FAQ On Telemedicine

Competency
Compare decision-making techniques that guide clients, healthcare professionals, and families to make educated decisions on the best course for care.
Scenario
In the healthcare field today, there are a variety of ways and types of locations providers can “see” and treat patients. A fairly new concept is to provide medical treatment through a remote delivery method known as telemedicine. This new approach involves the remote delivery of clinical information using telecommunications technology, including the internet, telephone media, satellite, and wireless systems. Telemedicine can be completed through video chat, medical booths, text messaging services, and more.
Recently, a telemedicine booth opened up inside the community grocery store near Rassy Medical Center. Your patients have questions regarding the process, care, and quality of this idea. As the medical receptionist, your job is to answer patients’ questions; however, you have been spending and increasing amount of time repeatedly answering the same questions regarding the new telemedicine booth.

Instructions
Create an FAQ (frequently asked questions) sheet to be displayed in your clinic to educate the patients on what telemedicine is and how it can be utilized. Your FAQ should contain a title and an organized list of questions and thorough answers. Be sure to use and list at least three relevant and credible sources.
Include these points:
What is telemedicine?
Is it safe and secure?
How does it work?
Will insurance cover it?
Is it cost effective?
Why would a patient use telemedicine instead of going to a live clinic?
Resources
For more information about telemedicine, review the following video examples:
Telemedicine Booth
Telemedicine robot and virtual office visit
Telemedicine video chat

Evidence-Based Proposal To Support The Need For A Nurse Informaticist In An Organization Who Would Focus On Improving Health Care Outcomes.

Introduction
Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
Define nursing informatics and the role of the nurse informaticist.
Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.
Justify the need for a nurse informaticist in a health care organization.
Competency 2: Implement evidence-based strategies to effectively manage protected health information.
Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality).
Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
Follow APA style and formatting guidelines for citations and references.
Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling.
Scenario
For this assessment, assume you are a nurse attending a meeting of your state’s nurses’ association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager. These individuals ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.

Preparation
To successfully prepare for this assessment, you will need to complete these preparatory activities:

Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.
Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wiki pages, job boards, et cetera.
Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.
Interview peers in your network who are considered information technology experts.
Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.
Proposal Format
The CNO and HR manager have asked you to include the following headings in your proposal and to be sure to address the bullets underneath each heading:

Nursing Informatics and the Nurse Informaticist
What is nursing informatics?
What is the role of the nurse informaticist?
Nurse Informaticists and Other Health Care Organizations
What is the experience of other health care organizations with nurse informaticists?
How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?
Impact of Full Nurse Engagement in Health Care Technology
How does fully engaging nurses in health care technology impact:
Patient care?
Protected health information (security, privacy, and confidentiality)?
Workflow?
Costs and return on investment?
Opportunities and Challenges
What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?
How can the interdisciplinary team collaborate to improve quality care outcomes through technology?
Summary of Recommendations
What are 3-4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?
Additional Requirements
Written communication: Ensure written communication is free of errors that detract from the overall message.
Submission length: 4-5 double-spaced pages, in addition to a title page and references page.
Font: Times New Roman, 12 point.
Citations and References: Cite a minimum of 3 current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of 1 current professional blog or website to support your central ideas. Current means no more than five years old.
APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the APA Style and Format page on Campus.

Evaluate the Health History and Medical Information for Mr. M., presented below.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

Temperature: 37.1 degrees C
BP 123/78 HR 93 RR 22 Pox 99%
Denies pain
Height: 69.5 inches; Weight 87 kg
Laboratory Results

WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head shows no changes since previous scan
Urinalysis positive for moderate amount of leukocytes and cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

Describe the clinical manifestations present in Mr. M.
Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
Discuss what interventions can be put into place to support Mr. M. and his family.
Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Leadership Nursing Priority

Change of shift report from another nurse. If you were the nurse in this situation, which client should you

see first? Identify the priority framework you are using and the rationale for your selection.

Patient #1 – Nancy Jones in room 6310 has an infiltrated IV line, we were unable to start a new IV and her

ampicillin is due at 8 AM

Patient #2 – Justin Foster in room 6314 called for pain medication at 7 AM so that still needs to be given to

him

Patient #3- Anna Chen in room 6315 is diagnosed with gastritis and called for assistance to the restroom. I

contacted assisted personal and told them this

Patient #4 – Lenny Williams in room 6307 contacted Laura, the assisted personal, stated that he

experiences pain in his right calf and Laura stated his calf was red

Sample Solution

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