May 29, 2024


General Line

Nursing background ups Tina’s technology game


By Louise Kinross

Tina Smiley has a exceptional position at Holland Bloorview, bringing her expertise as a nurse to the design and style of know-how that residences details vital to affected individual care. Tina is accountable for the pharmacy, laboratory and top quality and threat administration purposes of Meditech Expanse, our electronic wellness info procedure. This is where by clinicians buy patient prescription drugs get and critique lab exams and outcomes and report basic safety incidents. Tina joined Holland Bloorview in 2005 as an inpatient registered nurse, working most just lately with small children in rehab subsequent distressing bone surgeries and everyday living-shifting spinal-cord injuries. She moved to her data management and technology part in 2012. 

BLOOM: How did you get into this subject?

Tina Smiley: I have a enthusiasm for nursing and info technology. In my early many years as a registered nurse, technologies was becoming the following huge detail in wellness treatment, and it blended fantastically with my passion for nursing.

BLOOM: How did you get into nursing in the 1st place?

Tina Smiley: I was a client myself. When I was about 10 years previous I was incredibly unwell and hospitalized at Centenary Medical center. This was my first big come across with currently being ill. The nurses were quite compassionate and wore their hearts on their sleeves. I wished to be capable to do what they did, and that is how I finished up turning into a pediatric nurse.

In my teen decades I knew what I desired to do when I grew up. I took all the significant college programs I required to be in the right stream for a health and fitness profession. I then been given a bachelor of Science in nursing at Toronto Metropolitan University, where by I did my undergrad. A couple of many years afterwards, I accomplished a learn of Science in nursing from the University of Phoenix even though doing work as a comprehensive-time nurse right here. 

BLOOM: What is a typical working day like now?

Tina Smiley: In a nutshell, the goal is to aid employees and regulate the units we have in area. I’m section of the medical 50 % of the Meditech workforce. I’m in demand of running and sustaining the pharmacy, laboratory and quality and chance management applications and their dictionaries. I also do the job on new builds, revise existing builds, and present assistance-desk help to the organization. 

BLOOM: What are dictionaries?

Tina Smiley: Meditech is variety of like the over-all program plan and the dictionaries are in which we dwelling data connected to our pharmacy, lab and excellent and threat administration purposes. Each application has its have established of dictionaries. It can be where by we input the information to create the screens the workers see when they access the charts and do their documentation.

Throughout the workday, I could be troubleshooting concerns. I may well be working on a new develop, or revising an current a person. Some of these improvements can be time consuming, relying on how elaborate they are. For illustration, a ton of tests could be included. It may perhaps call for talking to team to get their feed-back or to explain their get the job done flows. There are nuances to someone’s operate circulation, so I pull in frontline workers to get feed-back in actual time. I also perform on our support desk and do on-phone assistance for the duration of business and soon after hrs.

BLOOM: What is the best obstacle of your career?

Tina Smiley: You can find a large amount of balancing of competing priorities in the day, so time management is very significant. But I wouldn’t say that it is demanding. I will not see things as a problem, I see them as possibilities to come across answers, to understand something new, and to expand as a professional. Yes, there is stress concerned in any role, but which is usual in lifestyle and you learn to do the job with that and get as a result of it.

BLOOM: What’s the biggest pleasure?

Tina Smiley: Remaining capable to aid many others. It can be the exact total experience that I had when functioning specifically with clients and families as a registered nurse. What I do now with technology also touches on their lives.

BLOOM: Can you give us an case in point of how your work impacts affected individual care?

Tina Smiley: All over the several years lots of jobs have trickled down to the frontline where by they effect scientific apply, the care presented and affected person security. 

For instance, when we went dwell with Meditech Expanse we failed to have a lab interface in two directions involving Holland Bloorview and Sunnybrook. So we have been working on a hybrid design exactly where orders went into Meditech electronically, but the results came back again from Sunnybrook on paper. That affected several departments in terms of added workload, and we weren’t capable to craze information. 

Because then we’ve applied a doing work, two-way interface and removed the paper processes. Results come again into Meditech and file electronically in the patient’s documents. Workers can now craze the facts and numerous people can access it at the exact time. That manufactured a constructive impact on high-quality of treatment, enhanced endurance safety, and mitigated the dangers of paper procedures.

In yet another case in point, I not long ago accomplished the initially section of a position-of-treatment undertaking. Our new glucometers look at your blood sugar immediately and file the effects electronically in the chart. So nurses no more time have to to manually type the effects. Anytime you have to type info, there is the prospect for mistake. We have eradicated that safety danger.  

The 2nd stage of the challenge is to apply a next diagnostic device in collaboration with Sunnybrook. In its place of sending lab specimens to Sunnybrook for a patient’s electrolytes and blood gases, we can use a handheld machine to take a look at at the bedside, nearly right away, which will save time. Staff can then make an knowledgeable clinical final decision centered on the effects in the palm of their palms.

Our objective is to give staff the applications to make their employment safer and extra productive. We try our best to automate as substantially as we can, when holding individual protection as the major priority.

BLOOM: What characteristics do you need to be great at your career?

Tina Smiley: You unquestionably will need to have superb purchaser services skills. Indeed, I’m doing the job with technologies and driving my laptop or computer largely, but I’m nevertheless supporting men and women through consultations, initiatives and with the enable desk.

You’re also like a challenge supervisor. So you need superb interaction, organizational and alter administration abilities.

BLOOM: It sounds like your knowledge as a nurse is essential.

Tina Smiley: Yes it is. What I carry is a lived experience as a frontline nurse user of our engineering systems. In my role as a clinical software specialist, I’m ready to be a genuine subject issue professional because of my basis in nursing.  I can understand what the consumer is heading through, even when their rationalization isn’t the clearest. I have an appreciation of how the methods function and how issues are connected. I’m able to troubleshoot with ease due to the fact I have knowledge making use of the methods on each finishes.

BLOOM: Can you give a different example of how your get the job done improves affected individual treatment?

Tina Smiley: Good quality advancements occur from the information we gather in our incident reporting process. In the past we acknowledged that safety difficulties ended up underreported for the reason that it was as well complicated to navigate the screens.

When I redesigned the incident administration screen, I failed to sit in a place with a handful of people today and say ‘We want to do it this way.’ A collaborative method was taken. We sought opinions from frontline staff members on how to make the screens far more very simple and person pleasant.

We under no circumstances want the technology to get in the way of people reporting matters. We benefit thoughts and ideas from close-people. Including frontline team in the layout procedure will allow us to detect traits. Collectively we can understand where we can make a improve in procedures and procedures.

BLOOM: If you could transform 1 point about children’s rehab from a technological know-how standpoint, what would it be?

Tina Smiley: From the outpatient facet, I know a pet peeve is when family members arrive for an appointment and the examine-in course of action consists of numerous techniques to notify staff. On my wish list is the likelihood of an application we could give to households, or it’s possible a self verify-in kiosk, so the family members can notify the correct functions of their arrival. That would eliminate a lot of the handbook ways we presently just take.

BLOOM: So it would be carried out electronically compared to the parent telling a personnel individual they’re right here, and then that human being paging an individual, and often there is certainly a breakdown in conversation.

Tina Smiley: Sure, that would be a large win for our appointments staff and clinicians. 

BLOOM: How does Holland Bloorview stack up in terms of its use of engineering?

Tina Smiley: We are leaders in the use of technological know-how to enrich treatment. Our clinical data follows the affected individual irrespective of whether they’re an inpatient, day affected person, or outpatient. At Holland Bloorview, continuity of care is seamless, no issue which section or assistance you are found in.

Conversely, I have labored in destinations in which the chart does not abide by the client. For example, in an Emergency department a chart is developed. But when you might be admitted, the device has to make a new chart, manually copying knowledge from the Unexpected emergency office. This introduces a hazard of transcription glitches mainly because the two charts you should not talk to every single other. They’re not built-in.

BLOOM: Is there nearly anything we haven’t spoken about that would be beneficial for our viewers to know?

Tina Smiley: I want individuals to know that despite the fact that I perform with technological know-how I’m nonetheless quite a lot a nurse. I continue to keep latest in conditions of just about anything practice associated, and I hold my qualifications up to day.

The pandemic proved to the world that there is benefit in acquiring nurses on any team, doing the job in all industries. The perception of a nurse is no lengthier limited to giving direct treatment at a bedside.

Ten years ago I took a move exterior my comfort zone professionally. As a outcome, I am in a position to see issues and problem matters with a distinctive perspective. I can search in advance and imagine about opportunity difficulties or challenges as a selection is staying created. My successes these days are a outcome of my lived ordeals getting understanding and scientific experience as a nurse. Nursing follow must guide and tell technology, not the other way all-around.

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