1)   We all have experienced a system failure in our nursing ca

1)   We all have experienced a system failure in our nursing careers. I can’t begin to describe the feeling of coming in to work only to be told “systems down”. Every time I heard those sweet words, I wanted to use a personal day. But this also the time that I am reminded that nurses rely on technology about 90% of the work day. I’ve worked at two different hospitals and each of them do things differently prior to the system going down. Both hospitals use downtime slips when the computers are not work. Nurses are still able to request lab work, use of prescription pads, and order, administer medication. I guess paper charting will never be a thing of the past. One of the hospitals did something a little different, it requires that nurses use paper charting daily alongside EMR. I thought this was a great idea, it keeps the nurses familiar with paper charting so when computers are not assessable patients can still be cared for without much delay. Also, those nurses wouldn’t be scrambling to gather information. My current organization uses downtime slips, this can hectic for some new nurses who are not familiar with paper charting. Although the hospital has backup generators, downtime slips are required to continue care until systems are back up operating. Patients can always be taken care of via paper charting. This practice went on for years before computer charting. For some of the older nurses this is a well-known and preferred method. Caring for the patient is still the number one priority, information can still be obtained and updated by the patient daily and each department is responsible for keeping charts on patients with services provided so that quality care is given until computer systems are up and running.  I think the recommendation would be first to Start by creating an outline that delegates workflow in such an event, including selecting an individual whose main job is to inform staff that the system is down and what patients are most affected by it. It’s great if you have a backup plan in place, but it won’t do you any good if the plan itself doesn’t work. Like a fire drill, have trial runs every so often to ensure that your backup plan will, in fact, pull through for you if your EMR happens to fail.  Suggest staff keep paper charting on most recent task performed regarding patients. Information such as recent vitals and current medications with administration times, and allergies should be readily available. In case of an emergency this type of documentation must be known to avoid further harm. I think in the end working together in this stressful time will be the key in maintaining patient safety.  2)  Natural disasters happen all the time across the country of the United States and beyond the borders such as floods, tornadoes, hurricanes, and earthquakes.  Hospital administrators need to have emergency plans in place to help counteract the chaos, and all staff needs training on how to react in such weather conditions. According to Horahan, Morchel, Raheem, and Stevens (2014), the National Planning Framework mentions there are five mission areas of preparedness: prevention, protection, mitigation, response, and recovery.  As indicated by Memorial Hermann Hospital System (2017), several policies and procedures are listed on their website about the action plan of the failure of utility systems, the problem I have found is that many of our medical-surgical units at my campus have never received any training on how to complete the downtime forms and it expected of us.  The access to electronic health records would not be available during such conditions and staff will need to know what steps to take.  Power outages can cause the staff to have meltdowns if not correctly prepared on what to do in such emergencies without access to computers. Clinicians need to be careful when taking the patient’s medical history, recording allergies, medications, and any recent procedures they may have had that cannot be accessed online.  Pharmacy orders, diagnostic tests, and lab orders will need to be called in, or hand delivered because of no electricity. The staff needs to have training on what to do in case of such disasters because they too will need to stay calm themselves to keep patients and families calm during an emergency event.  My unit has an emergency kit filled with downtime forms, batteries, and flashlights.  I think adding a two-way radio would be beneficial to keep in touch with the house supervisor for updates and information.  I have requested the need for training to my manager and director, and they both said they would try to incorporate training at our next staff meeting for everyone to understand how to use the downtime forms and what to do in an emergency. My campus has backup generators that will turn on after ten seconds of no power is detected, and according to the maintenance personnel, they are checked every six months.  There are red outlets throughout the patient care areas that critical medical equipment can be plugged into during power outages for continuous patient care. Quarterly emergency or downtime drills should be conducted regularly to keep staff trained on what to do and how to fill out the downtime forms and be aware of what to do for continuous patient care. Improvising with portable trailers or mobile satellite systems in the parking lot of hospital or somewhere safe may be an option.   Horahan, K., Morchel, H., Raheem, M., & Stevens, L. (2014). Electronic health records access during a disaster. Online Journal of Public Health Informatics, 5(3).  Retrieved from doi:10.5210/ojphi.v5i3.4826 Memorial Hermann. (2017).  Failure of utility systems.  Memorial Hermann Hospital System.  Retrieved from https://policytech.mhhs.org/dotNet/documents/?docid=32268 200 words each

Adme Essays

Calculate The Price Of Your Paper

{{total || ""}}

Why Choose Us

Top Quality and Well-Researched Papers

An important research paper due imminently? We have your back! Simply request help from an expert whose expertise is verified. We employ Bachelor's, Master's, and Ph.D. graduates with years of expertise in the industry of professional writing. Before they begin writing for us, we verify their credentials and conduct assessments to ensure they can consistently provide the highest quality content. Before submission, your research article will also be examined by the quality control team.

Professional and Experienced Academic Writers

We firmly believe that all of our clients deserve to excel in both their academic careers and, in the future, their professional life, and we are glad to assist them in achieving that goal. We have curated a team of subject-oriented academic writers who have been carefully selected to ensure that we deliver the best quality papers you can expect from a professional writer. Writing essays, completing extensive research, and performing complex calculations are all areas of expertise for every one of our specialists. They have a lot of experience in their industries. They are capable of completing any writing assignment within the allotted time limit. They enjoy what they do and are always striving to better their knowledge and abilities in research and writing. Contact us to hire our academic help services at the drop of a hat.

Free Unlimited Revisions

Our primary goal is to ensure our customers are delighted; therefore, we endeavor to offer an excellent service. Essaywriter4me's revision policy allows customers to receive free changes within ten days of the due date. You can request a free revision of your order if you believe we made a mistake. Log in to your personal account.

Prompt Delivery and 100% Money-Back-Guarantee

Are you having trouble completing your MBA project case studies and assignments? Due to a lack of time, are you unable to research? In need of a company that provides high-quality custom writing services at reasonable prices? Contact Essaywriter4me and get Take the help of a professional assignment help writer. The length, difficulty, and deadline all factor into how much time it takes to prepare and polish an essay. Completing technical assignments sometimes takes longer than expected. On the other hand, our writers and supervisors will do everything in their power to meet your deadlines. We can produce a finished article within four hours without sacrificing quality.

Original & Confidential

We check online first. Second, we examine our database of completed orders to ensure that you always receive original content. Every assignment is written from scratch by Essaywriter4me writers and double-checked with our plagiarism detection software. We never send pre-written essays or papers that include copied content. This originality report is available upon request, providing you full trust in the quality of our writing. We guarantee that all information provided or shared with us will remain confidential since we never share it with a third party. You are not concerned about what will happen to the data. PayPal and the bank protect your funds, so there is no risk of fraud or deception. Students love us due to our stringent confidentiality policies. Whatever occurs here is strictly confidential between you and us.

Customer Support 24/7

We have a team of dedicated customer care representatives eager to help you with the best-suited assignment help services, each of which is tailored to each client's unique needs. You can contact them via email, phone, or live chat if you need help with a particular subject. At Essaywriter4me, you'll have access to an expert 24 hours a day, seven days a week! Our expert writers are also available around the clock, no matter the time of the day or night. Choose between scheduling a tutoring session or getting immediate help when you need it most. We always have experts available to work around your schedule, no matter what time of day!

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.


Essay Writing Services

Hire an assignment writing expert to get a well-written project before the deadline. Request "write my essay" today. Our academic writers have worked in this field for years; they are familiar with the most common formatting standards. These include but are not limited to MLA, APA, Harvard, and Chicago/Turabian formats.

Our writers are chosen from a pool of qualified candidates, with just the top two percent gaining employment with our paper writing service. This implies that every writer you hire will be eager to discuss your needs and construct a flawless paper that leaves you entirely satisfied. Start by placing an order, or contact customer service for additional information about our experts.


Admission and Business Papers

Applying to college or university requires much effort and accountability. Every applicant should persuade the admissions committee with their reasons for pursuing a degree in a particular program. Please familiarize yourself with why an application essay writing service is an excellent choice for you.

Our admission essay writing service will help you effectively present yourself. It is hard to find legit online expert college application essay writers. At our service, we offer high-quality cooperation based on extensive experience and a strict confidentiality policy. The price per page varies depending on the writer's experience and the urgency of the job. Therefore, you can request, "Please write my application essay," and find the best available writer.


Editing and Proofreading

We are an award-winning group of talented editors and reviewers serving over 10 thousand clients in 100 countries. Exclusively for professors, lecturers, post-doctoral researchers, research students, and commercial clients, Essaywriter4me offers professional academic proofreading and English language editing services. Our objective is to address the increasing demand for English-language services among academics and business people worldwide.

We specialize in academic proofreading and English language editing for authors of dissertations, Doctoral dissertations, journal articles, books, journal articles, essays, and other professional documents, such as research projects, in the Social Sciences, the Sciences, and the Humanities.


Revision Support

If you believe your paper needs some modification, you can request a review. Our specialist writers are familiar with all academic formats, including MLA, APA, CSE, and Chicago. We collaborate to improve your writing. If you didn't start your paper the night before, you've come to the proper place. Our academic revision service is available 24/7. Simply place your order now.