The Clinical Informatics Nurse (RN) works within the Nursing Informatics Department under the direction of the Chief Nursing Information Officer to test, implement, and support clinical electronic solutions that will increase the efficiency and quality of patient care delivery throughout Arkansas Children's Hospital. The Clinical Informatics Nurse (RN) will be expected to consistently exhibit a high level of competency using Microsoft Office products, Meditech, and SDG software. The Clinical Informatics Nurse (RN) must have an in-depth understanding of patient care delivery including the standards of care and the philosophy of care. This person will be expected to work with direct care providers (MD, RN, RT, OT, etc.) across the care continuum (Inpatient and Ambulatory) and to be involved with aspects of the clinical EMR staff education program, EMR
conversion and expansion projects, as well as any other projects or tasks assigned to the Nursing Informatics Department. In addition, this person will rotate responsibilities including the provision of bedside care as assigned.
Provide clinical information systems education, development of education materials, and develop
teaching strategies for various required and optional informatics related training sessions. Conduct routine and as needed informatics training classes for various electronic systems and processes.
- Work in collaboration with Nursing Education and Staff Development to ensure that all nursing employees receive adequate training on the electronic computer systems used within clinical environments.
- Work with the Nursing Informatics Department to establish training material, course work, program development, and other related training needs for new, existing, and transient nursing employees.
- Ensure that employees from off hours have opportunity for training that meets their schedule needs.
- Incorporates principles of adult learning and appropriate teaching strategies when working in collaboration with various ACH team members to develop needed self guided training material which may be used by employees online or through other mediums.
- Work with Nursing Education and the Nursing Informatics team to maintain and modify annual electronic competencies as assigned.
Participate in the design, development, and implementation of technical solutions concerning clinical electronic documentation.
- Work collaboratively with available expert resources and clinicians to resolve discovered problems.
- Use internet, system resources, user documentation and training manuals to identify possible solutions.
- Evaluate options for provision of quality, compliant, cost effective, and efficient solutions.
- Assist in issue resolution with vendors to ensure that the resolution meets the needs of ACH in providing cost effective and efficient patient care and financial practices.
- Execute plans for implementation of solutions in coordination with project team.
- Implement changes according to project methodology and all other pertinent policies.
- Maintain appropriate documentation and audit trails according to department and ACH policies.
- Assist the Informatics Department and HIS committees in the development and updating of current policies and procedures to reflect documentation practices in the ACH EMR systems.
Provide technical assistance, training, and support for EMR functions in all direct care clinical
environments in coordination with IT and SDG using agreed upon tools and standards. Work with all associated stakeholders and resources to automate processes for documentation through
development of the Electronic Medical Record, and other associated systems.
- Works collaboratively with ACH department managers, medical staff, and users to coordinate project implementations.
- Work with users to analyze, define and document system requirements, business logic, and work flow.
- Examine current resources and current technology for appropriate solutions.
- Perform testing of the Electronic Medical Record system in coordination with IT.
- Use knowledge, skills, and experience to evaluate all possible solutions to determine most efficient solution to meet goals and objectives.
- Evaluate and present innovative alternatives to solving problems.
- Analyze, develop, produce, and maintain the reports in coordination with IT and SDG. Be proactive in understanding the reporting to assist in coordination of reports to maximize the benefits throughout ACH.
- Use appropriate communication for all stakeholders throughout all ACH.
- Provide front-line technical support.
- Train end users on all EMR related systems.
- Develop and implement evaluation processes for system implementations and continuous oversight of operations related to the EMR.
- Create and maintain internal and external controls and checks on systems including quality assurance, improvement and validation of data integrity.
- Maintain in-depth understanding of all processes and systems in place.
- Utilize a maintenance schedule and train appropriate staff to ensure appropriate backup and maintenance processes.
- Assist IT in fulfillment of downtime procedures and provide downtime support as required.
- Work directly with SDG and IT teams to expand knowledge base in the areas of ACH information systems current operations, management, and development.
- Consult with ACH team members and designated medical staff to understand functions to be automated, the end user needs, objectives, and outcomes.
- Determine the impact of automated documentation with ancillary services, Ambulatory Care Services, and Surgical Services. Assist in ensuring integration with other departments' automated systems.
- Provide necessary information, training, and support for other departments impacted by the EMR.
- Serve as an interdepartmental liaison.
- Maintain appropriate communication of project status.
Nursing Process & Clinical Responsibilities
- Consistently provides & promotes safe, effective care; addresses age-specific variations related to growth & development.
a. Proficiently provides & improves technical nursing skills in accordance with policy, procedures, standards of practice, State Practice Act/Rules & Regulations (e.g., medication administration, 2 patient identifiers, restraints, pain, sedation, time-outs).
b. Ensures environments that are promote safe care (e.g., clear hallways, properly functioning equipment, fall prevention, crash cart checks).
c. Promotes & evaluates patient safety efforts (e.g., National Patient Safety Goals, 2 patient identifiers, medication safety & security, verifying staff privileges, unapproved abbreviations, time-outs).
d. Facilitates coordinated, complete patient care; optimizes resources in the practice setting (e.g., discharge planning, care planning, teaching, database, standards of care, critical results, chart checks, physician orders).
- Demonstrates & promotes critical thinking.
a. Role models the nursing process in caring for patients (e.g., completes assessment/patient data collection; analyzes pertinent patient information; identifies problems & desired outcomes, develops or contributes to the plan of care, prioritizes & implements the plan of care, & evaluates & adjusts care prn).
b. Assists others in evaluating individualized & prioritized patient care (Assessment, Problem identification & desired outcomes, Planning, implementation, Evaluation).
c. Trends & analyzes data to understand patient data pertinent to clinical care.
d. Evaluates variation in & patterns of patient care data (e.g., ongoing pain management patterns; nutritional/functional assessments & follow-up; evaluates flow sheet data, standards, plan of care).
e. Recognizes, reports, responds to, records, & re-evaluates changes in pertinent patient information or condition in appropriate timeframe; closes the loop (e.g., any identified change in patient status, critical lab results).
f. Reviews the medical record; collaborates with other caregivers & the patient/family (significant other) in planning, implementation, & evaluation of care.
- Role-models effective communication & collaboration by:
a. Legibly completes written documentation regarding assessment, problem identification & desired outcomes, planning, implementation, & evaluation.
b. Provides verbal reports to assure continuity of care & achieve desired patient outcomes.
- 4. Provides & promotes age/developmentally appropriate care in a culturally sensitive manner regarding:
a. Patient care interventions.
b. Special developmental needs.
c. Safety measures.
d. Age appropriate equipment & supplies.
e. Communication with preparation & education of patient & family/significant other.
f. Facilitates appropriate diversional, play, or recreational activities.
- 5. Promotes exceptional customer service & supports the ACH philosophy of Family-Centered Care.
a. Respect- Honors family/ significant others choices, beliefs, values, & cultural background (e.g., discusses cultural or religious practices during the history; asks when procedures/ routine care would work best for the patient/ family (significant other) prior to scheduling).
b. Information sharing- Provides complete, accurate information for family/ significant others to be an active participant in the patient's care (e.g., proactively addresses concerns/questions from family/ significant others; honestly discusses pros & cons of medical treatment with family/ significant others).
c. Collaboration- Recognizes that both family/ significant others & health care providers have expertise & resources that are beneficial to the patient's care (e.g., is attentive to the family/ significant other's input & actively communicates with peers & colleagues to promote continuity of care; discusses home routines for med/therapies & incorporating them
into admission orders).
d. Family to family support- Families/ significant others of patients with similar needs often find strength & support from one another (e.g., guides families/ significant others toward established support groups or others who serve as ACH volunteers to provide positive support & coping strategies).
e. Confidence building- Increases the confidence & skill of families/ significant others so that they may become more effective care givers (e.g., completes discharge teaching early in the admission process so families/ significant others are not rushed in their education; shows concern for family/ significant others questions & observations).
- Seeks new challenges and is self-directed in identifying resources/learning activities to enhance competence.
- Consistently demonstrates that new knowledge and skills gained from education are incorporated into actual practice.
- Takes a proactive role in sharing knowledge and expertise with IT staff and other members of the health care team.
- Provides assistance in developing policies and procedures that support the institution's goals and objectives.
- Works to reduce duplication of effort within department and ACH whenever possible.
- Actively participates in process and quality improvements.
- Uses mentoring and role modeling skills to promote positive outcomes and professionalism.
Bachelor's degree from four-year college or university
• Field of Study: BSN required. Note: A candidate with an Associate or Diploma degree may be considered if they are currently enrolled in a BSN program and will complete their degree by December 2015. Must complete certification specific to patient population or role (Nursing Informatics) by December 2015.
3 years total experience required required as an RN and / or demonstrated performance of 100% at the previous level within the Nursing Achieve career ladder.
which includes 3 years of RN experience
1 year teaching and project management experience
RN License (AR or Compact State)
• Candidate must possess at time of hire
Informatics Nursing (RN-BC) (ANCC) (Certification)
Excellent written and oral communication skills required.
Good problem solving skills required.
Ability to manage multiple deadlines and tasks.
Physical Activity - Stand
Physical Activity - Walk
Physical Activity - Sit
Physical Activity - Use hands to touch, handle, or feel
Physical Activity - Reach with hands and arms
Physical Activity - Climb or balance
Physical Activity - Stoop, kneel, crouch, crawl, twist, or bend
Physical Activity - Talk or hear
Physical Environment - Inside Office Environment / conditions
Lifting/Pushing/Pulling Weight - Up to 10 pounds
Lifting/Pushing/Pulling Weight - Up to 25 pounds
Lifting/Pushing/Pulling Weight - Up to 35 pounds
Lifting/Pushing/Pulling Weight - Up to 50 pounds
• (Manage safely with assistance of equipment or another person)
Noise Level - In general, the noise level for this position is considered to be:
Arkansas Children's Hospital - 16 months ago
As the only pediatric medical center in the state, Arkansas Children's Hospital (ACH) serves the youngest Razorbacks from birth to age...