Please respond to Topic 1 and Topic 2
Topic 1. Communication Devices
Communication devices, such as a smartphone, used by nurses in the workplace can be their own personal device or one that is distributed by their hospital which is integrated with the clinical information system.
A. Discuss the impact of smartphones on patient care. What are the positive and/or negative aspects of nurses using smartphones in the clinical setting?
B. How can the use of a smartphone support evidence-based practice? Provide examples.
C. Please share how you use your smartphone to support your nursing practice to provide safe patient care and improved outcomes.
D. Consider nurses who post patient information, photos of patients, or discuss interesting patient cases on social media. Research the most current HIPAA guidelines regarding social media related to nurses and explain. Include the current policies and violation penalties.
E. Identify the ethical and legal implications of smartphone usage by healthcare providers in the clinical setting.
F. Research a peer-reviewed journal article that discusses how communication devices enhance safe nursing practice and improved care. Include this information in your discussion.
Bouldrick, D. (2015). HIPAA Violations on Social Media: THINK Before You Post! AMT Events, 32(1), 24–27.
Conant, J., Elmore, R., Moore, A., Blake, S., Peacock, A., & Ward-Smith, P. (2020). Use of Personal Communication Devices in Clinical Settings: Perception of Staff Nurses. Journal of Nursing Administration, 50(4), 192–197. https://doi.org/10.1097/NNA.0000000000000867
Topic 2. Text Messaging Physician/Provider Orders
Christa is an RN working the night shift in the CCU and is caring for a 52-year-old patient who had an inferior wall myocardial infarction (inferior STEMI) 18 hours ago. At 0200 the patient’s vital signs are unstable and he is now in sinus tachycardia with occasional premature ventricular contractions (PVCs). The patient’s cardiologist left orders to text message him between the hours of midnight and 0800 if there are any changes in the patient’s condition. Christa sends a text message to the cardiologist and he responds back to her via a text message with patient care orders, including medication orders.
A. Have you ever sent a text message you thought was perfect only to see misspelled words after you sent it? When you consider the nature of texting with the abbreviations and autocorrection of words that are often missed when we send a text, identify the information in a physician’s or provider’s orders that can get lost in translation and be misinterpreted. Would the nurse be held responsible for incorrect information that was transmitted via text message? What actions should the nurse take when he or she receives a patient care order via text message?
B. Would you act on a medication order from a physician via text or by e-mail sent from a personal smartphone? Why or why not?
CLARIFICATION: Use of Secure Text Messaging for Patient Care Orders Is Not Acceptable. (2016). Joint Commission Perspectives. Joint Commission on Accreditation of Healthcare Organizations, 36(12), 9.
Pirschel, C. (2017). Secured Text Messaging Orders Declared Unacceptable by the Joint Commission. ONS Voice, 32(4), 37.
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