is that “Intouch bed w/isogell mattress” should be a new specialty bed option. Currently available only in Trauma Unit. / Approved
R0039446 Deanna Bryant Norman, 6A Myelosuppression (5 min.) / Make O2 sats and line access available to chart on Blood Admin. Tab. This way you are able to chart all of the vitals and the flushing/blood return at the same time you chart your blood product information. [this will affect all areas that have access to the Blood Transfusion tab.] / Approved to add where vital signs are documented similar to Chemo Tab.
R0038133 Laura Westerman, Peds ED (5 min.) / Under Procedure on Unit please add laceration repair to drop down menu. [This will impact all who have access to document “procedures on unit”. ] / Approved.
Deborah Ariosto, 30 min. / Review upcoming changes in documentation related to implementation of our nursing documentation framework. / We will send a summary separately once it’s available.
Group Discussion 30 min. /
  • Invite staff from units that have been piloting VCWS (MICU, 8S) and Shift Planner and Risk Mgt.
  • What are the risk of over-reliance on paper for clinical data? Look at RCA and Occurrence data in which decisions were made based on outdated data
  • What is the right balance between reliance on paper vs. computer for clinical data?
  • What were barriers to clinical data access from computer during Shift Planner pilot?
  • Do nurses on VCWS units find it easier/quicker to access data? How has this changed use of paper vs. computer?
  • How will badge swipe sign on and VCWS usage impact this further?
/ See attached document
All
5 minutes / Updates and announcements & questions from participants.
Proposed elements for Eye Assessment from PICU:
I have connected with Ophthalmology and the NICU to make sure we had covered bases. Here is what everyone agreed on:
Assessing for eyelid closure. Charting by exception would be “no” or “fused”.
Assess for drainage: Amount: Small, med, lg, copious; Color: clear, yellow, white, green, orange; Thick, thin, Crusted.
Assess Conjunctive: erythema, jaundice, scleral edema – mild/mod/severe (we could remove this from skin I think?).
Assess Cornea: Cloudiness/haziness, White patch, Dark patch, Other.
Presence or Absence of an eye shield or patch (both choices) – left eye, right eye, both (the NICU felt that this could take the place of their eye shield charting for phototherapy)
Interventions (this should also be available in the QuickAssess): Ophthalmology consult, pupillary dilation, eye lubrication, eye gtts, eye care, eyelids held closed, eye goggles placed/removed, medicated (see AdminRx).

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