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There is such a picture: the nurse comes to the bed, lifts the patient's wrist, scans the wristband attached to the patient's wrist by PDA in her hand, confirms the patient's identity, downloads the specific care such as infusion, injection, medicine or body temperature, after execution, sign on the PDA and confirm...

nurse work with pda

This is not an ideal, not a future hospital model in science fiction. It has been applied in many hospitals. Now I will introduce the mobile nurse station and introduce the clinical application of PDA.

First, Mobile nurse workstation
With the development of information technology, electronic medical record technology has been widely used in hospitals. Among them, the nurse workstation, as a nurse's work platform for performing medical orders and performing various nursing operations, plays an irreplaceable role in the entire electronic medical record system. The mobile nurse workstation is based on the hospital's existing HIS system, with PDA as the hardware platform and WLAN technology as the network platform. The information query and collection are extended to the bedside, realizing the real-time and quantitative management of nurses' work.

identification confirm

Second, The functions and advantages of mobile nurse stations
1. Extend the HIS system to the patient's bedside
Nurses can use the PDA to view all patient basic information at the bedside, classification display all medical information of a single patient; classification display all medical information of the general patient; real-time field collection of clinical information such as vital signs. At the same time, the relevant information of the collected time and the collector are recorded in the database. After saving, all the information is immediately transferred back to the HIS system, and then automatically transferred to the PDA. The nurse can read, query, check and execution at the patient's bedside. The “moving to bedside” is the most notable feature of the system. It changes the working mode of the original medical order system and maximizes the distance between the nurse and the patient.

2. Track the entire life cycle of the doctor's advice
The previous HIS system only tracked the step of medical order transfer. It is considered as the doctor's order was actually executed and the planned execution time was equal to the actual execution time after the doctor's order was transferred, the actual execution process of the doctor's order was no longer followed. The mobile nurse workstation really solves this problem, extending the HIS to the patient's bedside, and recording the doctor's order execution time and the executor in real time.

3. Bedside patient identification confirmation
At present, there are many uncertainties in the examination of patients in nursing work, such as name, bed change, patient consciousness disorder, etc., plus the nurses have a large workload, and the probability of human error is greater. Based on the barcode or radio frequency identification technology of the patient identification system, the nurse confirms the patient with the PDA when the patient is diagnosed and treated at the bedside, which greatly improves the safety of the patient identification and eliminates the mistake in the treatment process. The management path provides an aid to ensure the accuracy of the patient, time, and treatment during the treatment. After the patient is admitted to the department, the patient's identity can be confirmed by scanning the patient's wristband with a PDA. At the same time, the barcode of the patient's dosing list and the information of the identity bar code on the patient's wristband are all related through the HIS system, which truly achieves "the correct object, the correct drug, the correct dose, the correct time, the correct method and approach ", put an end to the mistakes. This advantage is particularly prominent in the care of patients with neonatal, mental disorders, coma or sleep.

4. Nursing information collection
Realize the collection of vital signs data at the bedside, automatically generate various care orders, avoid the nurses to copy the patient's vital signs on the draft, then return to the office and then enter, to avoid such repeated entry, and improve work efficiency and accuracy.

pda

5. Improve nurses' work efficiency
Before the PDA, the nurse needs to print various execution orders in order to execute the doctor's orders, and the medicines are executed according to the printed execution order. The doctor's execution process can only be recorded manually, and cannot be integrated with the electronic medical record system. The nurse is at the patient's bedside. Collecting patient information needs to be recorded on paper and returned to the office to fill out the various care forms. In this way, both the workload of the nurses is increased and the accuracy of the nursing records is reduced. Because the mobile nurse workstation and HIS resources are shared, once the information is entered, the multi-terminal reading, simplifying the nursing record program, reducing the repetitive work of the nurse, reducing the labor intensity, optimizing the workflow, enabling the nurse to have more time to care for the patient, increasing effective service timeliness, increasing patient satisfaction. The mobile nurse station has spent the nursing work process, improving work efficiency and work quality, and effectively preventing and reducing medical care errors. At the same time, it promoted the innovation of nursing management ideas and management models, and improved the level of nursing management.

6. Providing evidence for medical inversion
In the past, the infusion order and other execution orders were short in storage time and difficult to query. Based on the safety mechanism of the HIS system, the mobile nurse workstation recorded the execution time and the executor accurately, in real time and completely, and permanently saved the medical records, providing a legal basis for medical inversion.

7. Statistical function
According to the data recorded in the database, the head nurse can understand the neglected work situation and gradually improve the process of each system. Through the HIS system, various reports are automatically generated. According to the different nursing work, the weighted calculation is performed separately, and the workload of the scientific statistics nurses is provided to provide a data basis for the fair and accurate performance evaluation of the nurses.

8. Strengthen the quality control of care
The mobile nurse workstation makes the quality control of care go deep into every link of the medical nursing process, realizing the real-time link control, and making the terminal management become the link control. Instant information access reduces error rates. The head nurse can easily grasp the nursing work dynamics of the general department at any time, increase the monitoring and management of the work process, timely discover the problems in all aspects of the medical care process, and take corresponding measures in time to turn the post-event management into an ex ante management, and increases the depth of care management.

9. Standardize nursing behavior and enhance the legal concept of nursing staff
Since the actual executor of each medical order forms a one-to-one correspondence, recording the execution time of the doctor's order, the route of medication, the time of observing the condition, and the observation data are recorded immediately, not only regulating the behavior of the nurse, but also providing the nursing work reliable data, avoiding the disorderly division of responsibility during the execution of the medical order, and the disorderly working state with arbitrary execution time.

Third, the use of mobile nurse stations
When the PDA is used, each person needs to log in with a password, and the user can be switched at any time. The setting of each user's password distinguishes the responsibility, and the source and execution of the information of the network are well documented, which improves the sense of responsibility of the nurse and ensures the accuracy and security of the information.

Fourth, the development and prospect of PDA
With the deepening of the medical system reform, the social requirements for the hospital will be further improved. The advancement of the industrialization process and the formation of an aging population, enterprises, communities, apartments, and households may become routine or sudden medical service places extension.

The rescue site, the middle of the ambulance, the clinic, the ward, the operating room and other specific places can use the PDA to complete the necessary pre-clinical information entry, and then enter the hospital LAN via the wired connectivity function or wireless access technology provided by the PDA. Data exchange and reprocessing with the doctor or nurse workstation can further improve the patient's diagnosis and treatment information and greatly improve the quality of medical history collection.

At the same time, the embedding of various expert systems, related knowledge bases and databases in the PDA will also emerge, which will greatly facilitate the work and study of the nursing staff. PDA is a high-tech product under the development of modern science and technology. It will play an increasingly important role in the process of digital hospital construction, becoming more and more practical, and getting closer to people's work and life.

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