Using PDA's in practice.

  1. I am in the process of deciding to purchase a PDA for use in practice. I am tired of lugging around 15 pound reference texts to each clinic, or leaving my NP prescribing guideline at home. My question is which PDA's are being used out in practice? Do any of you out there in practice use them, and if so do they save as much time as they promise? Example, does the Palm Pilot have more use than say the Sony Clie? How about memory? What about cost? Ease of use...etc,etc. I plan on downloading Epocrates and Griffith's 5 minute clinical consult, along with a couple of other prescribing references. Anyone out there have a preference to certain brands of PDA, and or software? I am in a Family Practice setting. Any response will be greatly appreciated.
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  2. 8 Comments

  3. by   TMnurse
    Hey, Not an NP but I have had a PDAs of one kind or another for sometime. I was really excited to see that you can compliment your practice with them. The one thing I can say about MOST PDAs is that in the last few years... pretty much all of them have gotten up to speed. Before that, I had heard HPs crashed more... or Sonys were more reliable. I use a Sony Clie and haven't had any problems. It uses PALM OS software which pretty much anything that they make for PDAs can run on. Good Luck... hey hows the job market for NPs in the lone star?
  4. by   codebluechic
    I'm not an NP YET but I am also interested in this topic. I have a Palm 505 and I find it very useful. I plan on upgrading to another Palm before starting grad school this fall. I also use epocrates and I have a lot of reference ifo from the AACN.
    Most of the docs and CRNA's where I work have the Sony Clie. I have compared both and I really refer the Palm. I guess it's just what you like.
  5. by   RNCENCCRNNREMTP
    I am an ER RN, ACNP student and co-worker proclaimed Palm Geek.

    I have been using Palms for 5 years now and currently carry a Palm Tungsten C. Has 64mb memory, brilliant high resolution color screen and expansion card capability. It also has WI-FI (wireless) which is of no help to me at work as we have no wireless system. Why do I have it? It was a gift.

    Anyway, if I was going out to but a new Palm today I would probably get the Palm Tungsten E. Same great color screen as the C, 32mb memory and expansion card capable. Plus it is the same size as the classic Palm V and 5xx series, best PDA's ever made! (IMHO)

    I use my Palm many times per day in the ER and elsewhere. There are great Palm based medical and nursing software titles out there. I have included a list below of what I carry on mine. Note that this is not quite the full list .

    Please feel free to Private Message me if you want more info. I have given a nationwide web seminar for Palm on how an ER nurse uses a Palm in their practice as well a snumerous local and regional presentations to nursing groups.

    Andrew B

    Skyscape (www.skyscape.com)
    5 Minute Clinical Consult 2004
    5 Minute Cardiology Consult
    5 Minute Emergency Consult
    5 Minute Pediatric Consult
    5 Minute Toxicology Consult
    iFacts
    Handbook of Fractures
    Harriet Lane
    Taber's medical Dictionary
    .911 (Free application that covers SARS, MOnkeypox and bioterrorism)
    ARTbeat (Free application with CDC and MedWatch updates)
    LAB 2003

    Unbound Medicine (www.unboundmedicine.com)
    5 Minute Clinical Consult
    Unbound Surgery
    CogniQ Pediatrics with Journal Abstracts and Medline search
    Pocket Guide to Diagnostic Tests

    Medical Wizards (www.medicalwizards.com)
    ER Suite (Many calculators including ACLS/PALS/Infusions/Fluids (peds and burn also)/OTC dosing and more)
    Ultimate Drug Guide (built in calculators for infusions)
    Tarascon Pediatric Emergencies Pocketbook
    Bones (Bone anatomy diagrams)
    Netter (Plan is to have entire body of Netter drawings)

    StatCoder (www.statcoder.com) All of these are FREE
    Cholesterol Guide (Recommendations based on current cholesterol levels/data)
    GRACE Risk Calculator (Risk of death from AMI/ACS)
    AiFib Stroke Risk
    Cardiac Clearance for surgery
    Growth Charts (Is the child at right weight/height for age??)
    JNC7 (latest hypertension guidelines)

    The rest of this list is the majority of my 3rd party software grouped by category on my Palm. MOst of the items below, unless otherwise indicated, can be found at www.palmgear.com:

    Calculators
    ICU Math (Many biologic function calculators)

    MedCalc (Many calculators for medicine, list is below)(FREE)

    Absolute neutrophil count
    Age calculator
    Alveolo-arterial O2 gradient
    Anion gap (plasma and urine)
    Apgar score
    Bayes theorem ( post-test probability given odds ratio AND sens/spec )
    Body mass index
    Calcium/Creatinine
    Change in plasma Na
    Coronary heart disease risk
    Corrected calcium ( albumin et proteins )
    Corrected phenytoin (albumin)
    Corrected QT
    Corrected sodium ( glucose, proteins and lipids )
    Child-Pugh classification
    Creatinine clearance ( measured, Cockroft, Schwartz )
    Cardiac output ( Fick )
    Dose calculator
    Estimated allowable blood loss
    Fractional excretion of sodium
    Fluid replacement after burns (Parkland)
    Glasgow coma scale
    Glomerular filtration rate (Levey)
    Gorlin formula ( valve area )
    Growth velocity
    Harris Benedict Equation for Basal Energy Expenditure
    Henderson-Hasselbalch equation
    Heart rate (EKG)
    Hepatitis discriminant function (Maddrey score)
    Ideal body weight
    Infusion management (including rule of six)
    Interval calculator
    Iron deficit
    Kt/V (URR)
    IV drip rate
    LDL cholesterol
    Likelihood ratios
    Mean arterial pressure
    MELD score
    Microalbuminuria
    Number needed to treat
    Osmotic gap (plasma and stool)
    Oxygen index
    Oxygen transport parameters
    Postanesthetic score of Aldrete
    Pediatric maintenance IV fluids
    Pediatric trauma score
    PIF ratio
    Plasma volume
    Pregnancy calculator
    Proteinuria
    Predicted peak flow
    Ranson's score
    Red blood cell indices (MCV, MCH, MCHC)
    Reticulocyte index
    Revised trauma score
    Spirometric values
    Steroid equivalence
    Total body surface
    Transtubular K gradient
    Tubular phosphate reabsorption
    Units conversion (chemistries, energy, length, pressure, temperature, volume, weight)
    Urinary excretion of calcium
    Urine output
    Vascular resistances
    Water deficit
    Winters' formula (expected pCO2 in metabolic acidosis)



    MedRules (FREE)
    Acute Sinusitis
    Alcoholic Liver Disease
    APACHE II Score
    Appendicitis Score
    Bishop Score
    Bleeding Risk Prediction
    Breast Cancer Risk (Gail)
    Cardiac Arrest Outcome
    Cervical Radiography
    Child's Classification
    Community-acquired Pneumonia
    Coronary Disease Probability
    Coronary Disease Risk
    Croup Score
    CT in Minor Head Injury
    DVT Probability
    Ectopic Pregnancy
    Family Practice Incidence Rates
    GI Bleed Mortality
    In-Hospital Cardiac Arrest
    Mangled Extremity Score
    MI Criteria in Chest Pain w/LBBB
    Ottawa Ankle Rules
    Ottawa Foot Rules
    Ottawa Knee Rules
    Pediatric Trauma Score
    Pharyngitis Evaluation
    Predicting Pulmonary Embolism
    Pre-Op Cardiac Risk (Detsky)
    Pre-Op Cardiac Risk (Goldman)
    Pre-Op Cardiac Risk (Lee)
    Ranson's Criteria
    Renal Artery Stenosis
    Revised Trauma Score
    Romhilt-Estes Criteria for LVH
    Strep Pharyngitis Probability
    Stroke Risk in A-Fib
    Successful VBAC
    Trauma Score
    UTI Diagnosis


    Palm Hemoglobin (Calculate oxyhemoglobin dissociation curves)
    Palm PEP (Post exposure prophylaxis database (needle-sticks))
    PregWheel (Is she 20 weeks+? Then she goes up to OB!)

    Cardiology
    Predictor (Risk of Cardiogenic Shock)
    TIMI Risk Calculator (www.timi.org) FREE

    Communications
    Cloak (Encrypted database for passwords and private information)
    Documents To Go
    JFile 5
    Wordsmith (I have used this to create over 400 memos for emergency medicine practice tips and tricks)

    Drugs
    Johns Hopkins Antibiotic Guide (FREE with frequent updates) (www.hopkins-abxguide.com)
    BioChem Version 1.6 (Bioterrorism guidebook, also chemical and nuclear)
    ePocrates Pro (A very good drug reference guide, not well designed for nursing needs, also the paid version
    comes with an infectious disease guide and holistic/alternative meds) (www.epocrates.com)
    Infusicalc (Best drug infusion calculator I have worked with, plug in your hospital standards then just
    type in dose and weight(if weight based) and BAM you have a drip rate) (www.aetherpalm.com)
    RSI Calculator (Calculator for rapid sequence intubation drugs) (www.auriccanada.com)
    Sanford Guide
    Tarascon E-Pharmacopoeia (www.tarascon.com) (Another well designed drug guide, more nursing information)

    Medical
    Big Clock (FREE)
    Code Blue (www.eminnovations.com/codeblue)
    DxSaurus
    HandBase 3 (http://www.ddhsoftware.com/handbase.html)
    iSilo (www.isilo.com) (Document reader, I have downloaded or created a great number of iSilo readable apps,
    Go to www.meistermed.com and choose isilo depot link. Lots of cool/FREE medical apps

    Pediatrics
    Riley Kidometer (www.kidometer.com)
    Shots 2003 (Are shots up to date, how about catch up, who gets what as an adult)

    Radiology
    PocketRadiologist
  6. by   RNCENCCRNNREMTP
    Quote from Finally2003NP-C
    I am in the process of deciding to purchase a PDA for use in practice. I am tired of lugging around 15 pound reference texts to each clinic, or leaving my NP prescribing guideline at home. My question is which PDA's are being used out in practice? Do any of you out there in practice use them, and if so do they save as much time as they promise? Example, does the Palm Pilot have more use than say the Sony Clie? How about memory? What about cost? Ease of use...etc,etc. I plan on downloading Epocrates and Griffith's 5 minute clinical consult, along with a couple of other prescribing references. Anyone out there have a preference to certain brands of PDA, and or software? I am in a Family Practice setting. Any response will be greatly appreciated.
    The new ePocrates Pro version 6.51 has 5 Minute Consult built in, also you can choose formularies to download so you can know in advance if the insurance will cover that Rx you are wanting to write, and it has built in calculators for many, but not all, of the drugs in its database. ePocrates continues to improve their product.

    Andrew B
  7. by   Finally2003NP-C
    Quote from TMnurse
    Hey, Not an NP but I have had a PDAs of one kind or another for sometime. I was really excited to see that you can compliment your practice with them. The one thing I can say about MOST PDAs is that in the last few years... pretty much all of them have gotten up to speed. Before that, I had heard HPs crashed more... or Sonys were more reliable. I use a Sony Clie and haven't had any problems. It uses PALM OS software which pretty much anything that they make for PDAs can run on. Good Luck... hey hows the job market for NPs in the lone star?
    Well I am currently not in practice, but June 1, 2004 I start fulltime with a local GP/Pain Specialist. I signed on with a regional (Central Texas) headhunter group and they put me in touch with four practices requesting NP's for employment. The other three were just about as good, but the one I signed with had a much sweeter benefit package (lot's of perks...including two weeks vacation and paid travel/hotel expenses for conferences twice a year).
    I have heard that the jobs are few and far between here in Texas,but it wasn't that hard for me. I guess it depends on who you list your resume with.
  8. by   TinyNurse
    not an NP, but an RN and use my sony clie every day in ER.
    xo Jen
  9. by   dory2
    Thank you - I have used this information as well as given it to other people. It is very helpful
  10. by   maikranz
    I have an E2 and use it so that I don't have to be "...lugging around 15 pound reference to each clinic, or leaving my NP prescribing guideline at home..." I have transcribed my pearls of practice into it, so I am good to go!

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