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SIMULATION: USING MICROSOFT EXCEL TO
CREATE AN ELECTRONIC HEALTH RECORD
Deb Filer, PhD, RN, CNE
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Objectives of this session:
1. Explain the benefit of incorporating electronic health care records into simulations.
2. Describe how Microsoft Excel can be used to create an inexpensive electronic health care record.
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QSEN- Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making.
– Skill of “Navigate the electronic health record”
AACN Baccalaureate Essentials - Nursing Informatics and Patient Care Technology required competencies for the Practice of the Baccalaureate Generalist.
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Black, green & red pens
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KARDEX
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Survey of graduating students
QSEN knowledge is least frequently learned in lab and simulations
Students believe they were most prepared to perform skills in the areas of patient centered care and informatics (Sullivan, Hirst, & Cronenwett, 2009)
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Educative sensemaking
Fundamental difference between being able to retrieve information on-line and becoming educated from such information. (Butcher & Sumner, 2011)
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Case study/simulation presentation
PATIENT DATA: SCENARIO/BACKGROUND
Mr. Roger Elofson is an 81-year-old male with a 35 year history of emphysema. He has experienced several hospitalizations for acute exacerbation of COPD in the past year. He uses home oxygen and an albuterol nebulizer as needed. He lives alone in a small apartment in northeast Minneapolis and drives his own car.
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Use of Electronic Healthcare Record in Simulations
• Use of information
technology
• Review electronic
health care record
Prepare
• Simulation patient
care environment
• Decision making
Apply• Interventions
• Outcomes
Document
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Benefits of using an EHR in simulations
Promotes basic informatics competencies
Better prepares students to enter a
technologically-rich work environment
Creates a more realistic simulations
Teaches students the skills needed to
incorporate discrete pieces of information
Promotes safe patient care
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Safe patient care
Safe patient care depends on MORE than just a single picture in time.
Safe patient care depends on MORE than just reacting to events as they occur.
Nurses and nursing students need to be able to integrate data
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Barriers to implementation
Costs
Complexities
Time
Lack of role models
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