2. Electronic Health Record Touch Screen Entry Method Doreen Broad

3. Objectives Describe Electronic Health Record Touch Screen Entry Method Describe Electronic Health Record Touch Screen Entry Method Describe and evaluate the hardware and software utilized with Touch Screen Entry Describe and evaluate the hardware and software utilized with Touch Screen Entry Describe and evaluate the information system used Describe and evaluate the information system used Assess the role and function of the nurse informaticist when working with Touch screen Entry Assess the role and function of the nurse informaticist when working with Touch screen Entry Discuss the Advantages/Disadvantages from a nursing viewpoint Discuss the Advantages/Disadvantages from a nursing viewpoint

4. Hardware  Computer Monitor  Optional Stylus

5. Specific Hardware Monitors will be outfitted with a Resistive Panel Monitors will be outfitted with a Resistive Panel The panel is composed of several layers The panel is composed of several layers When pressure is applied to the surface an electrical current is sent to the controller When pressure is applied to the surface an electrical current is sent to the controller

6. Software Software Driver that allows the touchscreen and computer to work together Software Driver that allows the touchscreen and computer to work together

7. Specific Software Medent software allows you to customize your Electronic Health Record to meet your needs utilizing touch screen technology Medent software allows you to customize your Electronic Health Record to meet your needs utilizing touch screen technology

8. Problematic Usability Issues Problematic Usability Issues  Finger Stress  “Gorilla Arm”

9. Positive Usability Easy to use Easy to use Time saving Time saving Use of medical templates standardizes documentation Use of medical templates standardizes documentation

10. Specific Templates Vital Signs Entry Vital Signs Entry History and Physicals History and Physicals Consults Consults Nursing Assessments Nursing Assessments Order Entry Order Entry Discharge Instructions Discharge Instructions Potential

11. Information System For clinical use by nurses, physicians and PAs For clinical use by nurses, physicians and PAs Part of the VAs Local Area Network Part of the VAs Local Area Network In cooperation with the American National Standards Institute In cooperation with the American National Standards Institute

12. Clinical Information System Designed to manage the clinical aspects of the VA Healthcare System Designed to manage the clinical aspects of the VA Healthcare System

13. Advantages Clear, concise documentation Can introduce new templates quickly EHRs left open for only a short amount of time Less charting time = increased bedside time

14. Disadvantages Disadvantages No free text EHR becomes a series of templates Difficult to edit

15. Competencies Demonstrates touch screen entry technique Demonstrates touch screen entry technique Able to locate and chose appropriate templates for creating data Able to locate and chose appropriate templates for creating data Can retrieve clinical data as needed Can retrieve clinical data as needed

16. Legal/Ethical Issues HIPPA!

17. Informatics Nurse Responsibilities Evaluates the performance and impact of the system Evaluates the performance and impact of the system Develops/redesigns templates as needed Develops/redesigns templates as needed Organizes data on system usage for research Organizes data on system usage for research Has a clear vision of the systems possibilities Has a clear vision of the systems possibilities

18. SUMMARY SUMMARY A quick and easy system A quick and easy system Provides many documentation possibilities Provides many documentation possibilities Simple hardware Simple hardware Very few disadvantages Very few disadvantages Nurse Friendly!!!! Nurse Friendly!!!!

19. Sources (2009, October 7). Touchscreen From Wikipedia, the free encyclopedia. Retrieved from http://en.wikipedia.org/wiki/Touchscreen Jorwekar, S. (2005, February 22). A Touch Screen Technology Description of touch screen technology, working of it and different uses of touch screen technology.. Retrieved from http://www.buzzle.com/editorials/2-21-2005-66062.asp (2004, June 7). Young Adults Increasingly Favor Touch Screen Technology. Retrieved from http://www.elotouch.com/Solutions/CaseStudies/psbsurvey.asp (2008). Pen Computer - Touch Screen Technology. Retrieved from http://www.medent.com/emr-ehr-15.php Mastrian, K., & McGonigle, D. (2008). Nursing informatics and the foundation of knowledge. Sudbury, MA: Jones & Bartlett Publishers.