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Message
re: Nurses starting to fight against the dangers of medical technology
Posted on 5/26/14 at 7:58 pm to Scruffy
Posted on 5/26/14 at 7:58 pm to Scruffy
Good luck! Interview/match process is actually pretty fun (aside from the obviously stressful aspect) and you'll meet a lot of cool people and see some great places.
0
Posted on 5/26/14 at 7:59 pm to SmackoverHawg
quote:
charting via templates in primary care is a nightmare
Apart from sporting Arkansas in your handle, I'm 99% sure you're my older brother who's in primary care.
Posted on 5/26/14 at 8:05 pm to Cs
quote:
warns NNU.
Stopped right there, all of the articles credibility was lost with those three letters..
Posted on 5/26/14 at 8:11 pm to wiltznucs
I didn't read the other pages but my biggest bitch is people are leaning on the EMR like a crutch. Critical thinking skills for newer nursing grads are not what they are for folks from a decade ago.
Posted on 5/26/14 at 8:22 pm to CaptainJ47
It's not limited to Nursing. I'm in Allied Health and the overall quality of the new Grad has gone down tremendously.
IMHO. Part of it is a generational change whereby the Millennials and to some lesser degree X and Y are changing the workforce as the hardcore Boomer era Nurses are retiring. The other part is the many other new entrants who are victims of the Recession and entering as a second career. Many if not most are not passionate about healthcare but rather look at it as a means to an ends. This shows in the quality of their work and also their level of commitment.
IMHO. Part of it is a generational change whereby the Millennials and to some lesser degree X and Y are changing the workforce as the hardcore Boomer era Nurses are retiring. The other part is the many other new entrants who are victims of the Recession and entering as a second career. Many if not most are not passionate about healthcare but rather look at it as a means to an ends. This shows in the quality of their work and also their level of commitment.
Posted on 5/26/14 at 8:42 pm to wiltznucs
It seems like that might be a pretty big generalization in my opinion. The hospital I'm at has plenty of newer nurse grads and honestly I think a significant majority of them take a lot of pride in their work and it shows in the quality of care that they provide. I imagine it may be different from hospital to hospital and situation to situation, but that's been my observation personally.
Posted on 5/26/14 at 8:44 pm to TMDawg
Posted on 5/26/14 at 8:56 pm to TMDawg
I do hope your observation is right and that our experience is isolated. I'm at an 1,100 bed Academic/Trauma facility that is a Magnet organization. Were affiliated with no less than 5 Nursing Programs.
The demands are pretty high and if asked the Senior Leadership Team would confide that losing Senior Nurses is among their greatest concerns moving forward. The best and brightest new Grad RN's aren't satisfied being at bedside. Many are becoming ARNP's or CRNA's and you can't blame them. The end result has been a perceived decline in overall quality and competency or RN's.
The demands are pretty high and if asked the Senior Leadership Team would confide that losing Senior Nurses is among their greatest concerns moving forward. The best and brightest new Grad RN's aren't satisfied being at bedside. Many are becoming ARNP's or CRNA's and you can't blame them. The end result has been a perceived decline in overall quality and competency or RN's.
This post was edited on 5/26/14 at 8:57 pm
Posted on 5/26/14 at 9:02 pm to wiltznucs
Yea those are definitely good points too. It's going to be interesting to see as things keep changing going forward too, I know there seems to be a lot of emphasis on studying burnout etc in different residency settings and I know they've been looking at it a lot with nurses too, and I don't expect that to get a lot better on either side honestly.
Posted on 5/26/14 at 11:16 pm to TMDawg
From a nursing standpoint, I don't find that EMR saves me any time and increases the time I spend at the computer and not with my patients.
Many reasons for this. The people who put these systems together Aren't in healthcare and they build it with input from the wrong people not bedside nurses.
Also the computer makes data gathering very easy and there have been many items added to our daily assessments to make it easy for someone else to gather this data. But it adds to my time at the computer . It's not really my job to gather this data but no one wants to do this dirty work when adding onto my daily load would be much easier.
I was once told that the computer gathered data and made it so available that it has become a different kind of revenue stream for the hospital. Can anyone confirm this and how much this might be worth?
I can't recall anytime that any of the hospitals have done anything to make nursing easier. More and more responsibilities are landing on our doorstep when my focus should only be on my patients
Also. The MD's have been told to use the computer for orders and no verbals but the hospital does t enforce it which means I have to put the order in taking me away from the bedside
Imagine a surgeon who is talking to himself as a way of thinking his wY thru a problem and trying to figure out what is an order and what is not. What is discussion and what is the decision? We have a few of those
As for lazy nurses. There are lazy arse people in all walks of life and all kinds of jobs. Certainly there are lazy nurses
As for millennialist. I agree that many don't have a very good work ethic and don't want to pay any dues. I've heard new grads refuse nightshift jobs and many just bit h and bitch about weekends. But it's a pretty broad brush were using here because the same thing is happening in other areas not just nursing
I love my job. I love taking care of the sickest patients and their families when they have arrived at my bedside on maybe one of their worst days. I work with some awesome nurses and by and large I think we do a great Job
But we are dealing with human beings and we frequently don't fall easily into an algorithm. I don't see how that will ever change
Off the soapbox now. It's really been a day
Many reasons for this. The people who put these systems together Aren't in healthcare and they build it with input from the wrong people not bedside nurses.
Also the computer makes data gathering very easy and there have been many items added to our daily assessments to make it easy for someone else to gather this data. But it adds to my time at the computer . It's not really my job to gather this data but no one wants to do this dirty work when adding onto my daily load would be much easier.
I was once told that the computer gathered data and made it so available that it has become a different kind of revenue stream for the hospital. Can anyone confirm this and how much this might be worth?
I can't recall anytime that any of the hospitals have done anything to make nursing easier. More and more responsibilities are landing on our doorstep when my focus should only be on my patients
Also. The MD's have been told to use the computer for orders and no verbals but the hospital does t enforce it which means I have to put the order in taking me away from the bedside
Imagine a surgeon who is talking to himself as a way of thinking his wY thru a problem and trying to figure out what is an order and what is not. What is discussion and what is the decision? We have a few of those
As for lazy nurses. There are lazy arse people in all walks of life and all kinds of jobs. Certainly there are lazy nurses
As for millennialist. I agree that many don't have a very good work ethic and don't want to pay any dues. I've heard new grads refuse nightshift jobs and many just bit h and bitch about weekends. But it's a pretty broad brush were using here because the same thing is happening in other areas not just nursing
I love my job. I love taking care of the sickest patients and their families when they have arrived at my bedside on maybe one of their worst days. I work with some awesome nurses and by and large I think we do a great Job
But we are dealing with human beings and we frequently don't fall easily into an algorithm. I don't see how that will ever change
Off the soapbox now. It's really been a day
Posted on 5/27/14 at 6:42 am to LSU alum wannabe
quote:Is that the one that resembles MSDOS? That's the crappiest EMR I've ever seen. Can't even use the mouse to navigate.
Paper being totally taken away always scares me. One problem is use of old computer programs. HCA still uses meditech which is a program that still uses F keys.
Posted on 5/27/14 at 6:47 am to SmackoverHawg
quote:One of the big pushes to get EMRs is the CMS incentive for using an EMR. They will start in 2015, so most of the major hospital systems have transferred over in preparation for that. It may not make sense financially if you have a smaller practice, though.
I was on EMR throughout med school and residency. So, it's not like it's new to me. But, if people want to waste that money in their practices they are certainly welcome to. When it makes me more efficient, I'll change.
Posted on 5/27/14 at 8:02 am to chuckie
quote:
Many reasons for this. The people who put these systems together Aren't in healthcare and they build it with input from the wrong people not bedside nurses.
This is where you're wrong, or your hospital is doing it wrong. Most EHR project teams have nurses, pharmacists, other healthcare professionals, and physicians.
Posted on 5/27/14 at 2:28 pm to lsu480
quote:
How will everyones views on welfare change when that happens?
People need to learn to adapt and go back to school.
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