Group of people confused by a laptop showing a blue screen with a sad face and error message.

IT Brief: Your EMR Crashes at 2AM: A True Story

November 06, 2025

It was 2:07 AM when we got the call. "The EMR's down. We can't get to the med pass notes."

Our after-hours support team jumped into action. I can only imagine how the nurse felt, but I remember that feeling like it was yesterday. That mix of panic and helplessness. The night nurse was doing her best, scribbling on paper and holding back real frustration. We got her back up and running within 20 minutes of her call.

We talk a lot about people-first care. But what happens when the tech tools don't show up for us?

We know that in long-term care, your EMR isn't just a screen. It's a lifeline. It holds the care plan for Mr. Jenkins who can't speak. It tells us when Miss Evelyn's last PRN dose was given. When it goes dark, your team is left flying blind.

"It's not the downtime that breaks us—it's the fear of not doing right by our residents."

According to a 2024 Health Sector Cybersecurity Study by the U.S. Department of Health and Human Services, 58% of LTC facilities reported unplanned system outages in the past year, often due to outdated systems or weak monitoring tools.

When I look back at that call from a few years ago, the scariest part for them wasn't the lost access—it was realizing they had no backup plan. The nurse didn't know where the downtime forms were. The med cart log hadn't been printed in weeks. No one had practiced what to do when the lights go out on their most important system. If we had not been there, they would have been in real trouble.

So what can you do?

1. Start with monitoring. Ask your IT team/provider how often your systems are checked—hourly? Real-time? 7X24? Not at all?

2. Create a simple downtime protocol. It should live in your nurse's station. Not in a binder no one can find.

3. Include all shifts. Your night and weekend teams need to practice, too. They're the ones most likely to be alone when a crash hits.

4. Talk to your EHR/EMR vendor. Ask if they offer offline modes or local backups. Some do—it just takes a setup step.

5. Print and laminate a quick-glance guide. We created a one-page sheet taped inside the med cart drawer. It listed who to call, where the paper forms are, etc.

If you want help creating your Business Continuity Plan for your organization, call us and we will be happy to help you get started.

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