The CCC System facilitates the electronic documentation of nursing plans of care (POCs) using standardized coded concepts (data elements). It facilitates the collection, storage, processing, retrieval and analysis of clinical nursing practice. It is used for:
Clinical nursing practice applications
- Captures patient care data using a standardized coded nursing terminology.
- Links framework clinical concepts (problems, goals/expected outcomes, interventions/actions and outcomes) together.
- Provides standardized concepts for clinical pathways and decision-support systems to operationalize clinical nursing practice in an EHR.
- Enables evidence-based practice protocols to capture nursing care data and evaluate their effects on patient outcomes.
Nursing administration applications
- Uses intervention action types to evaluate nursing practice.
- Captures patient care data to measure effectiveness of patient outcomes.
- Collects standardized indicators and outcome measures for quality and safety.
- Uses RVUs to predict workload, resource needs and costs of nursing care.
- Supports patient acuity to determine nurse staffing and resources.
Nursing education applications
- Teaches how to electronically document and code POCs using a standardized nursing terminology following the six steps of the Nursing Process for Professional Nursing Practice (ANA, 2015).
- Tracks student assignments (procedures and protocols) via handheld devices.
- Teaches, tests and evaluates online student education.
- Evaluates student use of predetermined patient care simulations.
- Uses web apps to teach development of POCs
- Use example patient scenarios, like the ones listed below, and have students explore creating care plans with appropriate diagnosis and intervention codes with the Online Code Builder or the code files found on the ‘Downloads‘ page available for registered users.
- Atrial Fibrillation (PDF 78k): ‘A 72-year-old presents to the emergency department with complaints of palpitations, fatigue, and shortness of breath…’
- Depression (PDF 168k): ‘A 35-year-old experiencing persistent sadness, mentions loss of interest in activities that were once enjoyed…’
- Joint Replacement (128k): ‘A 68-year-old experiencing severe knee pain for the past two years. The pain is present even when resting and significantly limits…’
- Pneumonia (PDF 133k): ‘A 76-year-old experiencing a cough for the past week became progressively worse. Initially, the patient thought…’
- Pregnancy Labor (PDF 167k): ‘A 30-year-old presents to the labor and delivery unit at 40 weeks gestation in active labor. Upon arrival, the patient is experiencing…’
- Pregnancy Postpartum (PDF 166k): ‘A 23-year-old with healthy baby girl, Apgar 8 and 9 via normal delivery at 40 weeks gestation. This was an uncomplicated…’
- Pre-term Pregnancy (PDF 166k) : ‘A 28-year-old in clinic for routine prenatal check-up at 32-weeks. More fatigued than usual and noticed…’
- Post Traumatic Stress Disorder (PDF 129k): ‘Patient was 30 when her home caught fire during a terrible lightning storm…’
- Post Transplant (PDF 170k): ‘A 45-year-old received a kidney transplant six months ago due to end-stage renal disease..’
Nursing research applications
- Concepts used to search nursing literature online for research data and resources.
- Uses POC data for analyses of clinical nursing practice.
- Identifies patient “never events” to evaluate outcomes of nursing care.
- Provides standardized concepts to facilitate the design of evidence-based systems.
- Uses research findings to advance nursing knowledge and nursing science.