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Intensive care nurses' experiences with the new electronic medication administration record
Linda R Gregory1, Rimen Lim2, Lois MacCullagh3
1School of Nursing and Midwifery, Ingham Institute for Applied Medical Research, Western Sydney University, Penrith, NSW, Australia.
Aim:
To explore the experiences of Registered Nurses who administered medications to patients using the electronic medication administration record (eMAR) in Electronic Record for Intensive Care (eRIC) at one adult intensive care unit (ICU) in NSW, Australia.
Design:
The study research design used a qualitative descriptive exploratory approach that took place in two stages.
Methods:
Five participants attended one focus group followed by the observation of each participant as medications were administered to their assigned patient using the eMAR in eRIC.
Results:
From the data, three themes and one subtheme were identified. Themes included forcing nurses to work outside legal boundaries; patient safety; with a subtheme titled experiencing computer fatigue; and taking time away from the patient. To practise safely, nurses were required to implement workaround practices when using the new eMAR in ICU. Nurses also were concerned that the eMAR in eRIC took time away from the patient at the bedside and 'added more screen time' to their day.
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01:30Methods of Documentation VII: EMR
01:18Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:30Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
01:26Guidelines for Nursing Documentation II
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
01:18Types of Records II: Educational and Administrative Records