Hard Wired to Heal
This article discusses the social issue of saving patient health information in the wake of a disaster. Two hospitals in New Orleans, during hurricaine Katrina, had patient records distroyed; however, one hospital could retrieve the information from electronical storage. In 2004, President Bush issued an executive order to have most of patients health records coverted to electronic format in 10 years. The nursing school at John Hopkins University has identified the importance of informatics and integrated it into their program.The use of the schools simulation incorporates technology into the nursing practicumm. Patricia Abbott stated “To send a nurse into practice without any information technology skills is a failure to comprehensively educate that nurse.” I agree, as technology advances so should nursing practice.

4 Comments:
I envision a day when we will all carry our health records on a card or flashdrive to give to our providers of care for instant medical history. This article was great. I am sure many records have been destroyed through the course of natural disaters or fire.
Technology is great in that if the information is saved correctly it is not as easily destroyed as paper. It definitely seems like a great idea to back up all information electronically, because not knowing a patient's history can cause compromised care or potential harm (such as rxn to abx or anesthesia, which the patient may not remember). Nursing schools really must help prepare their students for the changes in charting- rather than learning on paper and the 'tri-fold' assessment sheets they need to learn to chart on a computer. Nurses who do not know how to use technology when a hospital converts away from paper end up spending more time away from patients and taking more knowledgeable nurses away from their patients- which of course is dangerous. Education must be done in schools, and hospitals should offer extra classes for those who need extra assistance outside of the days they are working on the floor.
Interesting article about saving all the medical records eletronically in case of a natural disaster like Katrina. I find it amazing how hospitals vary in their stage of transitioning from paper to eletronic medical records. Even within the HCA system of 169 hospitals, we vary greatly from one to the other. For instance our ER still uses a paper trail and our neuro intensive care uses both written and electronic documentation. HCA expects all new documents to be created electronically with the plan of being completely electronic.
Debbie
I wholeheartedly agree with the presidential mandate to convert medical records to electronic format- I just wish we did not have to wait 10 years! I would carry the mandate one step further...
The servers which host this information should be, say, 500-1000 miles away from the institution. Therefore, though records are lost/damaged in New Orleans, for example, the server that hosts them is still up and running, say, in Kansas.
I would love to see age-related demographic trends for nurses and their use of technology. Without wanting to sound ageist, many of the elder nurses with whom I work do not only not know the technology at their desk, they are reticent to learn it. This complicates nursing flow when three nurses on a unit have three different aptitudes for technology.
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