In our TCU, the nurse has a max of 8  patients. I occasionally work at the 
bedside, and if I have that many, it will take me approximately an hour to pass 
nothing but the pain meds during the 3 meals in the dining room.  Add to that 
the other meds that patients are on - which is generally quite a few, as this 
is a predominantly elderly population - and I may have relatively little time 
left. The effort spent on EMAR is well worth it, but because of the time it 
takes (and the time it takes AWAY from other activities), nurses may seek 
workarounds, especially if barriers slow them down even further (eg equipment 
issues). I suspect some units have re-engineered the workforce a bit, eg 
eliminating a CNA but creating a med nurse position. Talk about a flashback. 
There's nothing new under the sun.  Sharon  

-------------- Original message -------------- 
From: [EMAIL PROTECTED] 

We are looking to begin e-MAR in our TCU. The nurse has 14 patients. Does 
anyone else share this situation or what is the most number the nurse is 
passing meds to.

Carliss Anderson
Ed/Coordinator Nursing Informatics
Flagler Hospital
St. Augustine, Fl. 32086

(904) 819-4573


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