use of pda's by beginning nursing students
TRANSCRIPT
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Use of PDA’s in Nursing Clinical Education
Helen Heiskell, MSN, RN
Instructor, Darton College
Albany, Georgia
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Assessment
Healthcare environments requiring more technology. Computerized :
charting (paperless systems) lab and x-ray reports medication administration systems Others….
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Technology Boom
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Assessment (cont.)
Textbooks outdated Drugs Nursing diagnoses Lab tests Other…..
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New Food Pyramid
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Assessment (cont.)
Students carrying heavy book bags into the clinical setting. Storage Spreading of germs Theft Ability to access during clinical
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Nursing Diagnosis
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Ineffective Use of Technology r/t Poor planning Financial constraints Limited support resources Inadequate level of faculty confidence
NANDA 2005-06 (Almost)
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Plan
Explore options for PDA contract Seek funding assistance for students and
faculty Establish campus resources to support new
technology Allow faculty to use PDA’s in clinicals prior to
students. Review literature for evidence of best practice
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Short Term Goal
Students in NURS 1111 will obtain appropriate data for client care using PDA software AEB: Current lab/diagnostic results and rationales Current drug administration rationales Current NANDA diagnoses Correct definitions for medical terms/disease
processes/surgical procedures
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Long Term Goal
All students in Darton College’s nursing program will have access to personal digital assistants for use in clinical and/ or private practice.
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Implementation
Wrote several grants seeking funding for project.
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Implementation (cont.)
Found minimal literature on beginning students and the use of PDA’s in clinical settings.
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Implementation (cont.)
Made a choice to purchase a HP wireless PDA with additional memory/wifi card.
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Chose 4 programs as required and 2 as optional; 4 Lippincott, 3 Mosby; required 56 mb memory
Handbook of Nursing Diagnosis, Carpenito—Lippincott—requiredA Manual of Laboratory and Diagnotic Tests, Fischbach—Lippincott—required 2005 Lippincott’s Nursing Drug Guide—requiredStedman’s Medical Dictionary—Lippincott—requiredClinical Companion for Medical-Surgical Nursing (Lewis)—Mosby—optionalMosby’s Nursing PDQ—optional
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Implementation (cont.)
Made agreement with financial aid to cover cost of PDA and software.
PDA and software made optional if students could not afford.
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Implementation (cont.)
Faculty began using PDA’s in the hospital.
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Evaluation
Unexpected Problems! Wireless capability did
not work Extended memory/wifi
card deleted programs when bumped
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Implementation (again)
Negotiated with HP representatives to fix problems: Replaced wireless card
with 1G memory card HP Donated money to
cover unsold PDA’s Students with financial
hardships will get HP PDA’s free or at greatly reduced rates.
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Implementation (cont.)
Changed to Dell. Less expensive Wireless technology
works More memory Representatives very
helpful
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Changed to all Mosby software: required 20 mb memory—no additional memory card needed Nursing Diagnosis Handbook, Ackley Mosby’s 2005 Drug Consult for Nurses Dorland’s Pocket Medical Dictionary Mosby’s Diagnostic and Laboratory Test
Reference
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Evaluation
No more heavy book bags.
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Evaluation (cont.)
No more aching backs!
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Evaluation (cont.)
College ordered 10 new computers for nursing lab so students could “synch” updates.
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Evaluation (cont.)
Students without computers at home can: Access e-mail Surf the web
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Evaluation (cont.)
Faculty and students are happy!
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Have now added Micromedex for desktop computers with ability to download Mobile Micromedex for PDA
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Funding Sources
http://www.thejournal.com
http://techfoundation.org/
http://www.cartridgesforkids.com/