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NURSING PROCESS FROM ICNP 1.0 FOR ICU IN HANDHELD DEVICES

FEDERAL UNIVERSITY OF SANTA CATARINA HEALTH SCIENCES CENTER NURSING DEPARTMENT NURSING INFORMATICS AND TELENURSING. NURSING PROCESS FROM ICNP 1.0 FOR ICU IN HANDHELD DEVICES. Grace T. M. Dal Sasso, RN, MSC, PhD Nursing Informatics Professor Member of eHealth Strategic Group at the ICN

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NURSING PROCESS FROM ICNP 1.0 FOR ICU IN HANDHELD DEVICES

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  1. FEDERAL UNIVERSITY OF SANTA CATARINA HEALTH SCIENCES CENTER NURSING DEPARTMENT NURSING INFORMATICS AND TELENURSING NURSING PROCESS FROM ICNP 1.0 FOR ICU IN HANDHELD DEVICES Grace T. M. Dal Sasso, RN, MSC, PhD Nursing Informatics Professor Member of eHealth Strategic Group at the ICN Member of IMIA-NI - representative of Brazil Member of Panamericana Network to patient safety Brazilian Leader in Telenursing and Nursing Informatics Network

  2. The Conception of System – History Modular Framework Structure and Modeling of Computer Data Platform The Entity-Relationship Model (ERM) Examples Results Agenda

  3. 1999 –Step1 Study of ICNP version Beta2 Estudo and development of first prototype to respiratory system assessment - It was developed in Delphi language Characteristics: 8 axes to the classification of nursing phenomenon (diagnosis): focus of nursing practice,judgement, frequency, duration, topology, body site, likelihood, carrier 8 axes to compose nursing actions:type of action, target, media,time, topology, location, route, benefit Practical test and usability The Conception of System - History

  4. 2000–2001 – Step 2: inclusion of the human cardiovascular system Practical test and usability 2002-2004 – Step 3: restructuring of the data for all human systems and expansion of the diagnoses and interventions Practical test and usability 2005-2006 – Step 4 - Incorporating Web-database in PHP and MySQL of entire data structure using 1.0 ICNP– database in PHP and MySQL. Incorporation of new protocols for care guidelines from the HealthMinistry Practical test and usability The Conception of System - History

  5. 2006-2008 – Step 5 - structure for mobile devices. Practical test and usability 2008 - until now: Improved data security and system design Java Programming for Mobile Devices with PHP Link - Data Warehouse Practical tests and usability Development of warning systems for: same nursing diagnosis for more than threedays, potential for pressure ulcer, potential to fall from bed, use of vasoactive drugs, potential for extubation, potential for infection and potential for barotrauma. . The Conception of System - History

  6. N U R S I N G P R O C E S S Login de Acesso Cadastro Entrada de Dados Consulta Prontuário Exames Módulo 2 Diagnósticos CIPE Lista de Pacientes da UTI Protocolos de Cuidados e Sites Módulo 3 Interv. de Enf. Medicamentos Processo de Enfermagem Relatórios e Sistemas de alerta Módulo 4 Integração ao PEP Exames Tempo de Permanência CCU Taxas de Altas, Óbitos e transferências Complicações Módulo I Avaliação e registro MODULAR F R A M E WO R K Beira do Leito Módulo 5 Central PEP Potencial para queda Tempo de Cicatrização de feridas Potencial para úlcera de pressão Drogas e Fluido Erros de Medicação Infecção Sítio de punção Obstrução TOT + de 3 dias do mesmo diagnóstico

  7. Structure and Modeling of Computer Data Platform Physical Modeling Conceptual Modeling Logic Modeling

  8. DATA MODELING - DATABASE The Entity-Relationship Model (ERM) DBDesigner 4 

  9. Entity-relationship modeling is a database modeling method, used to produce a type of conceptual schema or semantic data model of a system, often a relational database, and its requirements in a top-downfashion. Diagrams created by this process are called entity-relationship diagrams or ER diagrams. Entity-Relationship Modeling

  10. EXAMPLES

  11. Entry Screen Login and Password

  12. Summary of Patient Data

  13. Patient Screen

  14. Patient Screen Free language

  15. Patient Assessment and Diagose Screen

  16. Diagnose and Intervention Screen Alert System

  17. Menu: Care Protocols

  18. Reports General Report Model

  19. General Repor t Model

  20. General Repor t Model

  21. Screen Management System

  22. The system works in multiple Handheld devices with access to Internet, such as: RESULTS UNTIL NOW TABLET iPAD PDA Smartphone iPHONE Blackberry

  23. Ease of use, can be used also as an educational tool; Has criteria of safety, ergonomics and usability Reduces costs with Web-based system in diverse platforms; The system adapts to proprietary databases, and therefore can be inserted into existing systems of EPR (Electronic Patient Records). Encouraging study and research Improves patient safety by allowing the record to the bedside andtrigger warning systems; RESULTS UNTIL NOW

  24. Incorporate strategies for nursing telecare Obtain digital certification and electronic signature Implement in other areas of health care Future System URL: http://www.nfrinfor.ufsc.br – to Desktop http://www.nfrinfor.ufsc.br/movel - To Mobile Devices

  25. Hercilio Luz Bridge – Florianópolis-SC-Brazil E-mail: grace@ccs.ufsc.br or grace@matrix.com.br

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