Telehealth Clinic

A patient arrives at a remote telehealth clinic to assess her CHF and COPD. The patient reports being fatigued and not being able to get out of the bed to perform her daily tasks. She has missed the last two appointments as she does not drive and relies on her daughter for transportation. A telehealth nurse works with the patient during the consultation while her provider is connected on the other end. The patient’s vital signs are assessed using the telehealth equipment, her skin is assessed using the camera, and her height and weight are recorded. Her breathing is labored with an increase in her respiratory rate. No intervention is delivered or ordered. No other significant findings are noted. The video set up keeps going in and out due to a faulty internet connection. The nurse continues to use audio until the audio system cuts out. The nurse then follows up with the physician over the phone. The nurse and physician collaborate on documenting in the patient’s electronic health record. The patient returns home that day and arrives in the ED the next day for difficulty breathing. She requires a hospital stay of 1 week. Assuming something could and should have been done differently during the telehealth consultation, address the following: 1. Health information technology applications should be easy to use with minimal effort and maximum efficiency required to perform or complete a task. In the case study – was this achieved? Why or why not? 2. It is important for nurses to develop the ability to assess what impact technologic development may have on the way they work and live. Consider the process flow for patient’s treatment. What points were impacted by technology? Which points did the use of technology fail patient? 3. As an informatics nurse, what improvements would you want to consider? Include one scholarly reference.