HIS - ADPIE

          How can we prove that the nursing processes nowadays is more easier and faster than before? HIS or Hospital Information System is the answer. It is divided into two systems; the Clinical system and Non-clinical system. clinical system includes medical, nursing, departmental, and setting specific. When we say medical information system, it includes the face history, physical assessment, care and treatment plan, and incident report. The physician shares with the nurse through this. Nursing Information System includes patient's assessment and health condition data, administering and recording medication and treatment, and other reports. these systems can be interfaced to automated monitoring devices, which means it can also monitor vital signs and test results directly into the clinical record.

With the use of Nursing process ADPIE, all the procedures that the patient needs will the performed orderly. First is ASSESSMENT. They use electronic chart to document the information that they gathered from the patient. Next is nursing DIAGNOSIS. The nurse can already give a diagnosis with the help of the subjective and objective cue that was based on the assessment. The next on the process will be PLANNING. It is where the nurse will compose some plans for the patient for his wellness or for his improvement on his health. The electronic chart will display some recommended outcomes or plans which will help the nurse to make it easier and faster and more effective. Next will be INTERVENTION. The nurse will now perform all his plans hands-on the patient. The nurse should document all the things she performed such as transfer and discharge instructions, so that the other health care members will know it and will be aware of it. 

Computer generated progress notes automatically sort and printout patient data, such as medication administration, treatment and vital signs. Lastly, the nurse will do the EVALUATION. This is where all the plans and interventions will be evaluated whether the goals were met through doing those implementations, or whether it is not effective. And according to the Nursing process rule, if those planning and implementations did not met your expectation, you can do it again with the new improved and more clear interventions.