At Nicklaus Children's Hospital, formerly Miami Children's Hospital, we embrace technology and employ it throughout the Nursing Department to improve patient safety as well as make our operational processes more efficient. State of the art technology is utilized in all areas of the hospital.
Electronic Medical Record
On April 17, 2012, Nicklaus Children's Hospital (NCH) successfully transitioned to an electronic health record system that has provided significant enhancements for patients and caregivers alike. Internally known as PEDS (Pediatric Electronic Data System) this state-of-the-art program captures all data related to patient care from throughout the multi-facility pediatric healthcare system, including information from radiology
, the laboratory, pharmacy, inpatient care, outpatient care, rehabilitation, and urgent and emergency care all in one comprehensive system. PEDS could not have been developed without involvement and collaboration of nurses across all levels. Known as subject matter experts, or “SMEs”, nurses were selected from units throughout NCH to provide input into the development of the PEDS clinical documentation system. This process took eighteen months to bring NCH to the final “launch” date, and included process mapping, product testing, end-user education and support during go-live. SMEs continue to lend their expert assistance post implementation. SMEs were instrumental in the success of MCHs transition to the PEDS system.
Nicklaus Children's Hospital, formerly Miami Children's Hospital, is the first children’s hospital in the nation and first hospital in South Florida to install the HyGreen Hand Hygiene System. 3 North, Oncology, is the first unit to integrate the HyGreen system which enhances the first line defense in preventing healthcare associated infections. As part of the hospital’s Squeaky Clean program, the system reminds staff to wash their hands. The system consists of a hand washing sensing device mounted near hand cleansing stations. After the caregiver cleans their hands with alcohol-containing soap or gel, the sensor provides an “all clean” message, green illumination, on a badge worn by the healthcare provider. As the provider approaches the bedside, a bedside mounted monitor wirelessly searches for a signal from the badge for the “all clean” message. If the message is absent, the badge vibrates reminding the provider to perform hand hygiene.
NCH has its own intranet, or NCH Portal, through which staff can access a wealth of information. The portal is the home of all nursing and system wide policies. The portal is also used as a communication tool for employees about NCH events and initiatives. Many applications are also readily at the staff’s finger tips such as links to regulatory and state websites, educational materials for patients, self-scheduling, telephone numbers, email, individual HR information and dozens of other applications.
Web Based Scheduling
In 2004, NCH implemented a web-based scheduling system for the Nursing Department. The Nightingale system allows staff to access their unit's schedules via the web and allows them to input their scheduling preferences. The unit based Self-Scheduling committee reviews all submissions and produces a balanced schedule to meet the needs of the unit. Once schedules are published, all staff has the ability to view their unit's schedule. The system also allows the Nursing Department to view current and future staffing across all inpatient units easily allowing for wise allocation of nursing resources.
Mosby’s Nursing Skills
NCH nurses have access to Mosby's Nursing Skills. Mosby’s offers nurses and nurse educators the convenience of online access to evidence-based skills and procedures. Easily accessed from NCH's portal, Mosby’s content provides nurses with resources and insight from leading nursing societies. Mosby’s is updated continuously to reflect the latest in evidence-based practice.
Professor MCHex is an on-line learning center available free to all NCH employees on the hospital's portal as well as the internet. Professor MCHex is a web-based service focused on serving the educational needs of pediatric hospitals. As an employee of the hospital you are given full access to MCHex courses free of charge. Courses offered, many of which provided CEUs, include: NCH mandatory requirements, clinical development, individual development, legal and ethical, PC skills, organizational performance, professional development, safety, work/life skills, social responsibility/advocacy and management and leadership skills.
Pediatric Human Patient Simulator
NCH has a Pediatric Human Patient Simulator lab on-site which provides training to nursing, clinical and medical staff. The lab is managed and run by nurses. Simulations include a variety of situations that nurses may face as they care for pediatric patients. In the interactive simulator lab, nurses and other health care professionals can enhance their clinical skills and become more comfortable with how to respond in emergency situations - all in a non-threatening environment. The opportunity to utilize the lab starts during the orientation process.
On-Line Student Orientation
As a national and international center for Pediatric Excellence, NCH is continually called upon to provide clinical sites for nursing students regionally, nationally, and internationally. To provide a more efficient process for orienting students and faculty, NCH developed a web-based orientation program. At their convenience, students and faculty are able to access the orientation module and complete it prior to their arrival at NCH. This innovative web-based approach to training has proved to be a major cost saving and effective tool that complements the hospital's efforts in recruiting and reaching out to the largest number of students anytime, anywhere.
iSTAT Point of Care Testing
NCH nurses utilize iSTAT to perform point of care testing. The iSTAT is a portable machine not much bigger than a phone that is brought to the bedside for patient lab testing. With 0.1 cc of blood the nurse can run labs such as blood gas, lactic acid, electrolytes and the results are available within 120 seconds. The results are then downloaded into the patients computer database and available to the entire health care team.
NCH nurses also utilize bar-coding technology for laboratory testing. As with the medication bar-coding system, Soft ID allows the nurse to simplify the lab collection process through bar-code management. The nurse/phlebotomist scans the child’s ID band, lab slip and lab collection container ensuring the right lab for the right patient.
Get Well :) Network
As a leading provider of interactive patient care solutions, Get Well Network was implemented in 2008. The Get Well Network is recognized by and works in conjunction with Child Health Corporation of America (CHCA) and National Association of Children’s Hospitals and Related Institutions (NACHRI).The bedside interactive computer/TV monitor allows for the patient and family to be involved and their care. The system provides education materials through KidsHealth®, both standard and those prescribed by the nurse, interactive games, surveys for the families to complete as well as “pop-ups” for patient specific reminders. The system also allows the patient/family to access the Daisy Award to nominate outstanding nurses.