ABSOLUTELY DO NOT TEACH YOUR NURSES NOT TO DO THEIR FIVE RIGHTS! The computer does not replace critical thinking or manual checks - remember that a HUMAN inputs the information, so another human needs to verify it before trusting that just because it is entered into a computer it is correct. We have had several errors related to people "turning off their brains" (and obviously NOT following the 5 Rights procedure that we all learned in nursing school). The human connection and detail orientation is still very important, and the computer should NOT be the only check!
In response to the original question - we do not have a change in the staffing ratios on a permanent basis, though there was a small and temporary bit of a leeway on productivity/OT hours when units were initially brought LIVE with eMAR/BMV. Very quickly resolved. We have 4 Med-Surg, 3 Tele, 2 ICU and a CVICU LIVE between two facilities. _____ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Davis Daniel - Southern Hills Sent: Friday, July 06, 2007 9:28 AM To: Sharon LaDuke; Gay, Michael C.; Keri Heavin; [email protected] Subject: Re: [MEDITECH-L] nursing staff ratios after implementation My understanding of the eMAR/BMV was that the computer was supposed to be the double-check, not that the computer was the check and staff were not to engage their clinical judgment in the process. Daniel Davis _____ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sharon LaDuke Sent: Friday, July 06, 2007 10:34 AM To: Gay, Michael C.; Keri Heavin; [email protected] Subject: Re: [MEDITECH-L] nursing staff ratios after implementation Interesting. If that's the case at other facilities as well, could it be that one reason some nurses take longer with electronic BMV is that they continue to do at least some part, if not all, of the 5 rights manually? Now that I think of it, that's what I was doing. Is that wrong? Are we supposed to teach nurses to stop that? Are there any worries about them "unlearning" the manual checking process? Sharon _____ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gay, Michael C. Sent: Friday, July 06, 2007 6:35 AM To: Keri Heavin; [email protected] Subject: Re: [MEDITECH-L] nursing staff ratios after implementation Keri, When a nurse is forced to do the 5 rights of medication administrations, either by a another person or a automated system, it will take longer than current practice. At our site, we did time studies in which we followed nurses and had him/her do the 5 rights. We found that the automated (Meditech BMV) process was quicker than the nurse actually doing the 5 rights. Michael Gay, RN, BSN, MS Clinical Analyst Frederick Memorial Healthcare System (240) 566-3201 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Keri Heavin Sent: Thursday, July 05, 2007 4:07 PM To: [email protected] Subject: [MEDITECH-L] nursing staff ratios after implementation We are currently having discussions about changing our staffing ratios since we have implemented NUR and eMAR/BMV. I am wondering if there are any sites that faced this same issue after they implemented. Our nurses continue to express that Meditech documentation in combination with all of their other nursing duties has made their load to heavy with their current ratio of patients. Keri Heavin, BSN RN Nursing IT Coordinator Phelps County Regional Medical Center Office: 573-458-7842 Pager: 573-428-6057 Fax: 573-458-8563 _____ CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients names above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is disallowed. If you have received this communication in error; please notify Phelps County Regional Medical Center immediately by telephone at (573) 458-8899 extension 4357 and destroy all copies of this communication and any attachments.
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