From the recent readings on clinical decision making--I would have to say that over my 10+ years of nursing, I have learned many very important things that help me make decisions in my nursing care. I would probably put myself in the category of proficient to expert nurse. I often look at the data and track important trends, work by experience and even follow intuition on occasion. I have learned how to read people and form collegial relationships with individuals in a very short period of time. However, I am not naive enough to say that all my decisions have been 100% accurate. I am grateful for the Clinical Decision Support (CDS) tools that are being developed for use by nurses. These CDS will help to keep the standard of care for patients consistent and take out the subjectivity that exists between nurses with varying degrees of experience. They help to guide our decisions and remind us of options that we may have overlooked. I am excited for the future of CDS in medicine and see the value that it will provide especially pertaining to patient safety and efficiency in patient care. Someday, perhaps I would be interested in developing such a system--someday when I have time . . . would be a great puzzle . . . and I love puzzles!
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