Feb 23, 2024 NR 512 Week 6 Threaded Discussion: HealthIT Hot Topic (Emergency Department) of the Week and Impact on Practice
NR 512 Week 6 Threaded Discussion: HealthIT Hot Topic (Emergency Department) of the Week and Impact on Practice
NR 512 Week 6 Threaded Discussion: HealthIT Hot Topic (Emergency Department) of the Week and Impact on Practice
I selected the topic of the safety and security of EMR (electronic medical record). Since we are now required to use EMR’s in all healthcare industries and they hold such private and confidential information I consider the security of them to be very important and needed topic of discussion. We live in a technological society where we hear about security breaches from the IRS, major department stores, social media, etc. With all of the security breaches out there the thought of having EMR’s breaches is devastating. EMR’s are the future of the healthcare industry and have truly changed the way in which we operate. EMR’s offer us means of storage and retrieval of legible medical information from anywhere at any time. EMR’s have given us additional safety mechanisms for prescriptions, labs results, medications and vital signs as well as decision support software to offer suggestions. Electronic records allow for instant retrieval of history and physical, lab results, diagnostic results, and progress notes from anyone who has provided care to the patient. These records contain was has been referred to as “a life” (Ozair et al., 2015). What is being done to protect them? Is it enough? Computer hackers may look at breaching an EMR as a golden prize which contains personal, financial, medical, and physical information about any one person. Will we be able to protect this confidential information that we require from our patients from getting into the wrong hands? While EMR’s are now the norm for the future of healthcare the cyber-security mythologies should also be thoroughly understood before moving forward (Kruse et al., 2017). This affects me as a human who has a right to confidentiality as well as my future as a nurse practitioner and my patient’s right to confidentiality. When these breaches happen, they can shut down entire networks and make vitally needed information unobtainable and inaccessible. These breaches can ruin countless lives and create mistrust of the healthcare community, which can lead to people not seeking needed care.
Kruse, C. S., Smith, B., Vanderlinden, H., & Nealand, A. (2017). Security Techniques for the Electronic Health Records. Retrieved March 30, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/
Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health records: A general overview. Retrieved March 30, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4394583/
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In my current practice setting at a rural, 300+ bed hospital, we have a number of measures to protect patient health information. Our IT department employs firewalls and maintains the security of our hospital Wifi. Audits are performed to monitor the accessing of patient charts, ensuring that they are being accessed for the correct reason and by appropriate staff. Whenever we click on a patient chart we have to either put that we are the patient’s nurse, charge nurse, or an auditor, for example. At every nurse’s station there is a shred box where we can safely dispose of excess paperwork that may have patient information on it. We also have mandatory online education to complete periodically that reviews how to keep patient information secure, appropriate actions and inappropriate actions, HIPAA guidelines, and the implications of not adhering to these rules. I think with today’s age of mass transfer of digital information the emphasis on protecting patient information cannot be enforced enough. When HIPAA (Health Insurance Portability and Accountability Act) was first initiated in 1996, the focus was mostly transferring of information from doctor to doctor, office to office, whereas now the focus over 20 years later is almost exclusively dedicated to protecting patient information (Dolan, 2014). While we live in an amazing time of electronic data capability, it comes with its own challenges with regards to safety and privacy.
References
Dolan, P. (2014). Protecting patient information. Ophthalmology Times, 39(10), 23-24.
NR 512 Week 6 Threaded Discussion
NR 512 Week 6 Threaded Discussion: HealthIT Hot Topic (Emergency Department) of the Week and Impact on Practice
What was the Health IT Hot Topic you selected related to your specialty? Why did you select it? How will this impact your practice?
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
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APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Protecting patient health information is essential to be compliant with HIPPA guidelines. Although we should log out of charting as soon as we are done, some have to run to an emergency or forget. The computers automatically time out and log out of EPIC after a few minutes. All social media is disabled on our computers. We have a shred bin at each nurses station to put all patient labels and patient papers in after each shift or discharge. There are also signs in the elevators reminding staff that public locations are not for talking about patients. For our babies, each parent or mom and designated person gets a baby bracelet. Only people with bands on (or that know the band number via telephone) can get information about their babies. Most importantly, all traumas that come in get a trauma name and fake age. This is important to promote security as well. No one can find that patient using their real name. This protects that patient but also hopefully prevents others (ex: gunshot/gangs) from finding that person. Lastly, so many strangers want to come see the babies. All of our babies are in their rooms with parents. If people do not know the name of the mother, they are not allowed in. I cannot stress how many times people have come in and said the fathersnameorbabysnameorbabys name or “not know who they are visiting.” Unless you can give a valid name, we cannot tell you where they are.
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