Is the commercial pioneer of fixed wireless broadband technology. It provides geographical mobility up to 35 miles.

Both wireless and fixed wireless talk/internet time is usually limited to about 5-6 hours with standby time up to 1 week. Wireless application permit Internet connectivity. -It allows for Web-based clinical decision support, patient and clinician e-mail communication, and point-of-care electronic health record data entry, data sharing, and messaging, including prescription writing.

Wireless technology is electromagnetically safe. Bluetooth radio technology, on which wireless devices rely, was found to be safe and robust even within intensive care environments. ( Wallin and Wajntraub , 2004)

The Internet is increasingly an important adjunct to safe practice. The number of practical tools available on the Internet increases each year. This may result in information overload, unless the user knows how to retrieve and structure available tools. Retrieval cannot solely depend on the book marking of Web pages. They change as Web editors and designers add new information and tools.

Regardless of search engine used, certain search methodologies, if applied correctly, increase the efficiency of needed information.

Basic to Advanced Strategies when searching:

Name the precise information being sought. If the search terms used are precisely chosen, the searcher goes directly to the desired information. Use search strings (one or more search terms) rather than single words to increase the preciseness of a search. Enhance search strings by using BOOLEAN or natural language methods. Use the Boolean terms:
1.) AND- when search strings needed to be added together
2.) OR- when equivalent terms or synonyms are used to capture the information required 3.) NOT- when a specific result for searching is not desired to be included

Clinical information obtained from governmental domains is likely to be less biased than information obtained from commercial sites. The credibility of content from educational Web sites varies and is likely to be directly related to the academic quality of the university the Web site represents. An organizational Web site is likely to present organizational interests and bias. There is a vast difference in quality among commercial Web sites. It is therefore incumbent on the clinician to evaluate the credibility of the information obtained.

Is a simultaneous search of multiple search engines or database. it represents a process similar to parallel, federated, broadcast, or cross-database searches.

Examples of two metasearch providers are: -NLM Gateway ( http://gateway.nlm.nib.gov/gw/Cmd ) -a privately produced site Ithaki ( http://www.ithaki.net/indexu.htm ) There are also Internet sites that provide how-to information on a adding a metasearch capability to a Web site. They includes: -digital windmill (http://digitalwindmill.com/) eMetasearch (http://emetasearch.com/)

In the Domain Name System, there is a hierarchy of names. The root of system is unnamed. There are a set of what are called "toplevel domain names" (TLDs). These are the generic TLDs (EDU, COM, NET, ORG, GOV, MIL, and INT), and the two letter country codes from ISO-3166. It is extremely unlikely that any other TLDs will be created (Jon Postel; Domain Name System Structure and Delegation; RFC 1591; March 1994).
Internet domain names are the alphanumeric identifiers we use to refer to hosts on the Internet. The structure of Internet domain names was first described in RFC 819, and their syntax was first described in RFC 822.

Internet domain names are organized by their levels, with the higher levels on the right. For example, for the domain "mail.twenty.net" the top-level domain is "net", the second-level domain is "twenty.net", and the third-level domain is "www.twenty.net".

Second-level domains.
Top-level Internet domains like ".com" are shared by all the organizations in the domain. Second-level domain names like "yahoo.com" and "livinginternet.com" are registered by individuals and organizations. Second-level domains are the addresses commonly used to host Internet applications like web hosting and email addressing.

Third-level domains.
Third-level Internet domain names are created by those that own second-level domains. Third-level domains can be used to set up individual domains for specific purposes, such as a domain for web access and one for mail, or a separate site for a special purpose.

Each country in the world has its own toplevel Internet domain with a unique alphabetic designation.

Conclusions: -credible information on specific clinical topics is readily available on the Internet. The type and depth of information varies by domain and by the purpose of the web site within domains. For clinical decision support purposes, it is suggested that a database of sites be kept readily available for use. With this particular search, government and university sites provided the best available information.

This section is divided into the most basic components of the nursing process: assessment, diagnosis, treatment, and outcomes evaluation. These components provide the outward structure for the development of a Clinical Information Database for Advanced Practice Nursing. The internet sites selected are listed within this structure.

NOTES Although the listing is not exhaustive, it does represent carefully selected examples of the types of clinical information available on the internet. This structured approach to clinical information database development is clinically useful, helps clinicians organize their own knowledge databases, and facilitates ready access to needed information.

Assessment - refers to systematic collection

of data needed to arrive at one or more diagnosis. The tools included in this section include forms, miscellaneous screening tools, risk assessment instrument, and information of the manifestation of signs and symptoms.

Diagnosis - Treatment is diagnostic-specific.

Hence, diagnosis and treatment information categories are frequently not discreet. Practice guideline often address assessment, diagnosis, and treatment.

The etymology of the word diagnosis is based in its Greek roots. Dia means THROUGH and gnosis means KNOWLEDGE. Diagnosis is dependent on the knowledge base of the person diagnosing. Disease represents the knowledge base of nursing. A classification of functional health and disability terms represents a beginning step toward the elaboration of a unified health professional knowledge base.