[mercRN]

How many of you still do paper charting or do you do computer charting in the ED. Last May our hospital went to IBEX for the ED. At first none of us liked it but now most of us love it. We just don't like the mobile units because people won't plug them in and then they die on you in the middle of charting.

[twright]

Hi, We use manual charting at present but have just been given the go ahead to purchase IBEX. Do you have any words of wisdom to share about it?

[mercRN]

IBEX is really great. Make sure when you go live that the "super users" from IBEX are at your facility 24/7. They would leave our facility at midnight and come back between 6 & 7 in the morning. The nightshift nurses didn't get any help from them at all. The templates are basically self-explanatory and really help. There is more stuff on the templates then what you would probably do but you only mark what you have done and then there is an area for you for free-text anything that you might not want to mark. It just takes time getting use to it and once you do, you hate it when they make upgrades and you have to do paper charting for a while. Once our doc's went to IBEX it made it alot easier to get orders. You don't have to try and find the chart you just get on the computer and there are your orders.

[MAGIK GIRL]

we use meditech and it is horrible! takes a long time for the orders to come thru to the pxysis and supposidly the secretaries are responsible for putting the copies of the printed orders on that patients chart. that never happens and i find orders all over the desk or back in the pending rack (never making it to the orders bin). i think it is dangerous!

as far as the assessments and notes go i really like it!

[mercRN]

With IBEX when the doc puts orders in it comes right up on IBEX. When we finish an order we mark done on the task and then go chart it in the appropriate spot, either under medication, IV's, lab draws, ua's, whatever. We still have to go to the pyxis to get the medications but the orders are right there. We have found a little glich in the system. Sometimes it will mark all of the orders as done when they are not all done. So you have to keep going under tasks to see what orders you have left to do. It is really a neat program. If the doc gives us a verbal order we can go in and put the order in ourself. It will have after the docs name our initials that we received it as a verbal order. Sometimes with me being new to ED when I do my secondary I will type it in and being busy forget to put something in the secondary. I can always go back in and put it in with having the computer charting. When it was paper you had to put it in as a late entry. They still know if it is a late entry or not but at least I don't have to type late entry.

Also wondering for you night shift people. How many of you when you get to work and get report do a reassessment of your pt's. I have noticed that most nurses where I work don't do that but I thought it would be a good idea, esp since someone had the pt before. Something might have changed that they didn't tell there nurse before or something that they might not of told the nurse. Just a thought.