Value of certification

Hi Steve

Thank you for your help. My question is what are the advantages and disadvantages of computerized charting, and do you have any suggestions for easing the staff's transition into a computerized system. Any input would be appreciated.

Thanks again.

I am in PA, if it matters.

1. Does your instituition place any value on specialty certification?

Fourteen of our nurses just became RNCs, and there were several who already were. Because our hospital is pursuing magnet status, a special emphasis is starting to be placed on this.

2. Do you get a raise for certification?

Currently, no. However, when they set up the clinical ladders for magnet status, there will be a pay increase for RNC and also for BSN, MSN, etc.

3. Do you get reinbursement for taking the review classes or for taking the test?

The review class for this round was set up by our hospital, so those who went were able to go for free. The test was paid for by the individual taking the test.

4. Are more staff members certified or do more have a BSN?

I would say more have their BSN, but that may change with the magnet status pursuit. Our hospital has a school of nursing that partners with a local college for a BSN program, and they have an RN-to-BSN program that is available at a decreased cost to those who work here. Therefore, there are a lot of people pursuing their BSNs now. However, there are a lot of people who already have their BSN.

5. Does your unit have computerized charting?

Yes.

6. If so, how long have you had it?

Not exactly sure...more than five years, I believe.

7. What system are you using?

Horizon Clinicals

8. What are the advantages to the unit?

I think it's a nice uniform way of charting. Because it's been in use for a while, everyone is well-versed in it. It is nice not to have to worry about reading different handwriting, and it is not overly time-consuming.

9. Do you have any suggestions for making the transition easier?

I think it's important to have plenty of training sessions and plenty of practice times. We have also had success, when new computer things come along (we recently transitioned to a new order entry system, for example, and will be changing over to physician computerized order entry using this system before long), with having "super users" who are more thoroughly trained and can be resources on the unit on all shifts for those who need assistance.

10. What are the disadvantages to the unit?

As with anything, there is a learning curve. And there are always people who like to do things the way they have always been done. Therefore, there is always some resistance to making changes such as switching to computerized charting.

Hope this helps!