Always the stick, never a carrot!

  1. We are having a lot of problems with our new electronic health record. Lot of things not getting documented by NAs like I&Os,TEDs and SCDs. Nurses, RNS and LPNs are not charting things concerning locks and IV fluids. Admissions assessments and daily assessments are not being done. THis is the solution managment comes up with. All the nurse managers got together and decided that if any nurse or NA come up deficient 5 times(no time limit) we are going to get a letter of reprimand on our permanent record. The NAs who are most guilty just laughing or becoming sullen over it. What do they care, they can go down the street and get another $9 an hour job. However with the licensed personel they are putting something on your record forever. We are all protesting loudly and I am going over their heads to the big boss to protest. I am going to propose some sort of positive reinforcement instead of punishment.
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  2. 3 Comments

  3. by   SmilingBluEyes
    Good for you! You are a real agent of action and advocacy. Let us know how it all turns out......this really all stinks.
  4. by   Megan-Cho
    Quote from oramar
    We are having a lot of problems with our new electronic health record. Lot of things not getting documented by NAs
    I would ask them to be honest in why it's not getting done.

    Do they have access to an input device? Could it be made more accessible?

    Are they comfortable with the technology? Can they have more hands on training? Or a continuous education in the process?

    Is it a time issue because of their patient load? Did their patient to NA ratio change when they were asked to do this new task?

    There might be an easy way to address it if the root of the problem is found.

    Good luck!
  5. by   oramar
    I owe it to above posters to say that managment backed off of this policy. A few of us, especially me made a fuss and they decided to try another way.

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