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    NURS 5324 Current Innovation Assignment - EPIC Rover App

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    NURS 5324 Current Innovation Assignment - EPIC Rover App

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https://www.healthcareitleaders.com/blog/what-is-epic-rover/
Written by Alex Gramling for Healthcare IT Leader
Date Published: July 11, 2016

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Epic Rover is a mobile app from Epic Systems that allows clinicians to record documentation and conduct barcode validation at the point of care, typically the patient bedside.

As an extension to workstation-based barcoding, Rover facilitates barcoded medication administration (BCMA), using a device-mounted scanner to ensure positive identification of patient, medication, and clinician.

Available for iOS, Android and other mobile platforms, Rover connects in real time to Epic's central data repository, providing access to other information held in the Epic system, like patient lists and charts. To open a patient's chart from a patient list using Rover, an individual would simply tap the patient's name or use the device scanner to scan the patient's wristband.

According to the Epic Product Catalog, Rover displays relevant medication advisories at the point of care, supports recording of vitals, and provides a clinical summary of allergies, labs, current medications, and intake/ output. Clinicians can also update administration details such as dose, route, or site.

Rover allows nurses and phlebotomists to complete specimen collection workflows on a handheld device with an up-to the-minute draw list, barcode scanning for positive patient and specimen identification, label printing, and quick specimen collection documentation.

A Care Team report can be viewed in Rover to find and contact other clinicians involved with a patient's care.

Hospitals Using Epic Rover

Large Epic customers using Rover include the Cleveland Clinic, Ochsner, University of Colorado Health, and Texas Children's, which implemented Rover toward the end of 2015.

"Medication scanning creates a significantly safer process and improves compliance with industry standards and regulations," said Texas Children's Clinical Informatics Director Jennifer Sanders. "It's a safety measure for our patients and provides an additional safety net for our frontline nurses and clinical staff who are the last line of defense to prevent medication errors."

Rover is already having a positive impact at Texas Children's, according to nurse, Shiba Ninan. In June 2016, Ninan reported that Rover helped her head off a potential medication error after she scanned her patient's wristband.

"Rover was telling me that this was the wrong medication for my patient! The medication given to me was methylprednisolone. The label had the correct last name of my patient but the first name was different and the dose was much higher. This medication belonged to a patient in the next room. Thanks to the technology now in place at Texas Children's, this potential error was avoided."

Downloading Epic Rover

Clinicians can download Rover from the major app stores, iTunes (iOS) and Google Play (Android), but its usage requires licensure from Epic. The specific features available to end users can vary depending on the deployment decisions made by the organization licensing the app.

A related app, Revor, allows project team members and system administrators of organizations using Epic Rover to preview upcoming development before it is released to clinicians.

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What is Epic Rover? - Healthcare IT Leaders

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Epic Rover is a mobile app from Epic Systems that allows clinicians to record documentation and conduct barcode validation at the point of care, typically the patient bedside. As an extension to workstation-based barcoding, Rover facilitates barcoded medication administration (BCMA), using a device-mounted scanner to ensure positive identification of patient, medication, and clinician.

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The EPIC Rover app was introduced to my unit at work last year. My unit is older and therefore there are no computers in the patient's rooms. Ideally, EPIC Rover is a mobile app that can be downloaded to hospital supplied handheld devices. The devices need to have a scanning feature and a way to type in information. At my hospital, we use the Zebra handheld devices. On the Rover app you can scan medications, check blood products, make and receive phone calls, view vitals and lab results, print labels for specimens, and even take pictures of wounds and upload them straight to the EPIC flowsheet. It's very convenient and helps prevent medication eras and allows you the ability document things in real time.

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Pros of using the EPIC rover is that I can feel confident about the safety of the patient when scanning and administering medications and blood products. It's also great because you can review labs, vitals, and patient information on the go. A lot of times you can get stopped in the middle of the hall and get asked things by your charge nurse, management, or doctors.

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Cons of using the Rover app is mostly the device that it's programmed on. It can be kind of heavy to carry around. Also, during the beginning of COVID pandemic, hospitals was scarce on disinfecting wipes, so it was hard to keep the Rovers clean from room to room which is why most of us stopped using the app. Also, the screens can be a challenge when trying to input data.

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My opinion of the EPIC Rover app is that it is a great innovation for nurses. As nurses, we are always on the go and do not always have access to a computer. It's great to be able to look up medications, labs and vitals at bedside if you need to review something for a doctor who is at bedside or before administering a medication.

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My top 5 strengths are communication, achiever, positivity, woo, and arranger.

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To implement the EPIC Rover app at my hospital, the people I would select to be on the team is:
1. Faith because her top strength is futuristic. She will be open to change and understands that technology is the future.
2. Carlee because to help with innovations, you need consistent people to be attendance for meetings and to help with implementation.
3. Andrew because in order to implement an innovation you need someone who understands how to activate it on the units.
4. Pablo because this can be a very stressful thing to do and positivity is always needed.
5. Fernando because it's easy to get off track. You need someone who can keep the team focused on the tasks ahead.

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Gramling, A. (2016, July 11). What is Epic Rover?.       https://www.healthcareitleaders.com/blog/what-is-epic-rover/