[Em1995]

Just wondering if you have any pearls of wisdom. I have been on the laptop for a year and am now finding it's getting easier! We use the 4.0 version as it is shorter and can be tailored to what you deal with at that particular visit.

[mc3]

Ah, yes..I do...have used it for 4 years now. Not sure what version we're on. What in particular do you like about this version?
mc3

[Em1995]

Hi!
The 4.0 has a list of custom problems that you addressed at a particular visit...instead of having to go through EVERY single thing on the list. For instance, if I addressed pain and diet, I check that off and the pain section comes up and the nutrition section comes up. I'm finding I can get my documentation done every day by the end of the day! Do you find this, too? Are people still charging for a half hour of documentation...who have been on laptops for a year? I can't see where they are taking one-half hour each time. To me, the 4.0 cuts documenting time in half!
Admissions can now be done in 2 hours, yet some are claiming it takes 4-6 hours to document an admission in the computer. I don't understand why it takes so long!

[Em1995]

Mc3....how long does charting for one patient take you? With the 4.0 (the custom list) I find it is easier and faster!

[mc3]

I chart 15 minutes per patient but in reality it takes from 15 - 45 minutes, depending on what's going on. I can't put the entire time because then I'm "spending too much time charting". Maddening!! Hopefully we'll get the version you're talking about!
mc3

[Em1995]

mc3....are you saying they limit the amount of time you charge for charting? Our agency doesn't. Curious...do your 12 hour nurses do only one admission per 12 hours?

[mc3]

Well, they're limiting the charting time by saying "you're taking too long to chart" which was comment on my last review. Since I don't want to dinged next year (hence, get a lower raise), I have to document on my own time alot - so do our other nurses. This also happened in my last hospice job. As yes, I'm not salared and should be getting OT but I'm not. It's not fair, not by a long shot, but it's what they do to us....
To my knowledge, admissions nurses are supposed to handle 4/day but I could be wrong on that....
mc3

[Em1995]

Could you do me a favor and check on the expectation for a 12 hour admission nurse. It's very possible to do 2 a day and 3 if stretched. But, there must be a standard expectations somewhere. Thanks!

[mc3]

All of our admission nurses work 12 hr shifts....
mc3

[Jost930]

We have been using misys for about 3 yrs now, admission nurse works 8 hr shift, expectation is 2 admissions/day however we are trying to look at different models that allow 3 admissions per 8hr shift. Homecare nurses do point of care data entry, if not done in the home the expectation is documentation is completed prior to starting next visit. We use the assessment and a clinical note, not using problem charting.