2018 TNA and TSNA Joint Annual Conference

2018 TNA-TSNA JOINT CONFERENCE | ADVOCACY IN ACTION
Methods/Procedures:
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Findings:
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Recommendations for Practice/Research:
College students use technology in every facet of their lives: socially, academically, and professionally. Yet in
the traditional university classroom, technology is limited to the comfort zone of the professor. There seems
to be a huge disconnect in how to engage the students using technology and make the learning more
active-based for the students. Facebook is a common medium in which to actively engage the students.
It provides a format that is readily available at no additional cost to the professor. Using Facebook to
teach also offers flexibility for learning outside of the traditional classroom walls. Facebook is an innovative
learning medium that is conducive for using case studies effectively in a nursing program.
Using Simulation to Support a Safe Change in BCMA Vendors
Deborah Ariosto (Presenter)
Shilo Anders (Co-Presenter)
Carrie Reale (Co-Presenter)
Problem Addressed:
Safe medication administration is a high volume, high risk, time consuming aspect of nursing care. Over half
a million drugs are administered each month in this inpatient setting alone. With the implementation of a
new EHR system, more than 4,000 nurses were trained to administer medications using new workflows,
systems and tools. The Operational Readiness team identified medication administration as one of the most
significant impact areas in the transition to evaluate.
Objectives:
The goal of the project was to facilitate a safe and easy transition to a new vendor for medication
administration at a large academic medical center through formal usability studies and feedback at each
phase of the implementation, stabilization, and ongoing system optimization.
Methods/Procedures:
Nurses (n=15) were recruited representing adult, pediatrics, acute and critical care and were given 1 hr
training in the new system 6 months before go-live. Comparative test methodology was used to evaluate
the two BCMA systems. Participants completed the following set of med administration core tasks in each
of the system versions:
1) Hold two orders (sc insulin set dose + sliding scale dose); administer three/address BCMA alerts (adjust
dose amount for partial package dose, and administer multi-package dose);
2) Switch existing IV fluids to new IVF ordered rate;
3) PRN pain medication and pain assessment;
4) sc insulin doses [set dose + sliding scale] based on glucose value;
5) Document meds previously administered/documented on paper MAR during downtime and administer
a PRN medication now; and
6) Message pharmacy to adjust insulin schedule
Metrics included task success, safety-related errors, difficulty, and task completion time as well as
standardized usability survey.
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