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. Create your own algorithm
      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.

Grading Rubric:

 

Exceeds standards:

(100)

Meets standards:

(75)

Below standards:

(50)

 

Unacceptable:

(0)

Analysis of current CIS/DSS/algorithm

(10%)

Selected a CIS, DSS, or algorithm that is already in place and being utilized in practice.

 

Identified the goals of the CIS, DSS, or algorithm and the process, AND thoroughly described how it could be improved upon

Selected a CIS, DSS, or algorithm that is already in place and being utilized in practice.

 

Identified the goals of the CIS, DSS, or algorithm and the process, OR thoroughly described how it could be improved upon, but not both

Selected a CIS, DSS, or algorithm that is already in place and being utilized in practice.

 

Goals, process, and ways to improve upon it were vague or lacking substantial thought

Does not select a CIS, DSS, or algorithm currently in place or did not identify the goals, the process, or ways to improve it

 

Creation of algorithm

(narrative format)

(50%)

Created an algorithm that is unique and not currently in use and is different than the one in Part I.

Student identifies an exemplar, three unique nursing goals, and the process for accomplishing each of the three goals

Written in narrative format and algorithm makes sense and is easy to follow

Created an algorithm that is unique and not currently in use and is different than the one in Part I.

 

Student identifies an exemplar, three unique nursing goals, or the process for accomplishing each of the goals but the algorithm is difficult to follow or overlaps other components.

Written in narrative format

Created an algorithm that is unique and not currently in use, and is different than the one in Part I.

 

Student addresses 2 of the 3 components:

Exemplar

Three nursing goals

Process for accomplishing goals

 

 

Created an algorithm that is unique and not currently in use, and is different than the one in Part I.

 

Student addresses 2 of the 3 components:

Exemplar

Three nursing goals

Process for accomplishing goals

 

Or thought process was vague and lacking substantial though

Creation of algorithm (diagram)

(15%)

Algorithm was submitted as a decision support system or diagram. All components from Part II were addressed in the diagrammed algorithm Algorithm was submitted as a decision support system or diagram.

 

Components from Part II were missing in the diagrammed algorithm

Algorithm was submitted as a decision support system or diagram.

 

Algorithm does not match narrative algorithm/decision support system from Part II

Did not submit algorithm as a diagram
Submission

(5%)

Submitted Parts I, II, and III as a Microsoft Word Document to the assignment dropbox and also submitted part IIIb to the discussion board.

Submitted on time

Submitted Parts I, II, and III as a Microsoft Word Document to the assignment dropbox and also submitted part IIIb to the discussion board.

Submitted was late

Submitted Parts I, II, and III as a Microsoft Word Document to the assignment dropbox or submitted Part IIIb to the discussion board but not both Submitted incorrect format or documents to assignment dropbox and discussion board
Discussion Board

(20%)

Reviewed at least two peers algorithms and provided a substantial response that addressed all of the components of Part IV. Reviewed at least two peers algorithms and provided a substantial response but did not address all of the components of Part IV Reviewed one other peers algorithm and provided a substantial response that addressed all of the components of Part IV Either did not respond to discussion board or did not provide a substantial response, nor did student address all components of Part IV