Informatics RN Interview June2019



hi my name is McKenna pshah and I work at corona Regional Medical Center I actually did my informatics nurse interview with our clinical analyst Ryan French I was able to interview her over the phone after her a few times of attempts to try to make it in her send appointment we were able to work out to be able to talk over the phone we saw each other a few times oh look this course of different skills days we had in the hospital but unable to do a formal interview so we ended up interviewing her my heroine was what with her really well I found out a lot about our Hospital since I'm I've only been there for a few months now I'm finding out more about what the role of Informatics nurse does and the clinical analyst dies for our Hospital finding out that the different roles that she's played and actually finding out the history of how she actually got to where she's at interesting enough like I always thought like okay to be in the tech field you kind of have liked it especially in informatics where she would have to have like certificates or now that we have this informatics master's pro part of our program that you would have to have that in order to get a job as an informatics nurse actually I found out it from listening to near the other interviews actually I found out that and through Brian French that she didn't have to have a certificate she was it was more based off of her experience in the field she actually has a background in the military IT she did for years the military worked the IT she when she came back she worked straight to don't work with till technology and worked with the IT area from then she realized you know she wanted a different career so she actually went to nursing and worked and I know she graduates you work in the ICU few years and from then she from the hair like everyone she was like no that's like the Czechs having nerves like if there was anything that went wrong they would go to her and so she is like hey I like this is something I'm good at and an opportunity arose in their Hospital that their director was saying like hey you want this position I need someone to fill this and you'd be great at it with your experience with no knowledge of IT and information technologies so she's like okay I'll do it she loves it and from there actually another opportunity arose that was a different Hospital a different opportunity arose to come to our Hospital Corona regional to be the informatics the the clinical the clinical analyst to be able to find out that come over here and be in charge of this department she from my interview with her I found it very interesting that she didn't have to have actual certifications to be IT it was more based off experience and based off of knowledge that she has within this department but also just based off of having a few years of nursing to be able to help accumulate those that knowledge of bedside nursing into our systems and like especially the medical records and being able to hands-on know what as nurses are going through and based off of what the computer system needs and how to put them together to be able to work hand in hand I thought it's very interesting to be able to have that and very important to be able to have that background in nursing and computer science and just to be able to combine those two to really get a fulfill for helping out the nurses through our interview I thought we had a lot of great discussion over the interview she talked about different technologies at her hospital uses in how she formulates them to work for us so we have like mio scoring which is a good score based off of I say the patient's vital signs or different things we documented in their assessment that based off of those I say the temperatures low heart rates up blood pressures going as low like a score will it pop up on our computer and notify has to say hey you should check in to see either talk to the doctor or charge nurse what are you doing what are you going to do and what are gonna be your interventions that you're going to do and so that kind of helps get you going hey this says if you didn't already do that based off of the vital signs also there's warnings on medications when you're scanning in your medications the one that I've noticed is the insulin we have a communal insulin in the Pyxis so we have a little bar code that we scan when we're at the bedside when you draw out our correct units but when we scan that on the system it only shows at one unit so it like it's a red flag saying hey how many ions are you actually giving the patient and then you have to input their blood sugar so based off that you will make sure you're not having a bed era if you're putting in your blood sugar so you know how much your patients blood sugar was and what kind of how much insulin you're giving them and it's kind of like a double check for you too after you already had like a witness sign it when you drew up the medication and been able to have that Co business and that signing and a warning system for you also different scores that we have our scales like our fall risk or Braden scale pops up two main things in our hospital that we are making sure that we're doing great on documenting is our fully catheters and PICC lines so when those orders go in that we a patient has a Foley or when they have a PICC line it accumulates a bunch of other notifications are cast for us to do so for like a PICC line it puts in an order or a task list for us to make sure that we change that dressing every seven days making sure that we're doing the chlorhexidine wipes on the patient with both Foley and the PICC line or for like the Foley making sure you're doing Foley catheter care so that pops up as a task for you to do or making sure that you're documenting what you need is document based off of those two important lines we also have like the ryan mentioned about like the guardrails of how it it on the system itself that has like the medications list or you're making surely based off the medication that you're getting I say it get exhausting it only comes in a certain amount that you can click in on there that it's going to be correct and actually once we were talking about this we're actually our hospital were going through a new whole system called eyewear I just had training with with her a couple weeks a week ago was that with the eyewear it's a the Alerus system pump that we actually the pump and then we get to scan the patient and the medication and it goes straight to the pump so we don't have to like click through the layers pump anymore to find what medication it's like it already gets scanned straight through there by yourself the Wi-Fi in connection so it's gonna be a great tool to use to go a quick pace through but also to be able to double check that these medications that we're hanging are what are actually ordered for the patient that we're not hanging something and just clicking them a random medication in the system just to get the right time rate that it was actually based off the order from the patient and their marker so it's gonna be a huge part in making sure that we're sticking to the the patient's rights and medication rates to make sure that medication errors another thing that I found interesting that when I was talking with Ryan on our interview was just her ability to be able to collaborate and bring everyone together and communicate I thought it it's such a hard thing to do and in that any kind of field but like especially having her has having the background in as an ICU nurse and as an RN like she knows the floor she knows the bedside nursing and the charting and the frustrations with it so she's hands-on trying to help us fix that helping make it easier for us helping making the documentation easier he'll be making just the notifications helpful or not honor they not helpful if they're not helpful get him out of there and try something new and she communicates with us nurses on the unit and finds out what's working what's not working when we when we have skills days when we have meetings she is there and I've met her a few times that what she's able to like hands-on find out what since we brought out something new is this working is it not is it not working with you the extent that they thought it was gonna work they there's so many things that could go wrong with something not working or they think it might work but it doesn't work actually so having that ability to be able to like critically think as a nurse but also thinking in the IT realm of being able to manage that I think that's great my question that I created and asked her was what is one thing that you feel you've brought to your career and this hospital to enhance the nursing informatics field so basically our whole interview it was kind of came to the realization she answered based off of communication being able to communicate from the administrators down to the bedside nursing to the CNAs to be able to have that communication with everybody from CEOs directors anybody that uses the system and making sure that she bridges those gaps for us to help us know that this administration wants this level but we can't get there if our system is not working for us or if we have to stay overtime just to catch up on it but if there's tools and and ability for us to be able to have that resource to to amp up and be able to build up our bedside nursing and improve it and get to the scores that the hospital's wanting the administration's wedding that's where she plays a huge role and that's where she feels that she is able to bridge that gap between it was administration once and they were the reality the bedside nurses faces day to day that sometimes we can't make that mark but how can we strive our best to make that mark I just I really enjoyed this process with the interview finding more about informatics nursing I myself I enjoy technology and not maybe the most tech-savvy but growing up in a field or growing up around a lot of Technology and both my dad and brother very technologically savvy so I've learned a lot of things so even myself a little that I know on the unit like I am helped being able to help other nurses improve maybe their charting so it's it's helpful to be able to know that oh okay like if this is something that I maybe in the future we want to pursue I don't technically have to have a certificate I don't technically have to have something as just as long as I can have the knowledge and the experience maybe in it that I've thought well maybe this might be something that I can see myself later on after many years of working that if I want to like do something different or administration or leadership that I team I our informatics might be an area that I can see for myself so I felt like that's really impacted my ability as a nurse and my ability as a master prepared nurse to think for the future for myself for my career how it's gonna help improve my day-to-day bedside nursing and then how it's gonna improve my career and future to be able to work hand in hand with this technology that's now placed in our hands and like we work intricately with it as nurses there's no getting around it we're not gonna go back to paper charting there's there's no way we're gonna stick with the computer they're sticking with the IT that we have to grow with that we have to continually learn and how to improve our roles of sourcing but also improve our charting and ability to minimize the time that we're charting and actually being able to be more hands-on with the patient but being able to utilize the smart tools that we have in resources for our benefit and ultimately for the patient's safety and for their benefit in their health so I found that it's a it's a huge a huge department that makes a big difference in the hospital growth in a huge area that makes a a big impact on the bedside nurse roles and day to day tasks that they have to perform and making sure that they're meeting those policies and and protocols of the hospital once and you need to meet but making sure that we utilize were utilizing this tool for or the best of our abilities to be able to bring patient safety bring better patient care and seeking and following these safety policies and procedures to be able to handle all of that so thank you for listening thank you

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