Ciann

Very good article. Nursing assessment is what I do in a staging position for an outpatient clinic. I have recently been challenged with using a new computer system to enter nursing assessments (previously done for past 20 years on paper). Being new to computers and a new system, I am slow to learn , but feel I improve daily. I have been told by my supervisor, I am taking too long with patients, entering too many comments in my assessment, and the doctors are not happy with the turn around time in getting the patient ready for procedure. My anxiety is through the roof. I have been told in no uncertain terms how they want me to do my assessment so it helps them put through more patients. I don't know how I can leave out and ignore information the patient reports to me during assessment which is the only way I could accommodate them. The new system has caused many problems with nurses charting under other nurses logins in error, with supervisor not aware of how corrections are to be made. I'm very legal minded, and know all too well the importance of accurate documentation. I'm not seeing that importance emphasized with this new roll out of technology. Risk management is nearly invisible and unreachable, and I am not sure they had much input in this new system. I am concerned for my job as I am not willing to compromise my nursing assessment , patient care, and documentation to accommodate the speed in which the doctors want to put through each patient. Thank you for this article as it gives me strength and hope to carry on with accurate, informative nursing assessments. C