Using PDA’s In Health Care

1. Using PDA’s In Health Care Presented By Ruth Morrison, RN

2. Objectives • Describe the trend • Define what is a PDA • Describe the hardware of PDAs in nursing • Describe the software of PDAs in nursing • Review the Information System • Examine Advantages/Disadvantages of PDAs in nursing • Discuss the ethics/legalities of PDAs in nursing • Determine nursing competencies for PDA use • Define the role of the informatics nurse and PDAs

3. The developing trend • Using PDAs in Health Care

4. What is a PDA? • Personal Digital Assistant • Mobile device that functions as a personal information manager • What makes a PDA? • Touch screen, can include stylus • Wi-Fi capability • Keyboard • Memory card slot • Sync ability (Kayne, 2010)

5. What is a PDA? Popular Devices Popular Software • Palm Treo • Palm Pre or Pixi • HP iPAQ • HTC (Windows Mobile) • Blackberry • Apple iPod Touch • Apple iPhone • Word • PowerPoint • Excel • Outlook/email server • Calendar • Contacts • Photos • Music

6. PDAs in nursing Palm TX Dell Axim X51 • WiFi/Internet • Bluetooth • SD expansion • Sync ability • Multimedia • Reference applications Hardware (Kairer, 2005) (Gade, 2005)

7. PDAs in Nursing • Reference Applications • PEPID • ePocrates RX • A.D.A.M. Symptom navigator • Lab Values and Tests • Patient Tracking • iCharts • Charge Capture/Billing Software (“Top 25 iPhone APPS for Nurses”, 2009)

8. PDAs in Nursing Software Expanded • PEPID • Drug database • Disease profiles- signs & symptoms • Medical conditions • Dosing calculator • Drug interactions • Lab values • Medical illustrations (Colevin, 2007)

9. PDAs in Nursing • Evaluation of PEPID • Usability • Touch screen • WiFi connection • Stylus • Keyboard-on screen or physical • Accessibility • Picture menu • On screen tutorial • Customer support • Research (Ondash, 2004)

10. PDA Review A Clinical Information System • Used by: • Physicians • Residents • Nurse Practitioners • Nurses • Pharmacists • Dentists • Social workers • Nursing faculty and students (El Eman, 2006)

11. PDA Review PDA Uses in Healthcare • Documentation/Charting • Outpatient tracking • Diagnostic imaging • Medical references • Medication reference • Clinical decision pathways • Personal organization • Billing/coding (El Eman, 2006)

12. PDA Review • Configuration • Microcomputer • Mobile computer • Handheld device • Data Standards • American National Standards Institute (ANSI) • American Society for Testing and Materials • Healthcare Informatics Standards Planning Panel • Others

13. PDA Review • Classifications • Disease and Procedure classification • Nursing Practice Standards classification • Will vary based on: • Setting/usage • User • Applications/software used Recommendation? YES!!

14. Advantages of PDAs • Size • Pocket size • Versatility • Convenience • Point of care data entry and reference • Current reference material/applications • Patient safety • Patient tracking from any location • Instant procedure/charting results • Medication checks • Cost efficient (Sausser, 2002)

15. Disadvantages of PDAs • Size • Screen • Keyboard • Security • HIPAA • Loss rate • Viruses • Information interception • Compatibility with other systems • Cost • On going technology upgrades • Loss • Training • Equipment replacement from breaks (Sausser, 2002)

16. PDAs in Nursing Ethics/Legalities • HIPAA • Patient confidentiality • Lost devices • Transmission of electronic information • Hacking viruses • ANA • Personal usage • Email • Websites • Multimedia (Sausser, 2002)

17. PDAs in Nursing • What nurse can use a PDA? • ANY nurse! • Training • Beginning • Intermediate • Advanced • Competencies • Techinical • Utility • Leadership (Kaminsksi, 2007)

18. PDAs in Nursing Informatics Nurse • Integrate PDAs into patient care • Educate nurses about PDA usage • Encourage best practice research • Develop tools and applications to help nurses (Staggers, 2002)

19. PDAs in Nursing To Summarize • What is a PDA • Personal • Nursing • Health care • What PDAs can offer a nurse • Bedside charting • Immediate and current references • Patient information at an location • Role of the informatics nurse • Educate nurses about technology

20. References • Colevins, H. (2007). PEPID RN clinical nursing suite. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1924964/ • Craig, A. (2010). Best PDA’s (and apps!) for Nurses. Retrieved from http://scrubsmag.com/best-nursing-apps-for-pdas/ • El Eman,K., Garritty,C. (2006). Who’s using PDAs? Estimates of PDA use by health care providers: A systematic review of surveys. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1550702/

21. References • Gade, L. (2005). Dell Axim X51v. Retrieved from http://www.mobiletechreview.com/Dell-Axim-X51v.htm • Kairer, R. (2005). Palm TX handheld review. Retrieved from http://www.palminfocenter.com/view_story.asp?ID=8140 • Kaminski, J. (2007). Nursing Informatics Competencies. Retrieved from http://www.nursing-informatics.com/niassess/competencies.html.

22. References • Kayne, R. (2010). What is a pda (personal digital assistant)?. Retrieved from http://www.wisegeek.com/what-is-a-pda-personal-digital-assistant.htm • Ondash, E. (2004). Nurses Choose PDAs Over Other Mobile Information Technologies. Retrieved from http://www.nursezone.com/Nursing-News-Events/devices-and-technology/Nurses-Choose-PDAs-Over-Other-Mobile-Information-Technologies_24474.aspx

23. References • Sausser, G. (2002). Use of PDA’s in health care poses risks and rewards- Digital Perspectives. Retrieved from http://findarticles.com/p/articles/mi_m3257/is_5_56/ai_86064167/ • Staggers, N., Thompson, C. (2002). The evolution of definitions for nursing informatics. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC344585/

24. References • Top 25 iPhone apps for Nurses. (2009). Retrieved from http://onlinenursingdegreeguide.org/2009/top-25-iphone-apps-for-nurses/