NHS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification JJ

 

 

NHS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification JJ

NHS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification JJ

Interview Summary

I took an interview last week of a colleague nurse named Ms. Jennifer. She is a head nurse at Pediatric Department at National Hospital. She is the main representative for Nursing body at the hospital. There are many interdisciplinary issues that she handles at the hospital, one of them is the monthly EMR Down time identification.  

The IT team and practitioners asked her to schedule a time to take the EMR offline so that necessary software and hardware updates could be completed. The EMR is used to input orders, dispense medications, document patient care activities, produce lab and other diagnostic findings, do allergy and drug-drug interaction checks, and monitor fall, infection, and sepsis risks. When the EMR is “down” or “off-line,” none of these activities are available, requiring all nurses and other practitioners to rely on paper-based methods..

NHS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification JJ

She helped the team by consulting with the IT board as well as other clinical and administrative stakeholders to select the optimum day and time for EMR maintenance. The company would need around four hours to complete the adjustments. All stakeholders were asked to help the IT team determine a down time date and time, develop a down time plan, identify resources to provide support prior to, during, and after the down time, provide down-time related education, and conduct post-down time interviews to identify areas for improvement.

They used the Plan-Do-Study-Act Cycle (PDSA Cycle) to solve this interdisciplinary issue at the organization. 

Around 2:00 a.m. on Wednesday, the IT team followed out the plan and “took the EMR down.” During this time, nurses and practitioners manually requested, documented, and monitored patient care actions using existing downtime protocols. Between 2:00 a.m. and 5:45 a.m., the IT team rebooted 57 servers, installed 17 software security updates, updated the operating system, and evaluated the modifications to verify there were no negative impacts on the EMR. Nurses and other practitioners may access the EMR at 5:55 a.m.

Issue Identification

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