new sheriff in town - page 2
What would you change in nursing if you could?... Read More
0Feb 1, '13 by FurBabyMom, BSN, RNQuote from PolaBarWhen I was an RN working on an inpatient unit I would so totally agree with this! I now work in a procedure area (actually, my facility's OR)... Our schedule goes out the window before the first case of the day can start. We're a level I trauma center (including a burn center), and a transplant center (we have a program for hearts, lungs, kidneys, livers - all of it). Bonus points, we're a state hospital, so we get all of the state and federal inmates in our state. My point is our master schedule is fluid. Cases get moved more often than numbers called at a bingo game. We face a lot of potential delays - anything can be a delay too...I'd really like an updated system so I could see, online, somewhere in the patient's profile, the "likely time" procedures would be done on a patient. I hate when a patient is NPO for breakfast and lunch, and no info to give them (unless I make a few time consuming phone calls). Even if it would be something like "patient 7 of 9 on list, likely time y:zz". We used to see the dialysis scheduled times before our hospital outsourced dialysis (now the inpatients don't get any meals or medications during dialysis).
Quote from Spidey's momNah. For me they are faster. I can chart on a patient while a physician puts orders in, so on and so forth. I worked with paper charting and worked with EMRs. I much prefer the EMRs. Where I worked as a NA during nursing school - only critical care units (MICU, SICU, NICU, NSICU, L&D/high risk OB), one inpatient building (7 units), the cancer center and the ED were on computer charting. Everywhere else was on paper charting. As a NA that sucked so much, because I had 10 patients to chart vitals (usually q4, q6, sometimes q1-2), turns q2, I&O q4, accuchecks as frequently as q1, patient care (baths, meals, carb counts)...charts never were at the unit desk like they should be - nurses hid them and would then hide themselves so you couldn't find them. Doctors took them and hid them too...Get ride of computer record keeping systems (EMR) . . . . it is taking time away from patient care.
I love the EMR - information can be put in from multiple locations - RNs, LPNs, PCA/NA, physicians, midlevels... It can be accessed from multiple locations - procedure areas can see the last time a bleeding patient had lovenox etc...