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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

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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Page 1: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

How do you get nursing staff involved?

Jo DicksonLead Nurse – Informatics / CNIO

Leeds Teaching Hospitals NHS Trust

E-prescribing Masterclass webex

Page 2: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

Clinical leadership is key

If you always do what you always did……....you’ll always get what you always got

Florence Nightingale 1820-1910The 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.

Page 3: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

Is there a role for nurses?

• e-Prescribing systems help reduce the risk of medication errors to:

o Produce more legible prescriptions o Alert for contra-indications, allergies and drug interactionso Guide inexperienced prescriberso Support timely and complete administration (reduce errors or

omissions)o Access to further informationo Clear guidance on what to do nexto Improved formulary guidance and adherenceo No more rewriting drug chartso Order setso Discharge prescriptions prepared in advance

e-prescribing for NHS hospitals 27th October 2014

Page 4: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

The role of the nurse

e-prescribing for NHS hospitals 27th October 2014

• 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

Page 5: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

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 27th October 2014

Page 6: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

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 27th October 2014

Page 7: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

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 27th October 2014

Page 8: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

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!

Page 9: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

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

Page 10: How do you get nursing staff involved? Jo Dickson Lead Nurse – Informatics / CNIO Leeds Teaching Hospitals NHS Trust E-prescribing Masterclass webex

Discussion / QuestionsTwitter - @JoD1905E-mail - [email protected]