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Staff Development Case Study

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My staff development program will focus on assisting the nurses on my unit transition from using MAR sheets, to only using the EMAR. Previously, the NICU has been using MAR sheets for 30+ years to double check medications. NICU is one of the only units that double checks every medication with another nurse against the MAR. As of June 18th, the MAR sheets will no longer be printed and used for this purpose. MAR sheets make double checking medications more convenient. It is easier to find another nurse to check medications with when you have the MAR in your hand, versus finding time to pull up the EMAR on the computer. We staff a unit where there are only two nurses, and the charge nurse is usually in our normal unit. If we have multiple …show more content…
We could accidently check a medication that was updated after the MAR sheets were printed. Hopefully, in those instances, the nurse would double check the EMAR before giving it and safeguards would prevent the administration from occurring. I have spoken with my nurse manager about this topic, and she has appointed myself, and another senior nurse as “MAR sheet champions” of the unit. I have been surveying nurses about their thoughts on this change. Most nurses do not like the fact that we no longer will be using MAR sheets; however, most nurses know how to print their own MAR sheets, and plan on doing that once this takes effect. I have frequently been updating my nurse manager about concerns expressed to me. Change is hard, and this is not going to be an easy transition. I will follow up with the nurses once this takes effect, and see how people are coping with this new change. I need to speak with my nurse manager about how I intend on presenting this SDP to my unit. I would like to include statistics about medication errors or medications being given late. However, I will need to check with her about the time line for when PSNs (the system used to report medication errors, safety errors, etc.) are reported back to the unit managers. Or I may just create a poster or presentation on why it is important we no longer use MAR

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