Through the many changes in healthcare, technology has made exponential changes in the way care is delivered and receive

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Through the many changes in healthcare, technology has made
exponential changes in the way care is delivered and
received. Reflect upon the current state of technology as it
impacts patient care, coordination, and quality as proposed by QSEN
and TJC. Choose a patient from this week's scenario to
identify and discuss a technology-based strategy that can help
to support a seamless transition and improve healthcare quality and
safety. Additionally. discuss how technology has
impacted workflow and your own professional role development.
Be sure to include 2 current references.
OLDER ADULT – MULTIPLE MEDICAL PROBLEMS
You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Unit in
an urban hospital. The unit 7A to 3P staff consists of a
nurse manager, 7 RNs, 5 PCTs (Patient Care Technicians), and a unit
secretary. A geriatric nurse practitioner is assigned to this
unit and the Geriatric clinic. Interns and residents make
rounds and are available by page of on call.
You arrive and receive the following information in a report
from the night nurse regarding your assignment.
Becky Thomas, Age: 85
Admitting Diagnosis: Cellulitis Right lower leg
Past History: HTN, Osteoporosis,
CABG x 3 (6 years ago), hysterectomy, Cholecystectomy
Alert and oriented
OOB to chair with help – elevate lower
legs
Dressing lower leg – change twice a
day
Surgical consult today for debridement
and wound vacuum therapy
IV saline Lock
Antibiotic Ancef 1 Gm IVPB q8h (8 am,
4 pm, 12 mn) discontinue this am
2Gm Na diet
Bowel sounds x4
Lungs clear
Voiding – stress incontinence
BM last evening – hard
Retired actress with pension and
insurance, lives alone with cat
Antonio Banderos, Age: 57 (no beds
elsewhere)
Admitting Diagnosis: Renal colic
Past Hx: HTN, DM2,
Hyperlipidemia, colonoscopy – polyps removed
IV 5% D/W – KVO (keep vein open)
NPO
Morphine Sulfate 1 mg IV q1h prn pain
3 – 6 (0 – 10 scale)
Morphine Sulfate 2 mg IV q1h prn pain
7 – 10
Metformin 500mg BID
Last dose pain med 0600
Voiding – strained – no stone
No BM x2 days
Bowel sounds positive x 4, Blood
glucose 71
Possible OR today
Married, no kids, both him and wife
employed, only speaks Spanish
Doris Day, Age: 95
Admitting Diagnosis: Contusion Right Shoulder (fall),
hematoma right eye, Confusion
CT head without contrast no bleed
Past Hx: CHF, HTN, A-Fib,
Osteoarthritis, Fx, Left radius
Lung sounds rales on inspiration,
clear with deep breathing and coughing
O2 sats 91 room air, 95
with O2 2 L NC
Bowel sounds hyperactive – 1 loose
stool this AM
Taking liquids only – sore face
Voiding, some incontinence
Shoulder with ice and rest on pillow,
ice to face/eye
Percocet 5/325 mg 1 PO for pain q 4 h
2- 10 (0-10 scale)
Not OOB yet – PT consult
Lives with son and daughter-in-law at
home
Christine Nichols, Age: 64
Admitting Dx: Abd pain, cholecystitis
Past History: High cholesterol,
HTN, obesity, gastric bypass
IV Saline Lock, IVPB Antibiotics
Lap cholecystectomy yesterday
Bowel sounds hypoactive X4 – 1 soft BM
yesterday AM
VS stable
Morphine 2mg IVP q6H PRN pain, recent
dose at 0600
Lives with sister, still sings at a
retirement pub occasionally, no medical insurance