In our ER, in a small rural hospital, Soarian is used throughout the hospital, everywhere except in the ER. This past November our ER went (finally) from paper documentation to EMR, utilizing Picis (we still call it IBEX). I love this system, however we are having to document our medication reconciliation in Soarian, then document the allergies in Picis....so there is a lot of back of forth for us that can get a bit frusterating. I've navigated Soarian a good bit as a nursing supervisor, and have found that all EMR's are basically the same. For me, it's just been a matter of getting used to that system's "flow" for procedures and assessments.