Administration Practical Implications Chris Fokke RGN BA Hons MSc IT Chief Clinical Information Officer Hampshire Hospitals NHS Foundation Trust Session overview Share experiences from HHFT regarding changing from paperbased to ID: 588845
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eMedicines Administration: Practical Implications
Chris Fokke RGN, BA Hons, MSc. ITChief Clinical Information Officer Hampshire Hospitals NHS Foundation TrustSlide2
Session overviewShare experiences from HHFT regarding changing from paper-based to Emedicine administrationConcentrate on practical approach on how roll out was achieved successfully
Lessons learnt and opportunitiesSlide3
Professional context to introduce Emediciness administration
Include operational & senior staff in preparing for Go Live and process changesNursing had anxiety regarding professional accountability (NMC code of conduct)Slide4
Section 4
Standard 8
Accurate and immediate recording needs to include reasons for withholding or not administering medicines
(NMC, 2010)
http://www.nmc-uk.org/Documents/NMC-Publications/NMC-Standards-for-medicines-management.pdfSlide5
Appendix B Medicines Policy
Process for Administering Medications using e-Prescribing system (JAC)Slide6
Training/Support when rolling outTraining 3 weeks prior to go live – all shiftsWard based Refresher session 1 week prior go liveWard Based go live Support 24 x 7
Nurses – Group Dedicated TrainingDoctors – One on One trainingE-learning packageE-learning assessmentSlide7
Practical deploymentAvoid Mondays!Accompany all nurses on first shift and floor walkAttend D
octor ward rounds on rollout day and the next dayPharmacy start early transcribing- electronic stickers on notesIntroduced Shift Work in project team.Programme manager accessible and responsiveSlide8
Practical deploymentHigh visible presence during rolloutIntroduce a 24/7 bleep for help/support Mobile phones for the team
Keep issue log and respond immediatelyAllow emergency pain relief paper charting in critical areas or situations (Recovery/ED)Set up user groupsSlide9
Go live and day-to-day considerationsBusiness continuity plan (BPC)Communicate to staff to revert back to paperHave local Disaster Recovery folder
Be clear about roles and responsibilitiesHow do paper charts get to wardsHow do patient profiles get to wardsHow do you transcribe back into electronic systemDocumentation of plan and triggers in IT support teamSlide10
Emedicines administration – Quality/SafetyDesign and develop front-end
using clinical engagementNo information is lost, strong IG/securityE-discharge informationPin-pointing to root causes much easierRe-use e-information for different purposes (e-Drug chart/Admission/Discharge)Slide11
Customize views in clinical practiceSlide12
Next EPR release will make E-Drug chart
Usable according to staff’s needsSlide13
ConclusionOur experience of E-prescribing and administrationFast track change in practice works and minimises risk to patients (transition of electronic versus paper)
Kinder on users (many worry- unnecessarily- about change in practice)Robust control of project due to short timelineFast adaptation of new practiceNeeds careful investment and preparation to succeedSlide14
ConclusionBeyond the embedding phaseFlexible use of e-prescribing/medicine management informationGolden source of info regarding e-discharge summaries
DR/BAU needs to be regularly monitored/managed.True clinical business critical systemInitial change in practice is difficult, but the rewards from a safety and efficiency perspective is worth itSlide15
Thank you
Chris FokkeChief Clinical Information OfficerHampshire Hospitals NHS Foundation Trust
Aldermaston Road
Basingstoke
RG24 9NA
01256
31(4936)
078272
34134
Chris.Fokke@hhft.nhs.uk