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How do you get nursing staff involved?
Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex
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Clinical leadership is key
If you always do what you always did… …....you’ll always get what you always got Florence Nightingale The founder of modern nursing was a pioneer in the visual presentation of information and statistics to highlight seasonal sources of patient mortality in military hospitals.
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Is there a role for nurses?
e-Prescribing systems help reduce the risk of medication errors to: Produce more legible prescriptions Alert for contra-indications, allergies and drug interactions Guide inexperienced prescribers Support timely and complete administration (reduce errors or omissions) Access to further information Clear guidance on what to do next Improved formulary guidance and adherence No more rewriting drug charts Order sets Discharge prescriptions prepared in advance e-prescribing for NHS hospitals th October 2014
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e-prescribing for NHS hospitals 27th October 2014
The role of the nurse Nurses as leaders at all levels of the organisation Understanding of the impact of effective design and use of the IT system (always keen to test) Partner with multiprofessional colleagues Coordinate care across disciplines Work to improve quality and safety Advocates for engaging patients and families Contributors to standardised care Understanding that technology (when combined with best practice and evidence based care delivery) will improve the nursing care of patients e-prescribing for NHS hospitals th October 2014
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e-prescribing for NHS hospitals 27th October 2014
The nursing role Pre-implementation Process mapping Understanding of key challenges (including choice of devices) Engagement with ‘end users’- building contacts e-prescribing for NHS hospitals th October 2014
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Implementation support
Visible and accessible a ‘can do’ team Technical Clinical - Translating ‘IT Speak’ ‘Nurse speak’ Training Change management / transformation e-prescribing for NHS hospitals th October 2014
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e-prescribing for NHS hospitals 27th October 2014
Post implementation Ongoing contact/review Involvement in policy/ process change Benefits realisation Product development Facilitating feedback / Being a bullet sponge e-prescribing for NHS hospitals th October 2014
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Real life technology “Can I have an ipad?”
Nurses need to embrace new technologies and try them out – touch and feel But remember everyone’s different!
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Think of eMedicines -Think of the team…
Clinical leadership is key but one person (or clinical group) cannot do it on their own Electronic prescribing and medicines administration is an important and powerful innovation for the whole care team All health care professionals must be involved in planning and implementation and remain involved as the system is used
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Discussion / Questions
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