Name of Group/Meeting: Nursing Informatics Advisory
Committee (formerly HED Advisory Committee)
Date / Time / Location: : April 18, 2013, 2-3:30pm, Wadlington Conference Room, A
side, VCH
Next Meeting:
May 2, 2013, 2-3pm, 5053/54, MCE, North Tower
Chair: Vickie Thompson, Karen Hughart
Attending Arlene Boudreaux, 6T3; Jessica Newman, PICU; Ben Small, CRC; Mary Koziura & Jodi Perry, VPH; Cheri Wood, NICU; Mimi Arthur, 8C; Maria
Morrissey, PCICU; Martha White & Aaron Hirsch, 9N/S; Heather Campbell, 5S/6S; Abigail Luffman, 10N; Shawn Hall, 6RW/10S; Shelley Padget, 7N; Emily Stubbs,
8N; Nancy Rudge, Bill Raines, Kristen Beruti, Karen Wilson, Deborah Ariosto, Informatics; Lillian McGehee, Val Kibler, Debi Camp, Stephanie Philo, Heather
Freeman, Blair Anderson, Nicole Callendar, Tom Mack, Julia Lankes, Gwen Holder, Jackie Sharpe, & Karen Hughart, Systems Support Services
(anyone who failed to sign in, please let me know if you are not listed and I’ll be glad to correct the record)
Meeting Objectives:
1. Information sharing on new features & training and implementation plans if applicable
2. Decision making on new enhancements
3. Begin to identify significant enhancements needed (for future prioritization).
AGENDA
MINUTES
Who/Time
Topic
Summary / Decision
R0014780 Jessica
Newman, PICU, 10
min.
We need a place to chart assessments of a pt's eyes, and eye interventions (i.e.
eye irrigation, eye lubricant, eye gtts, eye patches, eye shields placed, or eyes
dilated by opthomology).
Present mockup of what dropdowns would include.
See attached. Much discussion about
proposed assessment. Will review “mock
up” at next mtg. to finalize
R0039418 Abigail
Luffman, 10N
Trauma (5 min.)
Trauma now has intouch beds with isogell air mattresses, this is not an currently
an option.
Feedback from WOC is that “Intouch bed w/isogell mattress” should be a new
specialty bed option. Currently available only in Trauma Unit.
Approved
R0039446 Deanna
Bryant Norman, 6A
Myelosuppression
(5 min.)
Make O2 sats and line access available to chart on Blood Admin. Tab. This way
you are able to chart all of the vitals and the flushing/blood return at the same
time you chart your blood product information. [this will affect all areas that
have access to the Blood Transfusion tab.]
Approved to add where vital signs are
documented similar to Chemo Tab.
R0038133 Laura
Westerman, Peds
ED (5 min.)
Under Procedure on Unit please add laceration repair to drop down menu. [This
will impact all who have access to document “procedures on unit”. ]
Approved.
Deborah Ariosto, 30
min.
Review upcoming changes in documentation related to implementation of our
nursing documentation framework.
We will send a summary separately once
it’s available.
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Next Steps
Clin App Spt Team
to mock up
requested
assessment for final
validation
Group Discussion 30
min.



All
5 minutes
Invite staff from units that have been piloting VCWS (MICU, 8S) and
Shift Planner and Risk Mgt.
What are the risk of over-reliance on paper for clinical data? Look at
RCA and Occurrence data in which decisions were made based on
outdated data
What is the right balance between reliance on paper vs. computer for
clinical data?
o What were barriers to clinical data access from computer
during Shift Planner pilot?
o Do nurses on VCWS units find it easier/quicker to access data?
How has this changed use of paper vs. computer?
o How will badge swipe sign on and VCWS usage impact this
further?
See attached document
Updates and announcements & questions from participants.
Proposed elements for Eye Assessment from PICU:
I have connected with Ophthalmology and the NICU to make sure we had covered bases. Here is what everyone agreed on:

Assessing for eyelid closure. Charting by exception would be “no” or “fused”.

Assess for drainage: Amount: Small, med, lg, copious; Color: clear, yellow, white, green, orange; Thick, thin, Crusted.

Assess Conjunctive: erythema, jaundice, scleral edema – mild/mod/severe (we could remove this from skin I think?).

Assess Cornea: Cloudiness/haziness, White patch, Dark patch, Other.

Presence or Absence of an eye shield or patch (both choices) – left eye, right eye, both (the NICU felt that this could take the place of their eye shield charting for
phototherapy)

Interventions (this should also be available in the QuickAssess): Ophthalmology consult, pupillary dilation, eye lubrication, eye gtts, eye care, eyelids held closed, eye
goggles placed/removed, medicated (see AdminRx).
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