Sample Nursing Assignment on 393 Informatics and the Healthcare Environment

UNIVERSITY AT BUFFALO
STATE UNIVERSITY OF NEW YORK
School of Nursing
393 Informatics and the Healthcare Environment

Healthcare Algorithm

Parts I and II, and III  – due typed as a Microsoft Word document and to the assignment dropbox on UB Learns, Part III requires you to post your algorithm (Part III) to the discussion board.

Part IVReply to at least TWO other colleagues’ discussion board postings.

Learning Objectives:

The student will:

• Develop and analyze a decision support tree
• Evaluate how a clinical information system/decision support system interacts with the EMR
• Discuss some of the overall advantages of using a CIS/DSS.

Assignment Guidelines:

• Part I
1. Analyze how a current CIS/DSS/algorithm system is already in place, in a clinical setting. You may choose any kind of clinical setting (e.g. hospital, out-patient clinic, etc.) Identify the goal(s) and the process (how the system flows). How could it be improved upon to achieve the desired outcomes?
• Part II
1. Choose a nursing activity (i.e. administering medications, wound care, etc.) This should be different than the one you discussed in Part I.
2. Choose an exemplar for the patient
1. Example – Patient to receive furosemide (Lasix)
• What are the goals of this nursing activity? (Select three goals)
1. Example – Keep BP below 140/90
2. Provide adequate urine output (>30 ml/hr)
3. Keep potassium levels between 3 and 5
1. What is the process for accomplishing the three goals?
1. Example: Lasix comes up on the EMR or MAR to be given
2. BP – you are prompted to enter the patient’s current BP.
1. If systolic >150 or DBP >100 à hold the drug and notify the health care provider
2. If systolic <100 or DBP <50 àhold drugs and repeat BP in ½ hour
3. Continue to monitor BP every half hour for two hours
3. Urine output – you are prompted to enter the patient’s urine output for the last eight hours
1. Then describe what you might do using the exemplar above.
4. K+ levels – you are prompted to click on lab values that bring up the last K+ level and automatically enter it.
1. Then describe what you might need to do and when.

This is to be written out in a narrative format.

• Part III
1. Algorithm
1. Diagram the same process as Part II, but this time as a decision support tree or algorithm. You should do this in a diagram format with arrows. Identify steps in the process where information could be linked so that you are not repeating steps or information. Refer to the two algorithms in the Week 3 lecture for an example. You may use an algorithm template you found on the web if that would be helpful to you (or not). You may also draw out a decision support tree on paper, and scan it onto your computer.
2. Post-Part IIIa, your diagramed algorithm/decision support tree to the discussion board.

• Part IV
1. Discussion Board Review
1. Review at least TWO other classmates’ algorithms, which are a different exemplar from yours, and answer the following in a “reply to” thread.
1. Is the decision support tree easy to follow? Explain why or why not.
2. Are the components logical? Explain.
3. Describe one thing that you might do differently from the algorithm OR identify something missing, OR identify one way to improve the algorithm.

You do not need to cite references for this assignment – it’s creative work so that you think outside the box. So please choose to develop an algorithm that is not currently in place (such as the stroke protocol or ACS algorithm). Have a little fun with it! As you will see, identifying the process and creating an algorithm is not easy work. Imagine if you all had to agree on one! This activity does not have to be perfect. Try your best with it.