This is one of my biggest pet peeves at work.
Excellent, short description of one reason why electronic medical records are terrible—the original development has not been driven by creating a clinical tool for doctors, but more of an administrative tool for others in healthcare (i.e.—administrators and payers)
Agree, agree, agree. My particular thoughts on this video:
- “Meaningful Use” — HAHAHA! What a waste of time. Do you know that my EHR now REQUIRES me to enter a blood pressure on any patient AS YOUNG AS 2 YEARS OLD before I can actually “see” the patient? Even though no study shows that measuring BP in all kids under 12 provides any useful data to improve their health? “But it’s required, for meaningful use” whine the EHR people. FACE-SLAPS ALL AROUND.
- Yay Epocrates!
- Have you ever tried to read an old visit note in an EHR? Think about how much scrolling and scrolling and scrolling you did before you finally found the one tiny sentence or phrase which actually gave you any clinically-useful information. The rest of that crap? Coding and Billing fluff.
- @ 2:05, I love the woman who is just standing there staring at the white board in the background. That would be me if I was ever trapped in one of these types of meetings. Maybe doodling a tiny Cranquis curb-stomping a tiny laptop, Office Space style.
- Dr. Dombrowski’s idea of “getting all the governmental agencies… on the same page” about EHR is nice and all — but unless doctors/nurses/PEOPLE WHO ACTUALLY SEE PATIENTS are in charge of those much-needed revisions, things will never ever improve with EHR.
….But they may secretly admire…..
1. How they just KNOWthings
2.They can smell trouble down the hall
3.They do everything twice as fast. Plus they remember to cap the peg tubes after flushing them.
4.They’re always done early
5.They know every doctor and can smooth talk even the toughest ones.
6.They get the best assignments. And interestingly enough, limited admissions.
7.They can spot a lying patient
8.They can spot a lying doctor. Scratch that, who can’t….They can actually spot a lying nursing assistant, plus they know all their hiding spots.
9.They justKNOWwhen a patient will code. Right down to the hour. Plus they already have the crash cart ready.
10. They know every damn medication and its side effect. Plus they remember them from when they were dispensed in glass bottles, and can calculate drip rates without blinking.
10.25. If they’re one of the kind ones; they will swoop in and save the day of the struggling new nurse
10.50. They get breaks
I want to be this
THIS IS THE MOST AMAZING AND BRILLIANT THING EVER
This is what happens when women write ad campaigns for other women *dies from the hotness*
this is still my favorite ad of all time
Well this ad gets an A+
and its even for something important … but still EYE CANDY!
This might be the greatest ad ever.
Hands down greatest ad ever. Especially since I am learning repro right now? BRILLIANT.
SPEED NURSING: Things Nurses Could do with Safer Staff Ratios
January 3, 2013
IdleThoughts from an idealist.
1. Catch subtle symptoms before they progress to an RRT or Cardiac Arrest
2. Be able to spend more time with patients, so they don’t feel neglected, and heck; maybe even bring up the scores on the patient satisfaction surveys
3. Answer call bells promptly
4. Be able to round on patients a lot more, potentially preventing more patients from falling.
5. Be able to pee more frequently than once a shift (if that)
6. Be able to eat on breaks at leisure, and not suffer reflux from shoveling food down so fast just to get back out on the floor
7. Be marginally more friendly, from lack of stress, or time to actually socialize a little with the people you spend many of your waking hours with.
8. Maybe help out other nurses when they have one difficult patient, rather than numerous patients in a district of insanity
9. Have a charge nurse without patients of their own, so they can assist in districts that really need it.
10. Have a less sore back from the increased and arduous work, and maybe get home at a decent time
10.5 Interpret the not-so-obvious lab values, radiology, and rather than “speed nursing,” spend more time utilizing the critical thinking process and maybe save a life
….list is endless…..