Transformational Leadership

Linda Long

BSN, RN, CCRN Clinical Nurse IV

An EPIC Improvement

Documenting in the electronic medical record is a timely task for any nurse. Since going live with EPIC at UNC Hospitals, many patient assessment items required documentation in multiple fields. It became evident that creating universal documentation standards would significantly streamline this process. By doing so, double documentation could be eliminated, improving consistency and clarity of documentation and saving nurses’ time. This improvement has positively impacted nursing staff throughout the hospital.

As a result of our project, a post-survey revealed that nursing staff were spending less time charting—an average of 26 minutes per day.