1. Use of PDAs in Education UNC-CH School of Nursing March 1, 2003 Julia Shaw-Kokot Health Sciences Library

2. Mobile Technologies  PDA = Personal Digital Assistant  Palm OS (Operating System) devices  Palm  Handspring  Pocket PC = Windows CE operating system  HP  Compaq  Dell (Axim)

3. Mobile Technologies, Cont.  Other Devices  Nightingale Tracker Nightingale Tracker  Smart Phones Smart Phones  Blackberry Blackberry  Tablets Tablets  Other terms  Handhelds  Palmtops

4. Use of PDAs in Education  “Transforming technology”*  Primary Schools  Forsyth County Day School (private) First K-12 school in the country to require for 1 st graders  Cherokee Central Schools Cherokee language  Harlem Asthma rates  University of South Dakota *Pen Computing Magazine. Nov. 2001, 60-64.

5. Nursing Schools  University of Virginia University of Virginia  Acute and primary care nurse practitioner programs  Pharmacology  Arlene Keeling and others  “… if nursing schools continued in their use of the paper bound reference materials they would be graduating nurses with equally outdated and obsolete information and skills.” Rnpalm Rnpalm

6. Nursing Schools, Cont.  Columbia University  Entry-To-Practice students  Informatics competencies  Sarah Cook and others  “…document a select set of data elements sensitive to nursing care for all patient encounters in order to facilitate building evidence from practice.” RnpalmRnpalm

7. Nursing Schools, Cont.  UNC-Chapel Hill  14 Month Second Degree Program  Judy Miller and others  “Students were able to look up drug information on the spot. One student was able to detect an entire list of incompatible medications, which were prescribed for her patient! Diagnosis information was available and students took advantage of the opportunities to look up the information in the PDA’s on the clinical site.”  Implementing a Clinical PDA Program for Nursing Students Implementing a Clinical PDA Program for Nursing Students

8. Educational Uses  Drug information  Calculations  Student tracking  Dictionaries (Medical Spanish)  Reference Resources

9. Educational Uses, Cont.  Links between  Course content  Evaluations  Clinical logs  pdaED.com  Teacher’s Pet Teacher’s Pet

10. Practice: Visiting Nurses  Visiting Nurses Association Home Health Systems in Santa Ana, Calif.  Improved level of care  Decreased paperwork by up to 50% (now 1-11/2 hours vs. 3-4 hours per shift)  40% increase in employment applications  Bedside access to patient medication information

11. Healthcare Systems  Moses Cone Hospital  5 hospitals  100+ Physicians  15 Pharmacists  The Rise of Palmtop Technology in Medicine Part 1The Rise of Palmtop Technology in Medicine Part 1

12. Drug Information Resources  ePocrate  MobilMicromedex  Lexidrugs  Lippincott’s Nursing Drug Guide

13. Calculations  MedCalc MedCalc  IVRate Calc IVRate Calc  PregCalc Professional PregCalc Professional

14. Notes and Documentation  CareTracker (ADL) CareTracker Web demo www.resourcesystem.com/new/Ctdemp2.html  Patient Keeper  RN Patient Keeper (MAC)  Patient Tracker

15. Reference Sources  Merck Manual  5Minute Clinical Consult  Skyscape  Advanced Reference and Transaction system

16. Catch?  Translation software examples  Avantgo  Backup Buddy  Install Buddy  iSilo  InstallBuddy  JFile

17. Issues  Security (Health Insurance Portability and Accountability Act of 1996 –HIPPA)  Wireless  Confidentiality  Standards  Human/technology interface

18. Information on PDAs  PDACortex http://www.pdacortex.com/  PDA in Nursing Listserv http://www.pdacortex.com/nursing_pdas _listserv.htm  Nursing Library and Information Resources Yale University PDA Guide http://info.med.yale.edu/library/nursing/reference/pda.html http://info.med.yale.edu/library/nursing/reference/pda.html

19. PDAs in Nursing Listserv ======================= Check out ePocrates (website is www.ePoctates.com) I use it all the time on my Palm IIIC you can update it anytime hotsinc with your computer which I find helps keep me informed of changes. Question: > Any advice on programs that I will find helpful for my Palm III c? I am an FNP student, who wants to use the Palm in a family practice setting to help me look up appropriate meds, check contraindications, and dosages.

20. Where do you get the Davis Drug Guide?? I am a nursing student who will be starting clinicals in the spring, and one of our required texts is the Davis Drug Guide. So I figured that might be a viable option instead of getting the book and then getting a new book in a year or so, this way it will update as new information comes out.

21. Crystal Ball  Transitional Technology  Next = wearable

22. Reference  Huffstutler, S., Wyatt, T.H., & Wright, C.P. (2002). The use of handheld technology in nursing education. Nurse Educator, 27(6), 271-5.