By TNAA- Travel Nurse Across America

April 5, 2018

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Five Reasons Why EMR Conversions Make Great Travel Assignments

This article is sponsored by Travel Nurse Across America®

Guest Post By: Brittany Bennett

Over the years, EMR conversions have become a very popular reason to hire travel nurses. Facilities across the country are changing or upgrading their EMR systems and require an increase in staffing to perform these changes and get everyone trained on the new system. One of my very first travel assignments was an EMR conversion. I had no idea what to expect and was nervous enough being a newbie to travel nursing. Little did I know, it would be one of my better contracts and the knowledge learned would assist me in many other assignments and areas of my life. While working EMR conversions can come with challenges, here are five reasons why they just may be one of your greatest travel assignments.

EMR Conversions

Strengthening your resume

It’s no surprise that being able to operate more than one EMR system comes in handy as a nurse. We are already some of the best multi-taskers in the business, and being able to go from job to job while easily adapting to a different computer program makes you even more marketable for future jobs. With the market becoming more and more competitive for desirable locations and pay, being able to list a knowledge base of several EMR systems and completion of conversion assignments may give you a boost above another applicant.

Learning a new skill

Travel nurses are regularly referred to as adventure seekers. We like challenges and welcome new information.  If you are already familiar with an EMR system, then life will just be all the easier for you. While permanent staff are stressed out and possibly struggling with changes, your presence will be doubly valued and you may be asked to be a resource or even placed in a position of supervision during the conversion. If the system is new to you, classes are required during your contract and often take the place of bedside hours worked during that time. During my first EMR conversion, I had two and a half weeks of classes and limited bedside hours. Getting paid to learn a new skill and taking a break from patient care can be very nice!

Opportunity for better pay

EMR conversions can be demanding. You are balancing patient care along with the system conversion and it is no doubt a high-stress environment for everyone working, especially during a “go-live” shift. Because of the extra strain on the staff, hospitals will sometimes offer incentives for their permanent staff and pay their travelers a higher rate than a non-conversion assignment. Conversions are also more popular in higher-paying states like California or Massachusetts. While the pay may not be a deciding factor when considering an EMR conversion, a little extra cash for off-day adventuring never hurts.

Make more travel buddies

During my first EMR conversion assignment, I was one of 10-12 travel nurses in the emergency department where I was working. This made for instant new friends and travel partners. Hospitals going through EMR conversions need lots of additional staff and you have a better chance at not being the only traveler in your department (been there, done that) by working a conversion. Permanent staff members are also fun friends (I’ve made some great ones!), but fellow travel nurses tend to understand the lifestyle a little better and are almost always up for exploring the temporary surroundings.

Great food!

Let’s be honest here. I don’t know a single nurse who would turn down free food. Funny yes, but what’s better than the sudden appearance of a delicious pizza, sub sandwich, or chocolate during a crazy shift? The hospital and management know the staff is under pressure, and they are typically good at showing up with or sending in food during those times. Sometimes even the physicians and/or staff purchase food for the shift or organize a pot luck meal. It’s a nice perk, even if it isn’t the first or last thing you think of when deciding on an assignment.

As mentioned, EMR conversions are not without challenges or issues. Travel nurses must be ready to take on the demands of such an assignment. Showing up with a positive attitude and readiness to learn or help teach is a necessity in these types of jobs. If you have ever considered or are considering working an EMR conversion, I urge you to try it at least once. The advantages far outweigh the bad stuff and you won’t be disappointed.

By Katie McBeth

March 1, 2018

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The Five Benefits of Implementing Evidence Based Medicine

It seems that new technology enters our nursing lives on a daily basis.

Since the introduction of Electronic Medical Health Records (EHRs/EMRs), doctors’ offices have evolved to be very familiar with the benefits of technology; despite an initially slow adaptation and adjustment period. Although there are still a few issues with the standardization of EHRs, they are gaining favor among hospitals and researchers for allowing access to a wide net of information.

Big data – the collection and analysis of massive amounts of information through EHRs and studies – has changed the health care game for good. It has opened the door for a more successful implementation of evidence-based medicine across the country.

Currently, evidence-based medicine is praised by many doctors and leaders, but practiced by very few hospitals across our country. Despite its lack of use, it has some surprising benefits it can offer healthcare workers and patients.

Here are five facts about the promising future of evidence-based medicine (EBM).

1.) EBM and outbreak management

Many times serious outbreaks start out small with varying symptoms that are hard to pinpoint. We’ve most likely seen this on a less serious case with the annual flu season. Patients begin to trickle in with a headache, runny nose, or an ear infection, just before the full flu season breaks out and everyone is sick.

With EBM and EHRs, we can better analyze these symptoms and pinpoint the start of the flu season well before it becomes obvious. As the USC Keck School of Medicine points out in their article on technology and public health: by using geographic mapping, as well as massive collected evidence from previous flu (or other) outbreaks, we can assess and treat our patients more accurately with the help of technology.

2.) Recurrence of Admission

Evidence with a Stanford hospital has shown that recurrence of admission drops when EBM is properly implemented in hospitals and ER settings. With the help of EHRs and big data, nurses and doctors can keep track of a patient’s pattern of admission when they have been brought in with tell-tale health indicators.

It’s as simple as keeping notes on similar symptoms; doctors should notice patterns and will be able to fully assess a patient. For travel nurses, this is especially helpful. We can use the past EHRs of new-to-us patients to catch recurring symptoms, and then use the best possible options within EBM to help that patient find relief.

3.) EBMs and Understanding Illness

Since evidence-based medicine is based on – well-collected evidence, that means it is constantly changing and evolving with our understanding of health. Luckily, EHRs and health data analyzers allow us to collect and analyze information on such a large scale, and in such an instantaneous amount of time. We can keep up-to-date on the best treatments and further our understanding of new and emerging illnesses as they happen. The future is now!

4.) Consistent Care

Part of the process of implementing EBM properly includes follow-ups with patients to ensure they received the most accurate treatment path. This helps doctors catch problems before they happen, and helps patients understand their treatment plan more fully. This consistency in care can not only help travel nurses blend in but can help patients feel more trustworthy in their hospital or doctor.

5.) EBM Saves Money

When it comes to discussing health care, money is always brought up along the way. Luckily, EBM has proven to lower costs for not just patients (they have fewer and faster visits) but for hospitals too. So much of our medical spending is wasted on redundant tests and screenings, as well as on readmitting patients for treatable conditions or illnesses.

As evident in both the case of the hospital, Stanford Health (see #2), and in collecting evidence from doctors across the country; having access to patient records through EHRs and implementing evidence-based practice can help hospitals stay on track for lowering their annual expenses. In turn, this could change the very system of healthcare spending in America; but only if enough hospitals and offices catch on to the benefits.

By TNAA- Travel Nurse Across America

August 12, 2017

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EMR Conversion – Not a Bad Gig if You Can Get It!

This article is sponsored by Travel Nurse Across America®

Questions come up frequently about working in facilities undergoing EMR conversions.  The usual, “What’s it like? Is it hard? What do they want you to do?  I’ve work two EPIC conversions so far and am willing to do it again. 

EMR Conversions

Both have been great experiences.  I have also been involved in EMR conversions as a staff person several times too.  My experience has been that the facility is bringing in traveling nurses to allow staff off the unit to do the intensive classroom training.  I have been included in this classroom portion on one assignment (I learned EPIC right along with the staff) and not so on the other. To be fair, I declined on the second assignment since I knew EPIC already and was comfortable with what they were planning on teaching in the class.

In a conversion situation, the facility may not be bringing in additional nurses due to short staffing, although it has been part of the reason in my experience, so the work load is more manageable.  Conversion to a new EMR also can mean work flow/process changes on the unit and I have been asked for input in process change, specifically because I was a traveler and have seen how “other places do it”.   As a traveler, you are in a unique position to add input to a situation as an outside observer.  Be cautious though, how you present your ideas for change. 

Make certain you are not coming off judgmental about their crazy, multi-step system!  Many times, you are working with staff who have never had the opportunity to work in other places and people cling to what they know because change is scary.  So, keep this in mind.  As travel nurses, we all expect change everywhere we go and have learned to adapt to this, and most of us like the challenge of the change, but this is not true for so many nurses at the facilities you are going to.  Changing everything for them is like walking into a new job and some staff doesn’t handle it the best.  Be open and patient with the staff and smile, because you get to leave in 13 weeks.

The “Go Live” date can be chaotic and tension can run high because everything the staff has ever known is now gone, throughout the whole house!  Your lab orders are not getting released the way they always have, the new printers are screwing up, you’re scanning fluids and items you never scanned before, it can be crazy.  The “old school group” and the “newbies” are now on an even playing field learning new things.  My experience with EPIC conversions has been a good influx of IT people are on the units to help staff work through the roadblocks for several weeks, with hotlines available to call when you get into a jam.  Many times, daily huddles at the end of shifts took place the first few weeks for discussion of “what worked, what didn’t and how do we fix it?”  It seems, in my opinion, to take about 4-6 weeks after the conversion for the daily routine to really settle and be routine again.  There are still the unusual, infrequent tasks that must be worked out in the system sometimes.

Because of the stress to the staff during this time of conversion, the hospital plans lots of activities for staff as stress relievers and just fun.  Everything from Unit T-Shirts, free meals on conversion weekends, snack carts throughout the unit, upper management gets more involved and is more visible to the staff.  These are all good things.  One assignment had a room with  massage chairs for the nurses and they made sure that all staff got to participate in that!  The facilities use this time as a team building experience, as they should, because everyone must work together to get through the initial days of the conversion.

Overall, if you are comfortable with learning new computer systems frequently, and enjoy the challenge of helping people streamline processes, take an EMR conversion assignment.  You don’t always have to know the new system to get the job, they can train you just like the staff.  It’s something a little different from the ordinary and it can only help in future interviews for assignments to be able to say, “I’ve participated in X number of conversions” if you like the work.  It’s a great resume builder.