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Implementing Electronic Health Record innovations for Pressure Ulcer Prevention and Management - Essay Example

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Implementing Electronic Health Record innovations for Pressure Ulcer Prevention and Management

Regardless of the size of the project, the proper integration of a skilled workforce, proven strategies and technology at MICU, would see the successful implementation of the program in various units for easy use by clinicians. If properly utilized, EHR can be the silver bullet to the problem of inconsistencies that are the order of the day in documenting pressure ulcer management processes through paper-work. Prevention of Pressure Ulcer According to Hagens and Krose (2009), to maximize the benefits the EHR for Pressure Ulcer prevention and management, it would be vital to keep problem lists, medical prescription lists and sensitivity lists in all units handling the patients s(National Pressure Ulcer Advisory Panel, 2007). In the MICU case, medical assistants or skin care specialists should enter medications and sensitivities from the paper work, and physicians would enter the problem lists. It would be appropriate to enter data shortly before an appointment is due, and take the chart to scanning. In doing so, the pressure ulcer management units will have an entirely electronic chart ready for patient handling when the patient arrives at the units (Kerr, 2009). Alternatively, it would be appropriate to enlist registered nurses for the task of problem list entry before the program is ready for use by various clinicians. Assessment for Pressure Ulcer For acute care, the first assessment should be carried out on admission and after every 1-2 days or whenever the condition of the patient changes (Clarke, Bradley, Whytock, Handfield, Van der Wal, & Gundry, 2005). At MICU, the system would be programmed to notify the health care providers to do assessments every 24 hours. For home health, the first assessment would be carried out on admission, and re-examination done as soon as the patient resumes care, during recertification, refer or release, or whenever the patient’s health condition changes (Adler, 2010). At MICU, it would be appropriate to reassess the patient’s condition at each nursing visit. And for long-term care in MICU, the initial screening for patients would be appropriately done on admission and every week during subsequent missions. Determining Risk Levels Several electronic tools for risk assessment are accessible to assist in predicting the level of risk of the disease (National Pressure Ulcer Advisory Panel, 2007). They include machines with values that when summed up together, can enable the health care providers to determine the risk score in totality. The Braden and Norton Scales are proven tools that can be used to provide an electronic data for predicting the risk of pressure ulcer risk in MICU. According to Ayello, Capitulo, Fife, Fowler, Krasner, Mulder, Sibbald, and Yankowsky (2009), these tools help clinicians to determine the risk values, which eventually can lead to the formulation of the most appropriate and opportune medical interventions. Norton Scale The Norton Scale comprises five groups: physical and mental conditions; mobility, activity, and incontinence. These factors are valued from 1– 4 (Tavenner, & Sebelius, 2012). The total values usually range from 5 to 20. An entry of the following data to the EHR system can help clinicians to cope with the condition in a more effective and faster way: Mild Risk values at 14: Moderate Risk at 13: and High Risk at 12. The scale should be credible and kept in such condition to avoid errors in the final readings of data (Liang, 2007). Any alterations can change or render it an ...Show more


Electronic Health Record (EHR) for prevention and management of pressure ulcer Course/Number Date Introduction The implementation of electronic health record (EHR) for prevention and management of pressure ulcer can be daunting, but it is worthwhile…
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