2023-04-11 - Nursing CRG Meeting
Group name
Nursing Clinical Reference Group
Attendees
Christine Spisla Erica Culp Ian Green Cathy Richardson Jerno Thys (Unlicensed) Former user (Deleted) Camila Takeo Lopes Elisabeth Giesenhagen Former user (Deleted) Friso Raemaekers (Unlicensed) Luann Whittenberg Tess Settergren, Myonghwa Park, Alain Junger, Heather Herdman Susan Matney (Unlicensed) Stephanie Hartleben
Apologies
Jane Millar
Recording (GoogleDrive)
https://drive.google.com/file/d/1tecQEPO7eAAPR51xpa4uzU7YXnd34I0E/view?usp=share_link
Discussion items
Item | Description | Owner | Notes | Action |
|---|---|---|---|---|
1 | Introduction/Welcome Nursing CRG | Erica Culp/ Christine Spisla | 10 min |
|
2 | Presentation
| Camila Takao Lopes Phd, RN FAI, Brazil Tess Settergren Phd, RN/Stephanie Hartleben, RN-BC, MSN, MHA, USA | 40 min | Director of diagnosis development, NANDI Data Modeling and Coding Working group lead, University of Minnesota Nursing Big Data Group |
3 | SNOMED International: News and Updates | Jane Millar/ Ian Green | min |
|
4 | Terminology Consultation: | Cathy Richardson | min |
|
5 | Call for future Nursing CRG discussion topics:
| Erica Culp/ Christine Spisla | 5 min |
|
Meeting Files
Previous Meetings
Comments
I must rephrase, I took 7 steps, some have an 8th. 'Education' or 'training' is also one of the steps I'm exploring. So that makes the following steps:
Placement/insertion OR assistance with placement/insertion
assessment of tube/catheter/...
care of tube/catheter/...
management of tube/catheter/...
education/training of tube/catheter
Removal of tube/catheter/....
Replacement of tube/catheter/....
(Aftercare (further defined depending on which tube is placed))
Jerno
Hi Erica,
I have a question which I would like to discuss with the Clinical Reference Group. Just to gather some insights from different nurses on this topic. For developing the nursing reference set in Belgium.
During the practical testing - content review in the 'practical guide to reference sets' -, I stumbled upon a problem. Catheter care is an important daily task for nurses. Now, I listed all the medical devices that nurses can care for: peripherally inserted venous catheter, dialysis catheter in the femoral artery, wound drain, vacuum assisted closure, intracranial catheter, gastric tube,... All the tubes, drains, catheters nurses care for.
For each device, I resumed 6 steps (some have a 7th):
Placement/insertion OR assistance with placement/insertion
assessment of tube/catheter/...
care of tube/catheter/...
management of tube/catheter/...
Removal of tube/catheter/....
Replacement of tube/catheter/....
(Aftercare (further defined depending on which tube is placed))
Now, in Snomed CT, only a few of these steps have a concept in Snomed CT. I listed about 40 medical devices which require each step. The physical objects (i.e. epidural catheter) are all there, but not the (procedure)'s which would define nursing care.
I could find about 60 of the +240 needed concepts to define this part of nursing care. In order to go through with this, about 180 new concepts should be requested.
Now I wonder, is this the way to go? How could or should we describe nursing care for the catheters, tubes, drains etc,... ? I'm not really sure. This is how we document nursing care in the electronic health record at the moment so we know exactly which tube/catheter is put where, since when and which care is executed.
Thank you in advance,
Jerno Thys