The EMR was conceived as means to streamline patient information for those affected. There are a variety of information systems out there; most are overly complex, non-intuitive, and redundant in the information that is provided. Most are very expensive for institutions to use; they have to pay monthly fees over and above the initial costs of obtaining the systems. The information which is front loaded is done so by non-nursing individuals in most cases. The information these programs are designed to to capture is to enhance billing practices for the institution. For the purpose of the nurse; there are many limitations and each have their drawbacks.
Staffing programs portions of these programs do not take in account all the things one does for a given patient, the complexities of any patients condition, nor the time required to accomplish all these tasks. There are also all the "non-nursing" things/tasks (such as PR work and family pacification/interventions) that we all do on a daily basis. For, if it were the case as such, then "staffing ratios/mixes" as they currently exist would actually be more realistic. Then we wonder why staff "burns out?!" Get a clue. . .
For administration, this is viewed from a "cost-basis" only proposal; they don't care how much, how safe, or how long it takes you to do something. Nor, do they provide or take into consideration breaks/lunches/patient testing (when a nurse is removed or otherwise occupied from the floor/unit). All of this of course does not affect administration directly; therefore, the lack of concern/consideration for the staff nurse and all that is required for she/he to do.
Multitasking is a scientifically proven fallacy/falsehood. Administration doesn't get it; probably never will. They've not been required to do so; rather they focus on one problem at a time; take forever to make a decision, then typically the decisions they arrive at are not based in fact; rather, fiction; (remember, they are removed from the situation) their fiction becomes our reality; hence, their unrealistic expectations of the staff. The (my) "nutshell" take on administration. Most don't work it, (or left it for this reason) therefore don't work it, know or understand it. It is the universal reality; institutions change, so do the faces; it's all the same game everywhere.
Last edited by NURSEDETROIT; 07-09-2012 at 07:19 PM.
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