Connect via telephone or your computer’s speakers /headset

1. Connect via telephone or your computer’s speakers /headset Note: If the Audio window does not display, click Audio along the top menu bar. When using your phone, WebEx can call you (*be sure to include your country/region code, no extensions) Click “Call Using Computer” if you prefer to connect via your speakers or computer headset. Or select “I will call in” and follow the on-screen instructions. Click “All global call-in numbers” if you are outside the U.S. Use the access code & attendee ID in step 3 when prompted on the phone.

2. Richard Crookes, MA, MCLIP Snr. Training Specialist (UK, Ireland & Nordic Countries - Biomedical) 2nd October 2015

3. Welcome! Have a question? At the bottom of the Participants panel on the right, click the raise hand icon. Or use the Chat panel on the bottom, right to send a note, entering your text in the bottom text box. In a noisy area? To Mute yourself, hover your mouse over your name in the Participants panel on the top, right and then click the Mute button that appears. • Need to change your audio option? • Beneath the list of participants on the top, right, click the Audio button and follow the on-screen instructions. Using a speaker/headset and cannot hear? In the top menu bar, click Audio and then select Volume. Or adjust the volume on your speakers or computer control panel.

4. Multiple Attendees • If your login represents multiple attendees, please: • Locate the Chat panel on the right side of your screen. • Beneath the “Send to:” drop-down, enter the names or number of attendees and click the Send button.

5. Objectives • Overview of NRC+ • Browse content • Perform basic & advanced searches • Refine search results • Save items to folders • Integrate NRC+ with patient record systems • Mobile app • Where to find additional support

6. Overview A web-based nursing reference system designed to provide the latest evidence-based clinical information for nursing practice, education, management, and research at the point-of-care, including more unique content, such as images & videos

7. http://www.knowledge.scot.nhs.uk/

8. OpenAthens authentication

9. Features • Easy-to-use interface • Search results list • Alerting • Localized notes • EMR integration • Landing pages • Improved search results page • Mobile • eBooks integration

11. Who uses it? • Hospital librarians • Staff nurses • Advanced practice nurses • Nursing students • Nurse educators • Nurse researchers • Nursing executives • Ancillary health practitioners • Clinical risk managers

12. Editorial Policy

13. Content Summary

14. Nursing Videos Videos provide overviews of how to perform skills Videos are brief:a few minutes per video, maximum “Applying a Dressing to an Implanted Venous Access Port” is 1:18 in duration and accompanies the skill “Implanted Venous Access Port: Accessing

15. Use Case - Video • As a nurse, I am treating a patient with lung cancer and I need to use an Ambu-bag to support my patient’s ability to breathe. • It has been a long time since I’ve had to use an Ambu-bag (other respirators have alwaysbeen available) and I’m not sure how often I need to ventilate the bag to enable appropriate breathing • I have 2 minutes before I have to care for the patient • I quickly search Ambu bag and find a video for “Using an Ambu Bag for an Intubated Patient” which indicates “ventilate every 6 to 8 seconds, over 1 second each” • I now feel more prepared to care for my patient in a moment.

16. Nursing Images • Nursing images display a particular step within a skill • Images can be found alone or within skills and one or more images may apply to a single skill topic Securing the Needle in an Implanted Venous Access Port Image shows how to use gauze and a transparent semi permeable membrane dressing to create a secure seal against the patient’s skin to prevent the needle from becoming dislodged from the implanted venous access port.

17. Nursing Care Plans • Focus on problems that can be present across diseases/conditions presented • Each care plan includes • Suggestions for interventions • Desired patient outcome • Examples of problem-based care plans include: • Fatigue • Impaired Mobility • Nutritional Imbalance

18. Core Measures • Core measures are a nationally recognized standardized performance measurement system that meet certain criteria • Topics in Nursing Reference Center Plus cover the core measure sets in detail E.g. “Core Measure: Acute The Acute Myocardial Infarction – Aspirin at Arrival” is just one core measures topic included in Nursing Reference Center Plus.

19. Nursing Management Topics • Nursing Management topics cover the process of planning, organizing, leading, and controlling the work of organization members and the process of directing, coordinating, and influencing the operations of an organization • Content supports nurses in their efforts to meet organizational goals, including attaining and maintaining accreditations/magnet status, improving outcomes, and decreasing costs This management topic cites research that indicates a positive correlation between job satisfaction and accountability in nurses. Developing accountability in nursing staff supports nursing excellence, specifically as outlined in Magnet “Force 5: Professional Models of Care”

20. Use Case – Management Topic • As a nurse manager, through observation and conversation with staff, I see that some staff members may be experiencing burnout. I’d like to have a discussion with other managers about what we can do to reduce/eliminate this. But first I need to better understand the topic myself. • I search burnout staff in Nursing Reference Center Plus and find several documents, including “Burnout in Oncologic Staff” which indicates (from a systematic review) that substandard staffing on oncology units does lead to more job dissatisfaction, stress, burnout, and the like. • With this information and after reading a few other care sheets on burnout, I’m going to bring this discussion topic to a forthcoming management meeting.

21. Nursing Regulatory Topics • Content includes detailed explanation of the regulation, possible organizational impact of regulations, strategies to support prevention of occurrence, and more. • Topics cover Joint Commission Regulations, National Patient Safety Goals, Sentinel Events, DHS Regulations, OSHA Regulations, and more. Nursing regulatory topics include topics like Infection Prevention and Control Plan (The Joint Commission, 2014).

22. Risk Management Topics • Information includes strategies on managing risk, evidence and examples of risk management improvement, supporting resources, and more • Topics cover the application of policies, procedures, and practices involved in identifying, assessing and controlling risk to an organization. Risk management topics include topics like Falls: accidental; Incident Reports; Risk Management

23. Use Case – Risk Management • As a nurse manager, I recognize that we are in transition, having been acquired by a hospital system and so we are migrating to a different EMR that is already in use. I want to better understand the types of risks that we need to mitigate in this process so I can document and help implement our plans to mitigate them. • I search EMR safety in Nursing Reference Center Plus and I review “Electronic Medical Record and Patient Safety” which indicates from a systematic review particular EMR associated variables that may decrease patient safety, such as nurses being unaware of new physician orders that were entered remotely (which may cause a delay in carrying out the order. • I will now discuss these risks with colleagues and they be addressed in the migration plan.

24. Easy-To-Use Interface

25. Result List

26. Easy Alerting

27. Localized Notes

28. Integration of Care Plans within an EMR

29. Diseases Landing Page

30. Skills Landing Page

31. Drugs Landing Page

32. Management Landing Page

33. Continuing Education Landing Page

34. Patient Education Landing Page

35. Reference Landing Page

36. easily access eBooks

38. Mobile Application for NRC Plus

40. Mobile (tablet view)

41. Integration Options Order Sets Learning Management Systems EMRs

42. Integration with Zynx

43. Integration with HealthStream A link to NRC Plus content can be configured to allow for tracking of content usage in the LMS. When the link is clicked, a new window is opened displaying the document.

44. Integration with Learning Management Systems Many content items can be grouped and tracked for usage in the LMS.

45. Integration with EMRs A link to Nursing Reference Center Plus can be configured to allow quick access from the EMR tool bar. When the link is clicked, the embedded authentication information is passed via URL and opens a new window to the main page in NRC Plus.

46. Integration with EMRs with Referential Linking. A link to Nursing Reference Center Plus can be configured to allow quick access from the EMR tool bar. When the link is clicked, the embedded authentication information is passed via URL and opens a new window to the main page in Nursing Reference Center Plus.

47. Additional Online Training via WebEx NHS • DynaMed Plus • Rehabilitation Reference Center • For more information and registration please visit the EBSCO WebEx site at http://ebsco-nhsscotland.webex.com Public • Full Text Finder: feature overview • Holdings & Linking Management (HLM) Overview • EBSCONET: the basics • For more information and registration please visit the EBSCO WebEx site at http://training.ebsco.com

48. Thank you! Any questions? Richard Crookes, MA, MCLIP Snr. Training Specialist (UK, Ireland & Nordic Countries - Biomedical) Tel +44 (0) 781 218 7726 Email rcrookes@ebsco.com http://support.ebsco.com