fullday_tablet

Document Sample
fullday_tablet Powered By Docstoc
					      INITIATIVE FOR NURSES



Introduction to the PDA Initiative
INITIATIVE FOR NURSES



                  Venue Issues
                  Adult Ed

                  Lexi Comp

                  Pepid

                  Nursing +

                  Agenda

                  Handouts
Ice Breaker
     Workshop Objectives

By the end of the workshop, participants will:

  Have increased awareness of the MOH’s
   goals for the PDA pilot project.

  Have reviewed the basic functionality of their
   specific mobile device.

  Have learned how to use the clinical resources
    provided for the project.
What is the PDA Initiative?

A government funded project designed to
improve the quality and safety of care
provided to clients in Ontario.
Providing PDAs with evidence-based
practice resources to front-line nursing staff
to improve access & integration of evidence
at the point-of-care.

•Phase 1 involved approx 1400 nurses
•Phase 2 involves approx 1500 nurses
  Anticipated Project Outcomes

 Improved client outcomes
 Enhanced quality of work-life for nurses.
 Increased support for evidence-based practice
  by improving nurses’ access to the following
  clinical resources at the point-of-care:
  • RNAO’s Best Practice Guidelines.
  • Up-to-date nursing-specific resources:
      Lexi Comp
      Pepid Nursing Suite
      Nursing+
   Significance of the Project



 Alignment with provincial eHealth vision to
  advance the use of technology and best
 evidence in clinical practice.
 Nurses are increasingly challenged to regularly
  access information that is current and reliable.
 Bridge gap between practice and current
 evidence.
 Reduce errors and improve client outcomes.
Questions
INITIATIVE FOR NURSES



Getting to Know Your Device:

Tablet PC
        Learning Objectives

Upon completion of this module you should be able to:
   Successfully power on/off your tablet PC

   Identify the basic hardware features of your tablet PC

   Use the pen as a computer mouse

   Use the pen as a data entry device

   Access the Internet using your tablet PC

   Employ proper device care and disinfectant procedures
           What is a Tablet PC?


  • Portable    computer - similar to a laptop
  • Digital Pen/stylus instead of a keyboard
  • Two main types:

                                                          Toshiba
Motion                                                    Protégé
C5                                                        M700



         Slate Tablet PC
                                       Convertible Tablet PC
      Display Screen & Pen




Digitizer Pen

            Display Screen
Converting to Tablet PC Mode




  Rotate the display screen counterclockwise 180°,
        then close it back upon the keyboard.
Basic Features




      Scavenger Hunt
    Practice Exercise #1
            Basic Motion C5 Features

                                  Handle


                                                                             Motion C5




           Mobile Clinical Assistant (MCA) - Rear View
                  Digitizer Pen    Pen Storage Area

    Foot                                                 Foot
e
                                                                Variable-
                             Rear View                          Speed Fan
                                                                (removable
               Display Screen




Desktop
                                               On-Screen
                                               Keyboard




  Start Menu      Quick Launch Pad   Notification Area
        Holding the Tablet PC




Examples show how               Rest your wrist or arm
to properly hold the            directly on the screen.
Tablet PC to minimize           Only the pen will
arm/hand fatigue                manipulate data!
            Digitizer Pen Basics
 The pen performs the functions of the mouse:

Function:          With a mouse you: With the pen you:

Select             Point and click   Point and tap the display

Open               Double Click      Double tap on the display
application/file
Select and drag    Click and drag    Tap and drag on the display

Display            Right click and   Hold the pen on the display
properties or edit hold              until the mouse icon appears
functions (cut,                      and remove the pen tip from
copy, paste..)                       the display.
   Using the Digitizer Pen

 Hold the pen like any other writing tool.

 When you write with the pen, you can rest your
  hand or arm anywhere on the screen.
 The cursor is a guide for the pen movements.
So… Watch the cursor, not the pen tip, when writing.

 Calibrate the pen to align the cursor with the pen
  tip before using it for the first time.
 Common complaint - the cursor doesn’t always
  follow the pen closely enough.
  Calibrating the Digitizer Pen




 Tap pen right at the juncture of the crosshair
  (+) in the top left corner of screen.
 Repeat as the crosshair (+) moves to the top
  right, bottom left, and finally bottom right
 Tap OK when done
 Verify that pen tip and cursor are aligned
Practice Exercise




Calibrating the Digitizer Pen
    Practice Exercise #2
       Tablet Input Panel

• The Tablet Input Panel
  (TIP) allows information to
  be entered using the pen.

• TIP is partially hidden but
  easily accessible when
  needed.

• Open TIP by clicking the icon on the desktop or the
  floating icon that appears automatically when the pen
  is positioned near an input field.
     Tablet Input Panel

The Tablet Input Panel provides 3 input modes:
• Writing Pad
      • Character Pad

            • On-Screen Keyboard
        Writing Pad




• Users handwrite text in ink in the writing pad.
• The TIP converts ink to text dynamically.
• Input Panel expands to accommodate more
  text as needed.
    Character Pad




• Used to enter one letter at a time.
• Useful when entering email addresses.
• Characters are immediately converted to text when
  entered – can spot and fix any errors immediately.
    On-Screen Keyboard




• Used to enter data when no keyboard attached.
• Tap the letters on the keyboard to form words.
• Best used for entering small amounts of text.
 TABLET TUTORIAL: Slightly Different Access
 Points – Will Vary With Brand Of Tablet
 CAN BE FOUND BY       OR....................

Go to Programs           Go  to “Welcome
  then... To              Centre”
 “Get Going With        May also be under
  The Tablet PC”          “Tablet & Pen
                          Training”
 Practice Exercise




Using the Digitizer Pen to Insert Text
        Practice Exercise #3
Nutrition Break
Settings - Windows Mobility Center
   Protecting the Digitizer Pen

• The pen contains sensitive electronics. Always
  store in the pen holder when not in use.

• Do not store the pen vertically on the tip. Constant
  pressure can affect functionality.

• Do not immerse pen in liquids.

• Avoid temperature extremes – do not leave in car
    Protecting the Tablet PC

 Do not press on the screen with anything other
  than the digitizer pen provided.

 Avoid spilling liquid onto the computer

 If tablet gets wet, turn power off immediately and
  let it dry out completely. Have device assessed
  for damages by a technician.

 Use a suitable carry case

 Avoid temperature extremes
       Infection Control

Items that do not ordinarily touch the patient or
touch only intact skin are not involved in disease
transmission, and generally do not necessitate
disinfection between uses on different patients
                                       (CDC, 2002)

• Never spray a cleaner directly onto the device
• Avoid all harsh and caustic substances.
• Follow your institutional policies
Questions
Registered Nurses’ Association of Ontario

PDA Initiative



                                            Rishma Nazarali, RN, BScN, MN
                                                        Program Manager
               Objectives

 Provide RNAO BPG program overview
 Review BPGs available for the PDA
  Initiative
 Review content of the PDA versions of
  BPGs
 Review when to use & how to access
  BPGs
 Have the participants utilize the BPGs
  in clinically relevant case scenarios.
What are Best Practice Guidelines (BPGs)?


   “Systematically developed
   statements to assist practitioners
   and patient decisions about
   appropriate health care for specific
   clinical (practice) circumstances.”
                             Field and Lohr, 1990
FIVE PRIORITY AREAS OF FOCUS FOR CLINICAL GUIDELINE
DEVELOPMENT




                               Gerontology




          Mental
                                                       Home
          Health
                                                       Health
           Care
                                Priority
                                 Areas




                   Emergency                 Primary
                     Care                     Care
     International Affairs and Nursing Best
       Practice Guideline (BPG) Program

Purpose: to develop, pilot, implement,
evaluate, disseminate and support the uptake
of nursing BPGs
Funding: Government of Ontario, Ministry of
Health & Long Term Care
Result of one of the recommendations from the
Nursing Task Force Report -“Good Nursing Good
Health: An Investment for the 21st Century” (1999)
RNAO received funding & became leader of
this project
CLINICAL GUIDELINE GOALS

 Improve client care
 Reduce the variation in care
 Transfer research evidence into practice
 Promote nursing knowledge base
 Assist with clinical decision making
 Identify gaps in research
 Stop interventions that have little effect or
  cause harm
 Reduce cost
Healthy Work Environment (HWE)
Guideline Goals

  Improved working conditions for nurses
   and improved quality of client care
  Accessible, evidence-based tool for
   creation of HWEs
  Link healthy work environments to
   quality client care
BPGs & PDA INITIATIVE

   Selected BPGs converted to a condensed
    web based format

   Practice recommendations readily accessible
    at the point of care by clinicians through
    PDAs and Tablets
Integrating Smoking Cessation into Daily Nursing
Practice
CONTENT
Every software application consists of
 the following:
 Table of Contents
 Background
 Practice Recommendations
 Tools
 Resources
WHEN TO USE BPGs?


   Support current practice

   Provide practice direction

   Quick reference tools
   Educate clients and/or other
    healthcare professionals
Web-based BPGs
   Condensed BPGs are web-based
   Require web browser & data plan
    or WIFI access
   To view :
       open the web browser and enter the
        appropriate link e.g.
        http://www.rnao.org/pda/lead
   Recommend bookmarking all links
    for easy access
ACCESSING RNAO BPGs

1. Click on your Internet Browser, then enter
    http://rnao.org/pda_initiative
   or google RNAO PDA Initiative
2. Click on the link for the PDA versions of the BPGs.
3. Click on any of the BPGs displayed to view the Table of
   Contents “home page”
4. Click on each subtopic to explore the available information :
      Background, Practice Recommendations, Tools and
        Resources.

NOTE: Some content has links for further information e.g.
  definitions.
SCENARIO #1
 A homecare nurse is making a visit to a
 client who has a pressure ulcer and will
 be changing the dressing for the first time
 since discharge from the hospital.
 The nurse has previous experience
 changing dressings, but is unsure of what
 to assess for during a dressing change.
 What steps does she/he take to access
 this information on his PDA?
SCENARIO #2
A nurse has been taking care of an elderly
female . The nurse realizes that the client
has not had a bowel movement for 3 days.
Upon review of the chart, including
medications, it is realized that the client is
not on a bowel routine and is receiving 9
different medications on a daily basis.
What steps does the nurse take on the
device to check which medications are
associated with an increased risk for
developing constipation?
SCENARIO #3
 A nurse is offering smoking cessation
 intervention to her client. The client asks
 about nicotine replacement therapy options.
 The nurse would like to offer current and
 accurate information to the client but does
 not want to disrupt the interaction by
 leaving the room to access the information.
 How could the PDA be used to retrieve
 information on nicotine replacement therapy
 options?
SCENARIO # 4
A nurse is making a home visit to a mother with a
new baby to help her with breastfeeding. During
this visit, the nurse observes that the older son,
who is watching TV, is over weight and notices a
family picture that where the whole family is
overweight.
After coaching the mother on breastfeeding, the
nurse decides to explore/assess the family’s
eating patterns and physical activities.
Unsure of how to proceed, the nurse decides to
use her PDA as a reference tool in this endeavor.
What steps does she/he take?
SCENARIO # 5
An emergency room nurse assignment
consists of a client who attempted suicide.
This client has been waiting for over one hour
to be seen by the psychiatrist on call.
This nurse is considered experienced, yet has
had minimal contact with psychiatric patients.

How could the PDA be used to help in this
interaction and assessment with the client?
HANDS-ON EXERCISE
Questions or comments?
   Rishma Nazarali
 rnazarali@RNAO.org
  INITIATIVE FOR NURSES



Pepid Professional Nursing Suite
               Objectives

   At the end of this module, the participants should
    be able to:
       Describe the purpose of each Pepid clinical
        resource available on their devices.
       Use the navigation bar to access each of the
        Pepid clinical resources.

       Explain how accessing Pepid via their specific
        mobile device at the POC might enhance
        nursing practice.
Pepid Professional Nursing Suites

   A collection of point-of-care clinical resources
    written by nurses for nurses at the POC.
   All Pepid Nursing Suite applications include:
       Drug Database
       Medical Calculators*
       Drug Interactions Database
       IV Compatibility Tool
       Embedded Illustrations
       Comprehensive Clinical Database:
          Nursing Assessments         Interventions
          Medical topics              Procedures
          Pain Management             Common Abbreviations etc.

 *Medical Calculator not available on the Blackberry
        Benefits of Using Pepid


   Quick access to high quality clinical resources in all
    areas of nursing practice including fast-paced acute
    care settings.
   No “connectivity issues” – application downloaded
    to the mobile device*

   Current medical & pharmacological information –
    updates to Pepid every 8-10 weeks.



*Application not stored on the Blackberry. An Internet connection & data plan
are required to access Pepid on this device..
LET US LOG ON TO PEPID
User:

Password:

Click   on   Nursing icon
Pepid Online Features
Pepid Online Features
Pepid Online Features
Pepid Online Features
Pepid Online Features
Pepid Demo - TC
TABLE OF CONTENTS

TOC can be accessed by ...
 Clicking on the Help Symbol (?)
 Clicking on the TC icon

 Clicking on the home page then choosing a
  clinical application
 Using the index bar and typing in table of
  contents
TABLE OF CONTENTS

  The Table of Contents (TC) can be a
   standard place to start any search
  This can link you to any of the areas of
   interest quickly
  As you move from the TC page in a
   search you may want to go back to the TC
   to begin another search or to revise your
   search pattern
Pepid Demo - illustrations
Pepid Demo – Imbedded Illustrations
Pepid INDEX
IMBEDDED CAMERA ICON
1. Type “Torsades”             2. Type Chicken Pox
 Information will appear       Go to chicken pox (peds)

 Note the camera icon          Click on the camera icon

 Click on it and view the        beside chicken pox
   rhythm strip                 Scroll through the

The Torsades rhythm can also
                                  information
be accessed by going to         Or click on diagnosis
illustrations section           Look for papules

                                Note the camera icon

                                Click on it and view the
                                  illustration
WATCH FOR OTHER IMBEDDED ICONS

  “EB” icon will lead you to evidence
   based practice information
  “Page” icon will take you to a
   definition of the word that it follows
        Calculator icon will take you to
   the related medical calculator
   will take you to IV drip rate
   calculator
Pepid Demo




Pepid Demonstration CD
HANDS-ON EXERCISE(S)
INITIATIVE FOR NURSES



     Lexi - Comp
               Objectives

   At the end of this module, the participants should
    be able to:
       Describe the purpose of each Lexi clinical
        resource available on their devices.
       Use the navigation bar to access each of the
        Lexi’s clinical resources.

       Explain how accessing Lexi via their specific
        mobile device at the POC might enhance
        nursing practice.
          What is Lexi-Comp?

 Point of care clinical resource for nurses*:
     Nursing Lexi-Drugs
         - Research information on ~ 4800 drugs
     Lexi-Interact
        - Analyze potential drug interactions
     Lexi-Lab & Diagnostic Procedures
          - Review >1200 lab tests & diagnostic procedures.
     Lexi-Calc
          - Perform medical calculations (e.g. IV drip rate)
     Lexi-I.V. Compatibility
       - Determine drug compatibility

*Not all resources are available on each device
    Benefits of Using Lexi-Comp?

   Quick access to high quality clinical resources in all
    areas of nursing practice including fast-paced acute
    care settings.
   Resources downloaded to PDAs avoiding
    “connectivity issues”*

   Current medical & pharmacological information –
    daily updates to Lexi-Comp


    *Resources not stored on the Blackberry. An Internet connection & data
     plan are required to access Lexi-Comp on this device.
Lexi-Comp Demo




Lexi-Comp Demonstration CD
HANDS-ON EXERCISE
    INITIATIVE FOR NURSES



Best Evidence for Nursing+
         Learning Objectives


By the end of this section, participants will be able to:

 Describe the services available through Nursing+.

 Discuss the significance of Nursing+ for the
  participants

 Demonstrate how to access the Nursing+ Search
  Database
            What is Nursing+?

   Access to current best research evidence
   Tailored to individual clinical interests.
   Services provided by McMaster University:
       Information filter
       Email alerting system
       Searchable database
       Links to selected evidence-based resources
            Information Filter

 Step 1: Journal Review          Step 2: Clinical Relevancy

50,000 Journal Articles/Year                  3,000
                                           Articles/Year




    3,000
Articles/Year
                                   1-2 Articles/Month
                                      per Clinician
         Email Alerting System

   Email alerts consistent with clinical interest:
       Highly efficient way to keep abreast of
        current research.
       Frequency determined by personal profile
       Includes citation & link to article’s abstract
       Links to the full text of articles if access is
        free
       If no free full text option, access will require
        an institutional or personal subscription
        Accessing Nursing+


   PDA Version:
     Go to http://plus.mcmaster.ca/npm
      (NOTE: "npm" = "nursing plus mobile".)

   Online Version:
     Go to http://plus.mcmaster.ca/np



   Use the same User Name and Password
    created during registration.
      Nursing+ Search Database

   Repository of all articles pre-rated for quality,
    relevance and newsworthiness since 2006.
   Best accessed online
     http://plus.mcmaster.ca/np
         CNO Reflective Practice

   Nursing+ tracks usage:
       Each abstract accessed  5 mins
       Each full text link accessed 10 mins
       Each search of the PLUS database 15 mins
   Report may be used to demonstrate reflective
    practice in accordance with CNO requirements

   Report will be sent only to your email address
    upon request.
Questions
  Post-Workshop Support



 1-Month Follow-up/

 Upcoming Teleconferences

 PDA Website Resources
     Email (McMaster)
     RNAO contacts
     Vendor website
QUESTIONS

COMMENTS

EVALUATIONS

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:4
posted:3/4/2011
language:English
pages:93