Amen to all that you said, Holly! We also instructed our Nurses, that
the computer was not to make things speedier, but to help prevent
medication errors. Our nursing managers and pharmacy have the ability
run a report that shows; 1) how many times an error messages were
released; 2) how many of each type of error was released; 3) how many
times nursing not only acknowledged, but also administered the
medication (regardless of the error); and finally, 4) who
acknowledged/medicated the patient.
Our system is working quite well. We decided to shoot for an 80-90%
scanning rate and our numbers are consistently 85-95%. We are not using
BMV in the ED or the OR at this time, but several of our outpatient
locations are using it.
L. Hardy, RN
Nursing Clinical Analyst - IT
San Juan Regional Medical Center
801 W. Maple Avenue
Farmington, NM 87401
(505) 564-6456
[EMAIL PROTECTED]
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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Hoskinson, Holly A.
Sent: Monday, July 09, 2007 10:30 AM
To: [email protected]
Subject: Re: [MEDITECH-L] nursing staff ratios after implementation
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
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