The informatics nurse is reviewing potential clinical information systems. Which is the best example of a monitoring system?
A) The automatic blood pressure machine takes one reading of 164/104 and is turned off.
B) Manual blood pressure of 132/82 is entered into the vital sign section of the graphic sheet.
C) A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature.
D) Blood glucose readings of 162 for 7:30 a.m. and 198 for 11:30 a.m. are obtained and entered into the computer system.
C) A temperature probe is connected to the pulmonary artery catheter to continuously monitor core temperature.
Explanation: A) Devices not directly integrated usually have mechanisms for uploading data into a CIS. One blood pressure reading is not a good example of a monitoring system.
B) Devices not directly integrated usually have mechanisms for uploading data into a CIS. Manually entering data is not a good example of a monitoring system.
C) Physiological monitoring systems are applications that obtain and store real-time data about various physiological (versus anatomical) aspects of a patient. Monitoring is done to track changes in the monitored parameter from a baseline. Aspects that can be monitored today include basic vital signs. Because these applications usually are integrated with a CIS, the data are collected automatically and stored for review and decision making by healthcare professionals. Monitoring systems are devices that automatically monitor biometric measurements. The best monitoring systems, such as the temperature probe, obtain data electronically and transmit the data to be stored in the client's electronic medical record. Manual inputs are possible but are not the best way to record data.
D) Devices not directly integrated usually have mechanisms for uploading data into a CIS. Entering blood glucose readings after measurement is not a good example of a monitoring system.
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