Consider that you are the informatics specialist for out-patient services for a hospital system that is developing an anticoagulation clinic
Nursing Informatics Students:
Consider that you are the informatics specialist for out-patient services for a hospital system that is developing an anticoagulation clinic. You are developing tools to be used for all staff and physicians related to a patient with a deep vein thrombosis (DVT). Please answer the following questions based on the case study. Your answers should be brief and to the point for ALL questions. The word count is outlined within each question. Points will be deducted for going over the word limit for each question.
1. Discuss the pathophysiology of a DVT. (in no more than 150 words)
2. List the tests that are commonly included in a coagulation panel and briefly describe what the test measures and why each is needed. (in no more than 150 words)
3. Explain thrombolysis and why it may be included in the original treatment of a DVT. (in no more than 100 words)
4. Identify the health history information that will be needed for nursing and providers (NP, physician, pharmacy) staff caring for a patient in the anticoagulation clinic to be placed into the electronic health record (EHR). Consider the information that will be needed in the history and review of the systems? (in no more than 150 words)
5. Identify the components of the physical exam that will be needed for nursing and providers (NP, physician, pharmacy) staff caring for a patient in the anticoagulation clinic to be placed into the electronic health record (EHR). What specific components of a physical examination would be important to document during the physical exam? Identify any specific tools that could be incorporated into the EHR to assist providers. (in no more than 2 pages)
6. Provide guidelines or an algorithm that can be used by staff to adjust or monitor the rivaroxaban that can be placed into the EHR. Consider the length of time for the duration of the rivaroxaban, any lab work needed, any other considerations for this medication. Use current clinical guidelines and other scholarly articles to support your information. (in 150 words or less)
7. Discuss how nurses, NPs, physicians, and pharmacists should review all patient medications. What tools might be placed into the EHR to identify if current medications are appropriate or to identify drug interactions? (in 100 words or less)
8. Discuss information that can be added to the EHR to assist nurses, NPs, physicians, and pharmacists to give appropriate patient instructions and a teaching plan for a patient with a DVT; including medications, diet, follow-up care. (in no more than 2 pages)
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