Patients need a nurse, not a computer

Nurses Activism

Published

http://www.youtube.com/watch?v=YthF86QDOXYHealthcare is changing. And not for the better. Behind all the pretty pictures on billboards showing a world where everyone "Thrives" there is a sinister reality. As local hospitals and clinics are gobbled up by giant corporations, the theme is cut costs (by which they mean your care) and raise their profits.

TV ads tell you that you can get your diagnosis at home via Telemedicine without ever setting foot in the emergency room. And, if you go to the hospital, be prepared to get pushed out soon, often when still at your most sick and vulnerable, to a nursing home or your own home where the burden for complex medical care falls on your family.

Hospitals spend your patient care dollars on Wall Street investments, unproven technology, marketing or buying up other hospitals, while cutting those staff at the bedside, registered nurses, who are your first line of protection and your last line of defense.

Specializes in NICU, PICU, Transport, L&D, Hospice.
Hospira ad touts how their clients reported that "connecting smart infusion pumps with Hospira MedNet safety software to pharmacy orders and electronic patient records was like adding another nurse at the bedside..." Yikes.

Hospira Celebrates 10 Years of Advancing Wellness - YouTube

I came across the Hospira ad the link above after viewing a video by "EmpowerN" on how to ace the interview as a new nurse. It had a couple good items, but more things that disappointed me (including an item referring to her book which has instructions on how to apply make-up for the interview). She said interviewees should never ask about nurse-to-patient ratios, if nursing assistance are available, or about lunches.... Really? Somehow, I'm not surprised that the Hospira ad was attached.

All of the items above were viewed after viewing the video that is the subject of the OP (youtube presents other items of similar interest). Oy vey.

Bold mine.

Doesn't that just yank your chain?

Interviewees should cower at the desk of the interviewer rather than behaving like an educated professional with professional ethics, values, and standards apparently.

Bold mine.

Doesn't that just yank your chain?

Interviewees should cower at the desk of the interviewer rather than behaving like an educated professional with professional ethics, values, and standards apparently.

And they should have make-up applied appropriately.

Specializes in Geriatrics, Home Health.
And, if you go to the hospital, be prepared to get pushed out soon, often when still at your most sick and vulnerable, to a nursing home or your own home where the burden for complex medical care falls on your family.

Or a home health nurse.

Specializes in Critical care, tele, Medical-Surgical.

I like this one.

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Specializes in Critical care, tele, Medical-Surgical.

Doctors Are Talking: EHRs Destroy the Patient Encounter

There's no doubt that electronic health records (EHRs) spark strong emotions in doctors -- and many of those emotions are negative.The gripes cover three main areas:

One, EHRs have made the patient encounter far more annoying and complex than it ever was before.

Two, many physicians feel that EHRs take doctors who were trained to be independent thinkers and constrain their ability to make independent decisions, causing them to feel like data entry clerks, with a computer telling them how to practice medicine.

Last but not least, a large number of physicians feel that EHRs erode the doctor-patient relationship by creating a barrier between the two....

http://www.medscape.com/viewarticle/825369

Specializes in Critical care, tele, Medical-Surgical.
Specializes in Critical care, tele, Medical-Surgical.

From the UK:

'Good dementia care needs human interaction, not apps'

30 May, 2014

... Seen by Jeremy Hunt as the litmus test for the NHS, dementia care does not sit easily alongside the focus on technological innovation that the secretary of state chose for his Expo speech. Pointing out that data sharing,digital healthcare, apps and comparison websites are hugely beneficial topatients and health professionals is fine, but when questions about dementia care arise it is human needs - and shortcomings - that come into focus.

While there are undoubtedly technologies that can benefit people with dementia and their carers, what we are really asking of professionals is less to do with embracing technology and far more to do with fundamental aspects of care. Personalised, hands-on, practical, life-enhancing care for people with dementia isn't going to be provided by a gadget or an app alone.

Alongside the technological drive sit the 6Cs. Care is "our business" and at its heart is human interaction....

... The idea of innovation in dementia care seems largely fixated on diagnosis rates, yet much more innovative potential needs to be realised. We need to raise awareness to give patients the courage to come forward if they are experiencing symptoms. We need innovation in post-diagnostic support, far more specialist dementia nurses -Admiral nurses are still not UK-wide - community nursing models that enable people to remain in their own homes, evidence-based programmes for well being and therapeutic care,and specialised palliative care that is accessible to all.

The message from policy makers to health professionals is immensely confusing: technology is seen as the future for theNHS, but caring for people with dementia is not online banking. It cannot be hands-off and remote - in many cases, thisis the model we are already following and our accident and emergency departments are taking the strain as a result...

http://www.nursingtimes.net/nursing-practice/clinical-zones/mental-health/good-dementia-care-needs-human-interaction-not-apps/5071422.article?blocktitle=Practice-comment&contentID=6851

I heard the radio ad a couple of days ago .....I was ASTOUNDED to hear it and very glad that NNU has the ability to get the word out to people!!!!

Lol, don't be so negative. The statistics of information to patient health over the last 10, 20, 30 years is staggering. The more information we have the better we can assist our patients. Computers are not to be feared, they help us and there is no way that we will be replaced any time soon. Computers and sophisticated machines assist doctors in complicated procedures and WebMD makes everyone with a mouse think they can diagnose themselves but there will be no replacing the physician any time soon. Embrace the computers, learn about whats coming and be on the forefront of those changes, you will be happy you did.

Specializes in Critical care, tele, Medical-Surgical.
Lol, don't be so negative. The statistics of information to patient health over the last 10, 20, 30 years is staggering. The more information we have the better we can assist our patients. Computers are not to be feared, they help us and there is no way that we will be replaced any time soon. Computers and sophisticated machines assist doctors in complicated procedures and WebMD makes everyone with a mouse think they can diagnose themselves but there will be no replacing the physician any time soon. Embrace the computers, learn about whats coming and be on the forefront of those changes, you will be happy you did.
It must be a balance. On one hand it is good to be able to find needed information using the computer.

Nurses use their observation of the patient along with scientific knowledge and experience to come up with a nursing diagnosis and the entire nursing process.

We can use computerized information, but it must not replace the independent judgement of the registered nurse.

Specializes in Critical care, tele, Medical-Surgical.

Computerized Diagnostics in Healthcare Potentially Hazardous to Our Health; Nurses Right to Oppose to Them

... We are all potential patients someday, and I for one want humans to remain in the diagnostic equation with the ability to override or ignore computerized or automated patient assessment.

But not so fast say some critics who have accused the nurses of being "anti-progress." One critic of the ads recently unabashedly stated, "Auto repair diagnosis has also become highly automated. I think it is an interesting exercise to compare this to medical automation."

In other words, computerized diagnostics help Joe at Joe's Auto Repair down the street to figure out what's wrong with your car therefore, (insert quantum leap of logic here), why wouldn't the same hold true for the hospital down the street with automated medical diagnostics?

This critic apparently sees no difference between the computerized assessment of an automobile's breakdown and the breakdown of a human being. Lost on this critic as well, is the reality that while there is very little variation among automobiles, there are no two human beings alike.

The critic went on to equate the nurses, in so many words, with head-in-the-sand, anti-progress Luddites...

... In Utah in the early '80s many in the Provo area opposed the expansion of a local steel smelter, which was polluting the air and causing an inordinate amount of respiratory illness among area children. The opponents of the smelter expansion were accused of being "against progress!" The smelter was later closed for financial reasons and lo and behold, the air became cleaner and childhood respiratory illness dropped drastically.

The promoters of automated healthcare diagnostics similarly argue their new gadgets represent "progress!" But just like in the example of the smelter expansion, the focus should not be solely on some vague notion of progress or whether it saves money, but should also include the question - Is this safe? What impact will this have on my health and the health of my children?...

We are all potential patients someday, and I for one want humans to remain in the diagnostic equation with the ability to override or ignore computerized or automated patient assessment...

http://choosegodormammon.com/author/necocopiosus/

Specializes in Critical care, tele, Medical-Surgical.

BAR HARBOR, Maine (NEWS CENTER)-- Nurses at Mount Desert Island Hospital in Bar Harbor picketed outside the facility today to express their concerns about what they are calling unreliable technology and patient safety.

The nurses, who have been working without a contract since the middle of last month, say their computer systems have too many glitches and are putting important patient information at risk.

They say not having an in-house pharmacist on nights and weekends is also a problem- leaving the nurses to rely on faxing prescriptions to pharmacists, and they say the medications often come back incorrect. As they negotiate a new contract they are asking the administration to fix these issues.

"Personally i know of 600 near misses, which are errors that have not reached the patient because they're found by the nurses, since 2012," said Doris Plumer, a nurse at MDI for 40 years....

http://www.wcsh6.com/story/news/2014/06/26/mdi-hospital-nurses-picket/11430413/

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