Again the names of clinical informatics nurses vary. You may be called an informatics nurse, an analyst, a nurse informaticist, information technology nurse support, or any number of titles. Your role in nursing is going to be altered, but still very impactful to the patients in the community you serve.
In my years of bedside care I often had to go outside of the 30 minute window for timed medications for the benefit of the patient. Most of the times these times are arbitrary anyhow. If a medication is ordered once per day it doesn’t really matter what time of day the patient gets it. It should fit within their normal routine not within what the pharmacy schedules it. I never once received any sort of reprimand for my medication timing. I often had to request the scheduled times for medications be changed by the pharmacy, but many times I had to give the medication at a different time and documented the reason why.
You expect a nurse to have integrity and use good clinical judgement, but not every one does. It’s even possible that not everyone can. Judgement is subjective, and even though the it is the goal for any prudent nurse to give the same level of care as another, it just doesn’t always happen that way.
Nursing is the first job I have ever had where a “boss” was not constantly breathing down my neck. I get to plan my day and do things as I see fit. I have the ability to use clinical judgment skills to decide to give and hold medications. I have the right, ability, and duty to question inaccuracies in care. I also have the right to be able to practice as a nurse without being placed under a microscope by others.
—Yes, another post about bullying, mobbing, horizontal violence, lateral violence,how nurses eat their young, or whatever term you want to phrase when a nurse is constantly targeted.