A day in the life of ..............

Specialties Informatics

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A DAY IN THE LIFE OF a Healthcare Informatics Professional

I've frequently been asked by visitors to this board what exactly is it that I do. Although far from a complete task list ,see below for some of what I do in a given day. Please also note that some days are more hectic and longer than others and some are shorter and less complex. I wear many hats in my current role and also have the perk of being able to work from home!

Other NI professionals please feel free to add your own versions of "a day in the life" I just ask that you remove/make generic any specific vendor names, staff names/titles or organizational references. Also remember that new and potential NI professionals may read this - so please try not to scare them off:smokin:

7:30am- 8:30am To 1South and 6North’s ( 2 of total 6 Med Surg Units I support) staff meetings to

•communicate changes to clinical information systems applications such as: improved stats on bar code medication admin, eliminate of duplicate orders in order entry system, computerization of pre-op check list, status of WOC nurses electronic documentation, and obtain user issues related to any and all clinical info systems, etc

8:30am- 9:00am Back to my office to

•proof and approve requested changes to screens for inpt assessment,

•e-mail to order entry analyst about removal of duplicate “cancel reasons” in order entry system.

•Field calls and coordinate P.C. techs completing work orders to install missing apps in GI procedure and OR rooms.

•Clarify with Directors of Quality and Cardiology about adding agenda item to Unit Secretary Computer Users group meeting - I chair this group/Q monthly meeting.

•E-mail to analyst to follow up about issue from last months Patient Care Users group meeting – I chair this group / Q monthly meeting

9:20am off to Out Pt Infusion dept meeting

•In hall ad lib conversation with VP Patient Care – Chief Nursing Officer about pending electronic improvements to facilitate medication reconciliation for discharges

• Wireless phone - in coming call cuts above convo short as Director of Telecommunications calling to give update on scheduled 6 hours clinical apps downtime occurring this weekend. Talk and walk as I head to 3rd meeting of the day.

10:45am

•In 4th meeting of the day when call received from East 3 Nurse Manager that they have no downtime requisitions. Informed by admin asst that requisitions are on back order as "someone in some department erroneously ordered 2200" requisitions!!!

•Informed by Education/Staff Development dept that not all units have updated downtime forms - I work closely and collaborate frequently with nursing education and staff development departments.

11:00am

•Bathroom brake – phone continues to ring but I remember my infection control practices and feel happy that I don’t have to answer while in the bathroom!!

11:10am back to my office

•Forward draft copy of memo to VP Medical Affairs and CMO that will go out to Medical Staff communicating impact of Physician Only workstation project and Diagnostic imaging/PACs project

•Declined calendar appt for next month’s Medical Informatics meeting as I have a meeting conflict – Ahhh a meeting that I do not chair but am an "invited resource"!

•Call received from COO (my boss’s boss) stating MDs reporting allergies not crossing over from archived medical records and can I please follow up and get back to her ASAP. Long story short. I dropped everything obtained details and reported back to my boss’ boss about details and resolution of issue.

•Several calls and e-mails later have discovered who ordered 2200 downtime requisitions, collected half of original order from offending department, arranged to have residual evenly distributed amongst inpt units.

•Draft action plan to resolve issues with computer and peripheral equipment that is being sunset.

•Help Director of Nursing who due to re-IPing can no longer log onto the network. Normally a PC tech responsibility but she is close to tears and her office is next to mine.

* Call Help Desk and report issues I received from clinical users when I made rounds this am - Ideally I round on clinical inpt Med Surg units, ICU, CCU, OR, PACU, GI, Peds, L&D, Post-partum, and Neonate units daily when on site.

12:00noon Put off lunch

•Attempt to prioritize and answer most important of 122 e-mails in my inbox and 20 phone messages within last 2 hours

•Begin action plan to respond to previous Joint Commission survey results

•Meeting with Nursing Managers to reinforce what resources will be needed for next downtime, upgrade of time and attendance system and implementation of patient acuity application.

1:30pm Down to cafeteria to pick up lunch and eat at desk. Believe it or not - I love my job!

•Continue answering e-mails and returning voice messages.

2:30pm -3:30pm

•Medication Safety Meeting- I dont chair this one but I am a contributing member

3:30-4:00pm

•Conference call with dialysis vendor about contracted staff access and security issues

•Call with Network Admin about clinical user view and print access to Physician Portal and giving on-call Radiologist VPN access

•Review query reports for bar code scanning compliance and house wide core measure stats

•Return calls left on voice mail, return e-mails

4:00-5:00pm

•Face to face with VP Patient Care to report status of current projects

•Completion of action plans for re-training of clinical users on OB, Post Partum, Labor and Delivery and Peds units

•Talk with Lab Director and Lab analyst about issue occuring in ICU and CCU: orders for tests entered in order entry system for QOD that are being viewed by system (and drawn by phlebotomists) as Every day.

5-6:30pm

•Prep for 4 (in person meetings) and 3 conference calls happening tomorrow

•Continue to return calls left on voice mail, continue returning e-mails, print out calendar for tomorrow.

6:45pm Bathroom brake and then I power down and undock my laptop. I am leaving the building!!!! Hey I get to go potty more times in this job than I got to go when I was a staff nurse!

Specializes in Informatics, Education, and Oncology.
Specializes in Rural Health.

I JUST started this job on Oct. 3rd with no prior training in IT, just floor nursing. I am learning A LOT! Today has been the probably one of the most productive days I've had yet!!! So here is my day, I don't keep track of the time exactly, so it's just a rough estimate.

07:50-Clock in, head to my office, check emails, look at this board, as well as a google group specifically for users of HMS (which is SUPER helpful!). Check to see if nursing orders are getting put in as 'miscellaneous orders' so I can add them to the list of nursing orders if needed.

08:30-Work on building discharge orders, which we are not yet doing electronically.

09:15- Morning Break time, where I usually visit with my Granny who works in housekeeping.

09:30- Go talk to PT about their charges not dropping, also one of their forms has started printing a second page with just a line on it.

10:00- Back to my office, Check emails again, email received from lab that one of their CPT codes isn't correct and needs changed. Check with IT supervisor about this, but in the meantime the business office fixed it.

10:15- Call customer support about PT's issues with charges, need to talk to business office, so go talk to them. Didn't get anything accomplished with the charges there. Worked on changing PT's form so it will only print on 1 page while on hold.

11:00- Look for information on Meaninful use to educate nurses at next month's nurse's meeting.

11:30- Lunch out with the hubby :)

12:05- Back to work, looked at PT's forms and figured out that charges weren't linked to them, fixed this problem and checked to make sure they are dropping, they are, but each one is printing on a seperate page in PT and they don't want this to print at all. Call customer support again and figured out how to fix this. PT's issues that have been ongoing for 6 months are now solved. (crossing fingers that it all works smoothly tomorrow anyway!)

2:00- Go talk to floor nursing supervisor

2:30- Add meds to cardiac Rehabs order sets. Answer some questions for her about finding things in the archives.

3:00- Discussed adding charges to outpatient tx sheet so they wouldn't have to be done on paper with the floor ward clerk a.k.a. My mom, who tells me exactly what she thinks of that idea! lol.

3:30- floor nursing can't find a frequency on the home meds for dailysat, advised to look for wklysat and found.

3:30-return to office, check emails again

03:45- use my afternoon break to type this :)

04:00- Continue researching meaningful use info for nurses and work on Discharge instructions a little more.

I'd normally leave at 4:30, but I'm staying until 5 all week so I can leave early on Friday for a weekend camping :) My hours are really pretty flexible and probably my favorite part of this job!

Specializes in ICU (med/surgical/transplant/neuro/ent).

I love this thread and have read it many times. I was just wondering if anyone else can add/update "a day in the life" for this insightful thread. I am hoping at some point to shadow the informatics nurse at my hospital, but in the meantime . . . I thirst for knowlege. Need more input. lol Thanks to all that have posted!

Specializes in orthopedic/trauma, Informatics, diabetes.

I am applying to grad school to get my MSN in informatics. Became interested when we transitioned to EPIC. Hoping to be able to stay in my health system (huge). Love reading the posts! I, too, have limited IT experience but will have about 8 years of floor experience when I am done (if I get in). as an older new nurse, I am looking ahead to have options when floor nursing may too taxing, physically.

hi. i am a BSN-RN in Virginia and i am interested in becoming a nurse informaticist. do you have any advice or recommendations on how to start with this field of nursing? please email me at [email protected] thank you so much!

Specializes in pediatrics.

I'm not exactly a nurse informaticist but a nurse who works as a systems analyst... My day

08: 00 spend an hour reading and responding to email. Most consist of questions / tasks regarding projects

09: 00 review the ticket que - I see 2 tickets to (1) build new orders for our EHR and the (2) other to update an orderset - I review the tickets and revise the orderset in both our Live (Production) system and Test. the second ticket I email our nurse informaticist - it's from a nurse manager requesting an order to remind the nurses to complete an assessment - question whether this is appropriate as an order - possibly better suited as a nursing assessment

10:00 attend CPOE committee meeting

11:00 lunch

11:30 testing new custom developed application - found 2 crash errors, functionality for approval working for all physicians instead of design

12:30 more email

1300 attending project meeting

1400 EHR running slow - called major outage - turns out to be a network issue not EHR related

1430 meet with case management

1530 spent next 2 hrs working on report to display patients pending lab orders

1630 chatted with co workers regarding earlier outage

1700 went home

i would love to get into HEALTH informatics, but i have NO clinical experience whatsoever. My school has a regular informatics degree plan, where i'm assuming its focuses more universally on stuff other than health care administration. What would you recommend me to do?

rninformatics

Thank you so much for putting this information up it really allows others a peek into the informatic life.

ShaKeba

So many many meetings is all I can say.

Hi,

would anyone be be willing to answer 6 interview questions related to RN informatics?

Please e-mail me at [email protected]

Thank you in advance.

Michelle

No clinical experience? Are you an RN? You might be able to try to get in as an analyst

This is a great post even after all these years! Thank you to those who had taken the time to share their daily experience in this field. I am very interested in informatics so any and all information is very helpful.

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