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 ormu 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… 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 • 4
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 ?
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