Computerized Charting ...

mwboswell · Jun 5, 2009

We'll be using PICIS -- a product called "ED PulseCheck." We're not taking it in steps, though -- no, we're jumping right in, too doing everything electronically. The docs will have to do all the orders and the discharge papers, which ought to be interesting. We "go live" in about 3 weeks.

Yep, that's the same one as IBEX.

Overall not bad, I do get really tired of constantly having to go from hand-on-the-mouse to the keyboard to type something. If it was set up quicker to "TAB" through the fields (like some DOS programs) I could work with that; but the constant back and forth of mouse-keyboard-mouse-keyboard is a drag.

I also hate that to DISCHARGE somebody I have to go through a plethora of screens/steps - each of these is a NEW screen that you have to go through and ENTER. I wish it could just be ONE screen...

1) Type D/C diagnosis (ENTER, then to NEW Screen)

2) Type prescriptions (ENTER, then to NEW Screen)

3) Type D/C instructions (ENTER, then to NEW Screen)

4) Type work/school note (ENTER, then to NEW Screen)

5) Do Med Reconcilliation form (ENTER, then to NEW Screen)

6) Do the Disposition screen.....FINALLY DONE!!!!

Down time SUCKS when we do the "upgrades"

You say you guys aren't doing it in a "staged" roll-out; I imagine (and I think you said before) your place is a bit smaller than ours, so maybe less "ancillary" folks to get on board.

I've heard of other programs out there, but I'm not familiar with any one but IBEX/PICIS so I can't compare. But overall it's just a "tool" for me.....

Roy Fokker, BSN, RN · Jun 6, 2009

She's 71. She rocks, totally. If she can do it, the rest of us have NO excuse!

She's 71 and still works the ED???!!! :eek:

:eek:

Ok. I get the message!

I'll quit ******* and moaning about my job this very instant!

DAAAANG!!!

Actually, there are tablets available. Most of the techs in our main hospital have them latched onto their bp machine pole. That way they are able to input their VS right there with the patient. Check with your IT dept.

A quick word of caution - not all 'tablet PCs' are good ones. Some of them (like the kind we have in my ED right now) downright suck.

To the point that we're finally getting them replaced :)

Oh, and yes, the downtime sucks!

As a fellow IBEX user - "you can say that again!"

Only because I think that IBEX does such a great job that when it DOES go down, each and everyone of us working that shift feels the pain!

I am now working with nurses who are so "new", they have NEVER been oriented to our old "paper chart" that we have to break out when the "downtime" occurs!!!!

Count me in as one of 'em 'n00bs who haven't done charting the old way' :) My charge nurses usually get a good joke in whenever we go on downtime (of course, my payback is when they come to me to help 'em with computer charting

)

We'll be using PICIS -- a product called "ED PulseCheck." We're not taking it in steps, though -- no, we're jumping right in, too doing everything electronically. The docs will have to do all the orders and the discharge papers, which ought to be interesting. We "go live" in about 3 weeks.

Lunah,

We use IBEX at my ED.

I can't sing it's praises enough!! :yeah: :bow:

I mean, compared to the POS MediTech that I was using at my old hospital?? Pshaw! This one is lightyears ahead!

If it was set up quicker to "TAB" through the fields (like some DOS programs) I could work with that; but the constant back and forth of mouse-keyboard-mouse-keyboard is a drag.

I've finally met a "true" 'old hand' :chuckle Some of my co-workers have actually commented on the fact that I seemed to rely on the keyboard a whole lot and I kept telling them that it was a 'force of habit'. See, I grew up on 80286/80386 processors. DOS 6.0 had just been launched back then (along with it's loads of bugs....and so was this new program called "Windows".) Anyway, since I spent my formative years punchin' away DOS commands through the interface, not only did I 'teach myself typing'; I also 'familiarized myself' with the keyboard/shortcuts/terminology (so many people look at me all goofy when I say "Control X then Control P" when I mean to say "Cut then Paste" LOL)

I also hate that to DISCHARGE somebody I have to go through a plethora of screens/steps - each of these is a NEW screen that you have to go through and ENTER. I wish it could just be ONE screen...
1) Type D/C diagnosis (ENTER, then to NEW Screen)
2) Type prescriptions (ENTER, then to NEW Screen)
3) Type D/C instructions (ENTER, then to NEW Screen)
4) Type work/school note (ENTER, then to NEW Screen)
5) Do Med Reconcilliation form (ENTER, then to NEW Screen)
6) Do the Disposition screen.....FINALLY DONE!!!!

Very intersting!! I'll have to ask my docs about this (they do our discharge notes and print 'em out for us. We just take the paperwork/prescriptions and do the actual discharge ourselves).

Down time SUCKS when we do the "upgrades"

Echoing a chorus here: "You can SAY THAT AGAIN!"

I've heard of other programs out there, but I'm not familiar with any one but IBEX/PICIS so I can't compare. But overall it's just a "tool" for me.....

Dude! Take my word for it - PICIS/IBEX beats MEDITECH and a couple other programs hands DOWN any day of the week.

Yes, it's totally my not so HUMBLE opinion!

cheers,

Editorial Team / Moderator · Jun 7, 2009

She's 71 and still works the ED???!!! :eek:
Ok. I get the message!
I'll quit ******* and moaning about my job this very instant!
DAAAANG!!!

Yep ... she's amazing! She graduated from nursing school (a diploma program) 50 years ago. No lie! She has some great stories about the "old days" ... like being yelled at in clinicals because her bedpans weren't shiny enough. LOL

I've finally met a "true" 'old hand' :chuckle Some of my co-workers have actually commented on the fact that I seemed to rely on the keyboard a whole lot and I kept telling them that it was a 'force of habit'. See, I grew up on 80286/80386 processors. DOS 6.0 had just been launched back then (along with it's loads of bugs....and so was this new program called "Windows".) Anyway, since I spent my formative years punchin' away DOS commands through the interface, not only did I 'teach myself typing'; I also 'familiarized myself' with the keyboard/shortcuts/terminology (so many people look at me all goofy when I say "Control X then Control P" when I mean to say "Cut then Paste" LOL)

I am SO keyboard-oriented ... pre-Windows girl here. I still use so many keyboard commands -- I can usually get along without using the mouse for most tasks. :)

RedSox33RN · Jun 7, 2009

In the 3 ED's I've been in, we've used Emstat, Meditech and now Ibex. Emstat was by far the best, though I'm getting to like Ibex. Meditech was AWFUL - we actually did paper-charting there, and had to manually put in meds and stuff into Meditech.

SuesquatchRN, BSN, RN · Jun 7, 2009

Good luck, Lunah!

Tablets don't get used because TPTB are convinced they'll be stolen. NO FACILITY has rooms for WOWs (my new term ) and tripping over them and hurting yourself is the biggest issue against paperless. Plus, our DON makes us prlnt everything out, anyway.

CasieCM · Jun 8, 2009

Our critical care unit went live with a one program after our previous computer program died. The original was EXCELLENT! This one is not as user friendly but is not too bad. We have copy buttons to copy what we charted prior. It is a click system for the shift assessment and on the bottom we have the ability to free hand text. We have the ability to set up what elements need charted and when (i.e vent check Q2, I/O Q end of shift.) It really is better than paper charting, which I did on two different units in two different hospitals. It took time and there were bugs to work out but our health system had nursing and IS work very close to make this the best it can be. It has been up four months now and we are still working on making it better. We have computers in each ICU room. On stepdown there are "cows" that frequenlty lost service in the begining. Hang in there.