When we implemented eMAR/BV, we ramped up staffing for several weeks. Our facility generally has very good staffing ratios as is, so we probably over did it a bit, but it was the first major computer process for our nurses. We trained our nursing staff that they are absolutely meant to perform the 5 rights. I work in ICCU as well as IT, so I often use the analogy that I wouldn't defibrillate a patient just because the monitor tells me they are in ventricular tachycardia, I would evaluate the patient. It is important to remind nurses that the computer is a tool meant to assist, not replace, their nursing judgement and skills. Also, when nurses complain that the computer takes more time, we point out that if all nurses always performed the 5 rights perfectly, the system wouldn't be necessary and the process would probably take just as long as using the computer. We also point out that monitoring and treating a patient after a medication error (as well as completing QA reports) take much more time than the 5 rights plus computer check to prevent the error in the first place. Holly A. Hoskinson,RN Clinical Informatics Island Hospital Anacortes,WA [EMAIL PROTECTED]
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