My Health Issue Is Pre Diabetes Nursing Essay
Read the following case study
A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. My Health Issue Is Pre Diabetes Nursing Essay Paper . One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. My Health Issue Is Pre Diabetes Nursing Essay Paper . Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. My Health Issue Is Pre Diabetes Nursing Essay Paper . However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. My Health Issue Is Pre Diabetes Nursing Essay Paper .After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. My Health Issue Is Pre Diabetes Nursing Essay Paper . Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians. My Health Issue Is Pre Diabetes Nursing Essay Paper .
You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation.My Health Issue Is Pre Diabetes Nursing Essay Paper . The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members: My Health Issue Is Pre Diabetes Nursing Essay Paper .
· Taylor Terrific, RN – a nurse practitioner
· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly.