Assignment: The Exited Assessment

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Assignment: The Exited Assessment

Assignment: The Exited Assessment

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Today, my preceptor and I continued to attend various meeting regarding the newly implemented electronic health record (EHRs) system. We met with the representatives of Epic EHRs to discuss all the tickets that were created since the Go-Live which had not yet been resolved, and to come up with a plan to fix all the remaining issues that had been encountered.

12:00-17:00 We also met with the Periop to discuss the issue they have with the patients’ dropping off the big board when they go to surgery. When patients go to surgery, they are dropping off the big board. Also, to investigate and troubleshoot the issues the nurses are having with the documentation of the preop checklist and the exited assessment disappearing from the system without being saved.


8:00-12:00 Today, my preceptor and I attended a meeting regarding the center for Medicare and Medicaid services (CMS) survey. During the all-day long meeting, we went over the HCAHPS Domains which included the nurse communication, doctor communication, responsiveness and hospital staff.

12:00-17:00 My preceptor and I participated in the second part of the meeting regarding the CMS. We discuss the cleanliness and quietness of the hospital environment, pain management, communication about medications, discharge information, overall rating, care transitions and likelihood to recommend the hospital.


08:00-12:00 Today, my preceptor and I participated in a meeting with the representatives of the intensive care unit (ICU) and the hospital IT department to discuss the issue with the Heparin order not requiring a dual sign in so that it should be related to Epic members to include a dual sign in for Heparin when changing the rate from the MAR. Also, the issue of the Heparin not communicating from MAR to flowsheet. The issue of important drips missing from the MAR such as “Agratroban and Magnesium.


08:00 – 12:00 I attended a meeting with my preceptor regarding updating care plans for the labor and delivery unit. Also, a conference on old policies that are still showing in the hospital new electronic health system epic: “They don’t want nurses to see the old policies so that they don’t refer to the old policies.”

12:00 – 17:00 My preceptor and I attended a meeting with the laboratory manager Karen to discuss the specimens’ collection. Karen audit the specimen collection data and the nursing informatics sends it out. The hospital had to switch from Mobilab specimen collection to the Epic specimens’ collection. Unfortunately, the epic system is limited, and nurses now have to revert to two nurses sign off for specimens’ collection as labels no longer print at the patient bedside


08:00 – 12:00 My preceptor and I attended a meeting with the intravenous (IV) therapy team regarding how they document PICC insertion. The staff is having issues with the documentation of the PICC line insertion as the flow sheet is not built in properly.

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