23.0

Demonstrate computer literacy as related to nursing functions

23.01
Demonstrate computational, keyboarding and

Retrieval Skills

relevant to job requirements for a Licensed Practical Nurse.


what types of charts are there?

what skills do you think that you will have to have mastered before achieving success here?

http://www.med-ed.virginia.edu/courses/pom1/pexams/hpexam/

for students to review if they need more in-depth explanation or to see the actual interaction/data gathering

talk about what is included in the:

H&P

History of Present Illness

onset
duration
intensity
relief
worse
location
demonstration if possible

medications for this problem

effects on other body systems

impact on rest

impact on social/work life

what are the patents concerns, thoughts, diagnosis

any previous medical interventions


Past Medical History

client age

other medical diagnosis (onsets and treatments)

surgical intervention/history (procedures with dates and reasons)

medications regularly taken (names and dosages)

other medical problems (open-ended questions)

hospitalizations (open-ended questions)

allergies (drugs and foods then description of the reaction)

smoking (frequency, ppd/years, quit), drinking (frequency, and amount, and type)

family history
siblings and their problems
parents and their problems and death
history of cancers

Review of Systems

head to toe chat

include exercise (what makes you sweat)
include weight - where are you/what would you like to be
include sexual desire

Physical Assessment

head to toes systems review



Orders --
items to be complete to care for the patent during their stay in the facility

Test --
items that have been completed and the professional report

LABS --
Blood, Urine, and other Body Fluids

Notes --
Current notes on the plan, interventions, outcomes and new plan of care for all health care professionals to add to

23.02
Identify computer skills utilized for each clinical rotation and apply, as appropriate.


Demo a disk/workbook EMR to practice with in class

explanation of IT training day

help the students to formulate ?'s to ask after training on EMR

encourage the students to write the questions down

prep them for training