ourhouse51

Cathy, I tried to reply privately...no go on this system. First, the informatics nurse is still very much needed with CPSI. You have to build all your own forms...and I hope your IT department is up and running well. We have actually added a new guy on. Med verify works fairly well for us...but the hand held PDA's do not. We use COWS at the bedside. The PDA's have too many problems and are constantly dropping. We just started using CPOE and it has been a chore to get physicians to use the system. We have one, yes, one physician who routinely uses CPOE, the rest is hit and miss. Pam

We have been online with CPSI for over a year. Every other dept is using it....with the exception of L&D. The former CNO and former OB NM (who stepped down when I came along) tried it for 3 days and decided it was too hard. The L&D nurses also work nursery and PP so they know HOW. They just don't want to ....or should I say about 2 of them don't want too....... I worked the ER when we went live and I know how frustrating it can be to have a bad patient and try to chart everything. I keep trying to tell them that the patient comes first....I know they didn't always have that chart in their hand when they were doing something. You always have those times when you have to go back and finish up.....and that is the problem. They don't think they should have to "finish up" in the computer system. Oh well, as my mother said...this too shall pass......

I am a new CNO, formerly an ER nurse. Since taking my new job, I am responsible for bringing all the units up to computer charting. L&D does not use the computer and some of the die hards have done everything short of flat out refusing. :angryfire They all know how, they just say that it is "too hard" and "too time consuming" I have tweaked the forms and made it as user friendly as possible.....as of Jan.1, they WILL go to all computers....(had to make it Jan 1 in case some of them walk off, that way the holidays are covered!) We are a rural area with little L&D resources as far as nurses. Right now I am having to use an agency nurse to cover....

We use CPSI also. We are licensed for 115 beds but on med-surg normal census is about 15 per day. We scan meds and it is slowly coming up to where I want it to be (I am the CNO). We started out not even 40% on med verify but we are up to nearly 80% hospital wide. The only units that use med verify are Med surg, ICU, Post partum and Nursery. I have not yet implemented into L&D. I am having a hard time bringing them into the world of computer charting. Staffing on med surg is no more than 7 pts per nurse. My cut off is 15 and they can call in another so it usually works out to 5 or 6 apiece. When we first started CPSI we did lose a couple of older nurses who just flat refused to even try to use the system. For the most part though, it has worked well. The ER HATED it...now they are always afraid it will go down and they would have to go back to paper!

I have been a nurse for 20 years, most experienced in ER with my lst 5 years as being Assistant ER Nurse Manager. In June, I was approached to take over as interim CNO....boy, I must have had a brain fart cause I took the job! The past CNO did not leave on good terms, he basically had most of the nurse managers thinking he was really working for them..the things I have found would make your head spin! I will say that I have eliminated 1 agency LPN and one agency RN (L&D). I have hired 6 new nurses in a place that hasn't hired any one new in about 3 years because the applicants weren't there. Right now, I have 4 LPN apps on my desk. I am excited about filling these positions and also eliminating the agency. While they definitely served a purpose, they ruined the morale of our hospital. My nurses, especially on MS get low census days but agency is always there....doesn't seem fair to me. We also have no current education or formal orientation period. I have set a mentoring program for new hires and I have made numerous powerpoints for education. The downside is I lost my OB nurse manager recently and I have NOT a clue about L&D.:uhoh21: I don't labor....I feel relatively comfy in delivery though.So that is my biggest problem area.... Any advice will be and is greatly appreciated!

Come to SE Oklahoma and you can hve a job tomorrow in L&D. I am having a horrible time finding experienced L&D nurses. I am currently having to use an agency nurse and the price is killing my budget!