# Presentation: 084965

## Nursing Hot TopicsCourse 120

**Cathy Rick, RN, CNAA, FACHE**
**Oyweda Moorer, RN, MSN, CNA **
**Office of Nursing Services**

## Purpose Statement and Objectives

- To have a dialogue with nursing staff about nursing strategic planning with respect to IT initiatives, including the benefits of such programs on the delivery of care.
- Objectives:
- Provide overview of Nursing IT goals and initiatives
- Increase knowledge of interrelatedness between NNEC goals
- Obtain suggestions for future initiatives and improving the system from Nursing staff, Automated Data Processing Applications Coordinators (ADPAC), and Clinical Application Coordinators (CAC’s)

## Food for Thought

- Questions to keep in mind:
- 1. Do you think the strategic plan supports the work of nursing in the field?
- 2. What do you think about the new functions and structure of the NNEC Technology group?
- 3. Describe an Informatics innovation or Systems Design innovation that you would like the National Nurse Executive Council to consider.

## ONS Vision

- Future IT Technology will:
- Be accessible, effective, user friendly
- Be available at the point of care
- Facilitate seamless processes
- Support improving patient outcomes
- Serve all levels of nursing
- Facilitate decision support

## Value Statement

- Nursing should benefit from technology that supports improving patient outcomes
- Technology needs to serve all levels of nursing, creating seamless processes that support proactive practice in clinical, administrative, research, and education areas
- New technology should have utility as well as efficiency
- Nursing should provide input in every phase of technology design, implementation, and procurement

## ONS Current Strategic Plan

_**National Nursing Strategic Plan:**_

## ONS Future Strategic Plan

- _Planning Process:_ The planning group was tasked with developing a list of wildly important goals for the future of Nursing. This list was then subject to an affinity diagram process, where like items were assembled into the following goal categories:

## Technology Consultative Group

- Formerly Technology Goal Group #2
- New structure
- New strategy

## Current ONS IT Projects

**Project Teams**
- VANOD
- Bar Code Expansion
- ICU Flow Sheet
- VA/DoD Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) Patient Hand Offs
- VHA/DoD Patient Acuity/Schedules Pilot
- MRSA Virtual Simulation Training
- VA Quality Enhancement Research Initiative, HANDS Pilot Project
- IT Annual Assessment
- Admissions Assessment
- E-Proficiency
- Staffing Methodology
- Pharmacy Re-engineering
- Hands-on Automated Nursing Data System Project Pilot
- Funded through the Quality Enhancement Research Initiative

## Committees – National Nurse Executive Council (NNEC)
Bar Code Oversight Board
CPRS Change Control Board 
Repository Oversight Board
VHA Data Consortium 
IDMC				
MHV/CAB				
HISEB

- Bar Code Oversight Board
- CPRS Change Control Board
- Repository Oversight Board
- VHA Data Consortium
- IDMC
- MHV/CAB
- HISEB

**Current ONS IT Projects (cont’d)**

## Bar Code Expansion (BCE) Project

**wCareMedTM:** Utilizes barcode scanning technology to support medication administration
**wCareMedTM: **Goes beyond checking the “five rights”; features allergy warnings, entry of pain scale information and PRN effectiveness
**wCareViewTM:** Designed to provide the functional components of a patient’s paper chart, while offering the flexibility of wireless mobility
**wCareCollectTM:** Improves the specimen collection process
**wBloodCareTM:** Provides functionality at the bedside to ensure that the correct patient receives the correct blood product
**wCareAssistTM:** Provides care management tools that support the nursing process

## ICU Flow Sheet

- E-document on patient record in ICU
- Commercial Off the Shelf (COTS) Products
- Interface w/CPRS

## VA/DoD OEF/OIF Patient Hand Offs

- Effort to standardize electronic polytrauma patient hand off between the DoD and VA
- Communication across episodes of care and sites of care
- Electronic Patient Hand-off uses **SBAR** Communication Framework
**S**ituation
**B**ackground
**A**ssessment
**R**ecommendation

## VHA/DoD Patient Acuity/Scheduler System  Pilot

- Optimum nurse staffing based on varying levels of patient acuity and other variables
- Joint interoperability funding (JIF)
- This pilot will test the effectiveness of this approach

## HANDS Project Pilot

- Collaborative effort between University of Illinois School of Nursing and Office of Nursing Services
- Miami VA Nursing Service
- An electronic “short/story/synopsis” of a patient’s care
- Tracks patient outcomes
- Utilizes nursing taxonomies
- North American Nursing Diagnostic Association (NANDA)
- Nursing Interventions Classification (NIC)
- Nursing Outcomes Classification (NOC)

## MRSA Virtual Simulation Training

- VA Pittsburgh Healthcare System (VAPHS)
- Role models behavior
- Widespread dissemination among VA facilities

## HOANA – Patient Warning Systems

- Tracks changes in patients’ status
- Device alerts medical staff of any sudden drops in HR or RR
- Alerts nursing staff if patient gets out of bed, and prompts an audio command to the patient to return to bed

## Technology Questions Added to Practice Environment Scale

- Access to computerized patient care information at the point of care
- IT systems that are up-and-running when I need them
- A computerized healthcare record system supports nursing practice
- Effective training on new technology
- I am able to provide better care to my patients because of the information systems available to me

## IT Annual Assessment

- Purpose
- Evaluation of the effectiveness and availability of technology resources in VHA healthcare delivery settings that support nursing practice
- Origination
- Recommendation of the National Commission on VA Nursing
- Activity
- Each facility submits technology and software requirements to improve nursing efficiency and decrease nursing turnover

## Recognition of Nursing Staff Participation

- Project Teams
- Committee Participation

## National Nurse Executive Council Technology Goal Group

- Chair: Michelle Brown
- Co-Chair: Anne Gillespie
- Facilitator: Oyweda Moorer
- Committee Members:
- Sandra Berrigan
- Lynn Cooper
- Becky Kellen
- Carol Nizzardini

## Membership Participants Recognition

***Administrative Informatics Sub Group:***
- Chair: Lynn Cooper
- VISN reps:
- Thor Patterson-Ritz
- Karen Hendry
- Jane Schmidt

## Membership Participants Recognition

***VHA Nursing Clinical Informatics Sub Group:***
- Chair: Ruth Gorman
- Co-Chair: Josephine Sciacca
- Jonathan Bagby
- Diane Bedecarre
- Laura Brenton
- Barb Clarke
- Grace Curry
- Michael Eskau
- Charlotte Feldman
- Sue Gohlinghorst
- Patty Greim
- Joan D. Gronert
- Patrick L. Hyers

- Becky Kellen
- Toni King
- Rose Lester
- Patty McDaniel
- Holly Miller
- Ginny J. Olson
- Pamela R. Pickett
- Janet Pierce
- Darryl E. Reid
- Dale M. Ryan
- Ahnnya A. Slaughter

## Membership Participants Recognition

***VHA Nursing Clinical Informatics Sub Group (cont’d):***
- Diana J. Smith
- Terri Speegle
- Greg R. Strandberg
- Tammy Talley
- Mark Edward Thompson
-  Mary Wideman
- Salena Wright
- Justine E. Ziemba

## Membership Participants Recognition

***Bar Code Expansion (BCE) Work Groups:***
**Code Blue**
- Sean McFarland
- Claire Monzeglio
**Blood Transfusion**
- Beverly Green-Rashad

## Membership Participants Recognition

***Bar Code Expansion (BCE) Work Groups:***
**Phlebotomy**
- Laurie Allen
**Vital Signs**
- Lead: Mary Wideman
- RN: Diane Shelleday
- LPN: Sherry C. Smith
- NA: Sheila Foltz

## Membership Participants Recognition

***Bar Code Expansion (BCE) Work Groups:***
**Intake and Output**
- Lead: Mary Wideman
- RN: Dana Weaver
- LPN: Alexandra Gillenwater
- NA: Sheila Zisman
- NA: Virginia Wise
**Training**
- Kathryn Sapnas

## Membership Participants Recognition

- Chair: Cathy Locher
- Co-Chair: Dr. Kathryn Sapnas
- Tammy Berry
- Felisa Fawver
- April V. Hamilton
- Douglas Klein
- Abigail Rodriguez
- Elizabeth Mims
- Dorothy Frazier
- Debra L. McAninch
- Mary Tatum

**Membership Participants Recognition**

- Dale Ryan
- Marianne Harrington
- Irynne Sixon

## Food for Thought

- 1. Do you think the strategic plan supports the work of nursing in the field?
- 2. What do you think about the new functions and structure of the NNEC Technology group?
- 3. Describe an Informatics innovation or Systems Design innovation that you would like the National Nurse Executive Council to consider.

## 
Thank you very much for participating!!

**Thank you very much for participating!!**