Electronic Health Record Touch Screen Entry

MethodDoreen Broad

Objectives Describe Electronic Health Record

Touch Screen Entry Method Describe and evaluate the hardware

and software utilized with Touch Screen Entry

Describe and evaluate the information system used

Assess the role and function of the nurse informaticist when working with Touch screen Entry

Discuss the Advantages/Disadvantages from a nursing viewpoint

Hardware Computer Monitor Optional Stylus

Specific Hardware Monitors will be outfitted with a

Resistive Panel The panel is composed of several

layers When pressure is applied to the

surface an electrical current is sent to the controller

Software Software Driver that allows the

touchscreen and computer to work together

Specific Software Medent software allows you to

customize your Electronic Health Record to meet your needs utilizing touch screen technology

Problematic Usability Issues

Finger Stress “Gorilla Arm”

Positive Usability Easy to use Time saving Use of medical templates

standardizes documentation

Specific Templates Vital Signs Entry History and Physicals

Consults Nursing Assessments

Order Entry Discharge Instructions

Potential

Information System For clinical use by nurses, physicians

and PAs Part of the VAs Local Area Network In cooperation with the American

National Standards Institute

Clinical Information System

Designed to manage the clinical aspects of the VA Healthcare System

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

Disadvantages

• No free text

• EHR becomes a series of templates

• Difficult to edit

Competencies Demonstrates touch screen entry

technique Able to locate and chose appropriate

templates for creating data Can retrieve clinical data as needed SKILL

Legal/Ethical Issues

HIPPA!

Informatics Nurse Responsibilities

Evaluates the performance and impact of the system

Develops/redesigns templates as needed

Organizes data on system usage for research

Has a clear vision of the systems possibilities

SUMMARY A quick and easy system Provides many documentation

possibilities Simple hardware Very few disadvantages Nurse Friendly!!!!

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.