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For nurses, the EPR changes how you work, but the shape of that change depends on what you do day to day.

Today, a lot of your day can involve paper, often recorded more than once: handover sheets, observation charts, assessment proformas, care plans. Some of this is already digital, like observations on WebV Obs, but much of it sits on paper because the systems around it have not caught up. The EPR brings it into one record, entered once and visible to the next person – on your ward, another site, or the next shift.

This is not about adding to your workload. Documentation repeated in more than one place, and workarounds that fill the gaps, take time away from patients now. The EPR is designed to reduce both, and to support safer, better joined-up care with fuller information at the point you need it, rather than decisions made for you.

You will also have a say before it is built. Nursing and midwifery staff are involved in co-design and validation as subject matter experts, so the workflows reflect how you actually work, not a generic system tour.

What this looks like in practice

Three colleagues have shared what their day looks like now, and what could change for them: Olugbenga Odole, a bank health care support worker; Hayley Budrey, a stroke alert nurse and deputy sister; and Mel Buck, a maternity care assistant. Read their case studies below.

News and stories for Nursing & Midwifery

Nursing care in our EPR

This demonstration gives an overview of some key nursing functionality in the EPR.

Hear from your colleagues

Nursing & Midwifery FAQs

  • How will handovers change?

    Everyone involved in a patient’s care will be working from the same live patient record, making it easier to see the latest observations, assessments, care plans, medications, test results and outstanding actions.

  • How will the build of our EPR keep up with national maternity reports?

    The team reviews the build continually and is working on a future state that accommodates the maternity care bundle. Actions arising from reports such as Ockenden will be incorporated once known, and the Maternity Care Bundle. For example, perinatal mental health tools like the Edinburgh Depression Scale are being included.

  • In midwifery, how will home births and transfers-in work?

    One form in the EPR works for both home and inpatient births – for example, choosing home birth asks for the first and second midwife and their arrival times.
    A home birth ward board will give coordinators live oversight, and a transfer-in is a change of location plus the usual alerting of colleagues.
    Take a look at the overview of the maternity function in our EPR system in demonstrations recorded for our EPR Unlocked information week. Search 'midwife' or 'demos' in the website search for the links.

  • As a midwife, will I be reminded to reassess complex women more often?

    Documents have preset timings that can be changed with a switch beside the assessment name.
    Due and overdue items appear on the ward board so everyone has oversight, not just the individual midwife.
    Take a look at the overview of the maternity function in our EPR system in demonstrations recorded for our EPR Unlocked information week. Search 'midwife' or 'demos' in the website search for the links.

  • As a midwife, can I document as things happen?

    Yes. The standard is contemporaneous documentation. You can save the form as a draft, add information as labour progresses, and complete it after the birth.
    See the community midwifery demonstration on this site to see an overview of the EPR system for midwives. The demo includes overflow clinic management of unexpected service users, how appointments are colour-coded and customisable, the option to select your team and see each midwife’s diary and how users can adjust their view. Please search 'midwife' in the website search function to find the link.

  • What devices will midwives use, in the community and in delivery rooms?

    Devices are still being discussed. For community midwives working out and about, and for delivery rooms and ward-based areas, the team is looking at how each option may work clinically before a decision is made.

  • Will I be able to see midwifery care at other trusts?

    Yes. Across all three locations you can see visits, appointments, admission details and documentation, so a QEH midwife can see a woman’s notes from the Norfolk and Norwich.

  • Can I cover a midwifery colleague’s caseload?

    Yes. You can sign up to a colleague’s patients to cover sickness or leave, document in the system, then hand back to their designated midwife.

  • Can community midwives block out time for admin and travel?

    Yes. You can book admin time (such as checking blood results), travel time before and after home visits and team meetings that can be sent to colleagues’ diaries.

  • What will community midwifery clinic scheduling look like?

    There is a community midwifery demonstration of the EPR system on this website giving an overview of the system for midwives. The demo includes overflow clinic management of unexpected service users, how appointments are colour-coded and customisable, the option to select your team and see each midwife’s diary and how users can adjust their view. Please put 'community midwife' into the search on this site to find the demo link.

  • Will the EPR system prompt a resus status before any procedures happen?

    Resus status will be entered or verified at point of entry and will be visible in a prominent place when the patient is selected or on the patient care status boards. Respect forms remain on paper.

  • What is in the patient chart in the EPR?

    The chart is the hub for all information about a patient, covering the current visit and previous ones. Imagine it as being the replacement for the ‘brown notes’, the patient notes you have and use on the ward currently. View the EPR demonstrations on this website for more information.

  • What is the acute status board in the EPR?

    It's the main working screen for clinicians, described as the “doctor’s side” of MEDITECH. It holds the rounds list with key patient information at a glance: location, length of stay, special indicators, resuscitation status, current and visit problems, and the latest NEWS (early warning) scores. View the EPR demonstrations, such as an overview of the EPR system, on this website for more information.

FAQs

Answers to what staff ask us most, from go-live timing to what changes for your role.

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