6. The PNDS reflects the perioperative clinical workflow which captures the perioperative nurse’s contributions to the patient outcomes via clinical documentation in the electronic health record
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8. The PNDS language is a computer coded language built into the electronic record for Perioperative Nurses to capture the nurse’s documented data
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10. In simple terms… Whatever YOU enter into the electronic health record related to patient care, will be captured using the PNDS codes within the computerized program your facility uses.
12. The PNDS codes capture the documentation of the care the nurse provide in the operating room to their patients in the electronic health record. Click to save
14. ITS IMPORTANCE The PNDS is an approved ANA (American Nurses Association) nursing language that provides a true perioperative standardized method of documentation to gather data in order to measure clinical impact versus non-clinical variables or values such as turnover time.
17. The PNDS includes computerized codes which will facilitate consistent electronic documentation, quality initiative identification, and clinical reporting in the perioperative setting.
19. DEFINITION The PNDS is a standardized vocabulary that describes perioperative nursing practice by providing formal definitions when the nurse is documenting the care being provided to the patient in surgery.
20. Better said: It is a standardized and controlled vocabulary that EVERY perioperative nurse uses to identify the work being done in the perioperative area when documenting or “charting” in the Electronic Healthcare Record (EHR).
22. I GET IT!!! A standardized single concept that will capture every step, skill, and care the perioperative nurse provides to the patient undergoing an operative or invasive procedure when documenting care in the Electronic Health Record (EHR)
30. The PNDS uses the nursing process as the foundation for the documentation in the electronic health record
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32. Finally…they will understand what I do as a nurse in the perioperative setting!!!
33. The true value of what the RN does! The PNDS provides the documented value, cost-effectiveness, and contributions of professional nurses in the perioperative setting while gathering reliable perioperative data for future research related to perioperative nursing.
36. Positive Patient Outcome PNDS captures all the data for this patient’s surgery and the care he received GOAL MET
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38. The PNDS is a computerized method to collect data to measure CLINICAL IMPACT as well as non- clinical variables/values such as turnover time Let’s Recap:
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40. Measuring turnover times of the room for the next case, although important at times, is not a measure of clinical nursing quality but a measure of efficiency (non-clinical processes) .
42. A method to document the value, cost-effectiveness, and the contributions ofprofessional nurses that are providingcare to the patient undergoing a surgical intervention…
50. Additionally, The care that is documented will be collected and is retrievable via the PNDS codes for data analysis and quality measures, such as SCIP and nurse sensitive patient outcomes (NDNQI) which will establish data for best practices.
76. The PNDS has built in codes In the Electronic Healthcare Record (EHR) that you don’t See in practice but they are there. I will show you an example
77. PNDS Codes are the data points that when you document will be captured and used for nursing quality outcomes
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79. Now my nursing care will be recognized in research studies, in evidence based practice and in nursing quality outcomes
