1. Emerging Technologies in Undergraduate Education Electronic Charting in Nursing Education within Simulation Veronica D. Feeg PhD, RN, FAAN Jennifer E. Mannino PhD(c), MS, MA, RN Geraldine L. Cornell, MS, RN Developing Undergraduate Simulation Exercises to Incorporate Electronic Health Record (EHR) Documentation Using the PC-CCC© System

2. Introduction The PC-CCC, designed as a Microsoft Access® application of the Sabacare Clinical Care Classification (CCC) system, is an evidenced based electronic documentation system available via free download from the internet.

3. Implementing a Cost-Efficient System in the Learning Environment Nursing curricula needs informatics integration and application early Most clinical experiences are centered around medication administration units Nursing documentation should begin with the learning experiences Students learn in clinical and simulation labs – need to learn documentation Simulation is possible but documentation is $$$$$ Phase 1: Developed the PC-CCC Phase 2: Tested the PC version – Randomized Trial Phase 3: Field Tested with Baccalaureate Nursing Students

4. Results of Randomized Trial– Evaluation of Documentation Performance (EDP) There was a significant difference in the students who used the PC CCS Microsoft Access© system. Evaluation of care plans of students who used the DATA-BASED CCCS were significantly higher than care plans by students who used the TEXT-BASED CCCS

5. Purpose of the Emerging Technologies Grant To develop and integrate an electronic health record (EHR) documentation exercise in conjunction with clinical simulation in an undergraduate Nursing course (NUR 209).

6. Method Developed level appropriate simulation scenarios that incorporate electronic documentation Developed audio-visual tutorials using BlueBerry Flashback software Pilot tested scenarios and electronic documentation with one course section Expanded use to other course sections

7. Scenarios Developed five level appropriate scenarios according to NLN guidelines Scenarios designed to focus on patient safety and enhance physical assessment skills –Cardiac –Peripheral Vascular –Respiratory –Gastrointestinal –Neurological

8. Tutorials: Via Tablet Introduction to PC-CCC Using the PC-CCC

9. The CCC Terminology Applied to the Nursing Process Assessment Diagnosis Outcome Planning Implementation Evaluation 21 Care Components 182 Nursing Diagnoses 3 Expected Outcomes (Improve, Stabilize, Deteriorate) 198 Nursing Interventions 4 Action Types (Assess, Perform, Teach, Manage) 3 Actual Outcomes (Improved, Stabilized, Deteriorated) (V. Saba) http://sabacare.com

17. Sample (n=77) First semester Sophomore Level Baccalaureate Degree Nursing Students Enrolled in Nursing 209: Foundations of Humanistic Nursing Practice. Large Nursing Program – Small Campus

19. Summary: Student Reported Usability of the PC-CCC (n=77) PC–CCC Usability ItemsStrongly Agree/Agree Disagree/Strongly Disagree This program aided my ability to understand and prioritize Nursing Diagnosis 92%7% This program aided my ability to understand and prioritize Nursing Interventions 92%8% Using this program aided my ability to understand Nursing Care Plans 94%6% Using this program aided my ability to create Nursing Care Plans91%9% I would recommend future Nursing 209 students use this program88%12% I would like to continue using this program for all nursing courses that require the development of Nursing care plans 91%9% The screen design was organized and clear97%3% The format was easy to follow90%10% The information was easy to understand92%8% The system allowed me to chart my care plan96%4% The system was efficient to enter the data96%4% I enjoyed the method of entering the data87%13% I would recommend using this program at the bedside 90%10%

20. Conclusion Why? Independent College Over 1,200 undergraduate nursing students Placements in over 50 clinical areas throughout NYC and LI