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nurse4me8897

nurse4me8897

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nurse4me8897's Latest Activity

  1. nurse4me8897

    Computerized Charting Errors-Need Stories

    Most data shows that EMR's have reduced errors, and that is partly true. However, EMR's have also introduced a host of new errors that were never a factor with hand written charts. Mistakes are being made in entirely new ways now. My focus is to highlight the areas where these new errors are being made and bring it to nurses attentions so that the errors can be prevented. Drop down menus, scanning, electronic signatures, computer glitches...the list goes on. I am not preaching against EMR's, just trying to increase awareness of new responsibilities.
  2. nurse4me8897

    Computerized Charting Errors-Need Stories

    Thank you all for these contributions! Every little bit helps and I especially appreciate the personal stories- I know that they can be hard to tell. The errors that occur with computerized charting are all new to us and it's impossible to know what to look for to protect yourself, but these stories will help other nurses watch for similar situations, so THANK YOU!
  3. nurse4me8897

    Computerized Charting Errors-Need Stories

    Wow, that badge scanning sounds scary! One of my big focuses is charting under another person's name, and I can definitely see how this was VERY scary for you! Thank you so much for sharing this story! I hope that it will help other nurses protect themselves from these same circumstances.
  4. nurse4me8897

    Computerized Charting Errors-Need Stories

    Thank you so much for your story. Your feelings of being a criminal are exactly why I am doing this presentation. Good nurses are being put into bad situations, and hopefully with more awareness about the risks and pitfalls of computerized charting, we can find new ways to safeguard ourselves. Thank you again for contributing!!
  5. nurse4me8897

    Computerized Charting Errors-Need Stories

    Hi Everybody! I'm doing a presentation on pitfalls of electronic medical records, and I am focusing on errors unique to computerized charting that nurses need to actively protect themselves from. I could really use examples of errors, or near errors, by nurses that were made specifically d/t computerized charting. I can use personal examples or if you post links to internet articles that would be great too. If you give a personal example, I would appreciate it if you could include the city/state or hospital that it happened in and it would also help to know what happened to the nurse. Some of my subjects are: charting under someone else's name, med errors, issues with drop down menus, inaccurate charting d/t lack of appropriate choices, CPOE... anything along that line. I want this presentation to shed light on EMR issues/dangers that we may not even be aware of, so that we can protect ourselves. Any help is greatly appreciated!!!
  6. I'm looking for ideas to streamline our transfer of ambulatory patients to ASU for DC. We currently have horrible delays and a great difficulty getting beds over there. Our current system is basically to wait for ASU to call us and give us a bed when available. Unfortunately, we have caught them sitting on beds before, which has lead to mistrust and our part and annoyance on their part when we keep calling and asking for beds. Frankly, we have a very bad relationship with them right now. Is that common among ASU and PACU departments? I've never worked in another PACU. Also, are there any suggestions on how to improve our system to transfer patients, so that they cannot sit on beds or do "slow" discharges? We often have to put the OR on hold because we can't move patients to ASU to open up a bed for another patient. Do any of you get to tell ASU that you are just sending them a patient, and they have to take it, like we have to take the OR patients, or does everybody have to wait for permission?
  7. nurse4me8897

    Required nurse minimum in night shift PACU Help!!!

    I think I would like to contact Joint Commission. Is there a hotline, or does anyone know if there is a place I can actually look up Joint Commission standards for staffing a PACU? Also anyone else out there work in a PACU? What are your night shift standards? You're right, I will get blamed if something goes wrong. I love this job Mon-Fri and I dont want to quit if I can fix this weekend issue, but I don't want to lose my license
  8. I work in a very busy Level I Trauma Center. I have worked all the units, but took a job as night shift PACU nurse two years ago for a little break. Compared to working the units, this is generally a sweet job. The problem is, they only staff one nurse on nightshift weekends after 9 pm. When I first took the job, I was always alone, even during the week, but we are so busy now, doing scheduled surgeries through midnight, that they added a second nurse Mon-Fri. Problem is, I'm getting my butt kicked on the weekends. Thank God I have unit experience, because I am now bedding unit patients (we are constantly on divert with overflow unit patients) as well as recovering emergency surgeries. I have reported these safety issues to my manager and she has told her manager, but they say they have no FTE's to apply to nights. It's getting real dangerous, not only do I not have another RN to back me up or help, but I don't even have a secretary to put orders in or answer the phone. So far I've been holding it together, but I had a real bad incident with an overflow trauma last week that was still bleeding with an H and H of 4 and 11, and I was calling for emergency release blood and pushing LR and starting pressors, etc. and I had another patient in there recovering from a general surgery who got totally ignored. Administration didn't even care about that, and I'm lucky I didn't lose that patient. Many other instances are occuring to varying degrees of danger, they are even sending me rapid responses and codes from the floor. Other PACU's in the area that don't operate all night and call in their nurses for cases, call in TWO nurses just to recover their one surgery patient. I am managing unit patients and surgery patients alone. I've been told that is a standard to have two nurses in a PACU at all times if we have a patient. Whose standard? Who do I contact or which agency's name do I use to my manager to get her attention? Is it a standard to have two nurses in a PACU at all times? My administration says that we are not required to have two nurses in there. I don't know what to do, but it is getting worse. I appreciate any help.Thanks.
  9. My hospital--a large teaching facility and level 1 trauma center-- is initiating a push for magnet status. Wierd things are happening here and we are all wondering what else to expect. Of course, rumors abound... does every single RN in the hospital have to be on a committee, do we all have to have bachelor's degrees? How has this program actually made your lives more difficult, because that's what we are afraid of. Our hospital has never done anything positive for us. They skew their numbers on turnover and employee satisfaction. Nobody is happy here and nobody has ever cared in the past. We all feel that this magnet status is only for marketablility to the general public and nothing but trouble for us. Any input from those of you who have already been through this?