Nursing and the eMR Working to Prevent Change Fatigue Stefanie - - PowerPoint PPT Presentation

Nursing and the eMR

Working to Prevent Change Fatigue

Stefanie Schormuller RN. (SCHN) Meredith Faggotter RN. (SCHN)

1

Who are we?

• Stefanie

anie Sch chor

• rmu

muller ller

• Paediatric Nurse
• Trainer for the Memory Project
• Clinical Informatics Manager
• Me

Meredi edith th Fag aggo gotter er

• Paediatric Oncology Nurse
• Clinical Systems Analyst for the Memory Project

2

What is the Memory Strategy?

3

Project Milestones so far…

4

• April 2016 (Children’s Hospital Westmead-CHW)
• Electronic Medication Management (eMM)
• IV Fluids
• Bedside Clinical Documentation
• Powerchart Oncology
• Followed by:
• Between the Flags (Observations)
• Hospital wide electronic progress note documentation
• Development and implementation of remaining paper forms

Nursing Involvement

• Nursing Reference Group
• User Acceptance Training
• Nursing secondment
• Simulations

5

Nurse involvement during implementation

• SuperUsers
• SuperUsers involved in patient conversion process

7

Post implementation blues…

• Several follow on projects (e.g. Progress notes, Between the flags)
• Heightened anxiety around future implementations
• Quick turn around of projects
• Competition with other projects

(e.g. clinical practice changes, new equipment)

10

Ongoing Strategies & Optimisation

• Close working relationship with Director of Nursing and

Clinical Nurse Educators

• Nursing working parties to help review different aspects of the system
• System/Hardware
• Documentation
• Training
• Need for adequate communication
• Analytics page

11

Summary/Experience

• Early engagement with nursing staff
• Include nursing staff into decision making process
• Hands on approach
• Open communication at all times
• Regular engagement and communication after projects have finished

13

Que Questions ? tions ?