EPIC, documentation & time management advice - page 2

I am looking for some EPIC documentation advice, tips, hints, etc. EPIC is new to our hospital. I feel we had the max training time allowed and overall I really like it, just unsure how best to... Read More

  1. by   anlittleRN
    How do you copy and paste rows in epic?
  2. by   resumecpr
    Quote from anlittleRN
    How do you copy and paste rows in epic?
    Left click on the time at the top of the column to highlight, then right click and choose where to paste! I love that feature!
  3. by   NoviceRN10
    We have computerized charting where I work (not EPIC) and to keep on top of time management I open up the pt's chart on my computer (we all have our own) outside the pt's room and start the admission form, leave it open and (but close/minimize computer screen) go to my quick introduction and head to toe. I go right back to my computer and fill in the form (which is only a 2-3 minute process), and then either run and get them whatever they just asked me for (pain meds, ice, etc.) or move onto the next pt. I always have my charting done within an hour and a half of starting my shift, barring any occurences that require paper charting. Admissions are only two more forms; history and plan of care, both only take another 5-10 minutes tops to complete. If I have time I chart education. If I didn't get it done as I go I think I'd forget or get lost in other tasks .
  4. by   DolceVita
    Not everyone has their EPIC systems set up with a WDL/WNL option. Even if yours does you may or may not have noticed that you can type "cra" in a lung assessment field and "crackles" will come up.

    Also, get away from using the mouse if you can. Initially you may think using the keyboard is slower to navigate with but it really is not. If you are using the "enter" key after entering data in a field switch to using the arrow down key to get to the next field you need to fill in.

    I always wonder why some places don't have some kind of master class for EPIC users. Some do. If you can get a focused training session after you have used EPIC for a few weeks their trainers can help you with all sorts of tips and tricks.
  5. by   Tina, RN
    We're going live with EPIC in a few weeks at my hospital, too. I've gone to 2 of the classes so far, and have 2 more to attend. I'm just afraid that I won't remember to document in each section necessary. When you have your forms/flowsheets to complete, you can make yourself a list or whatever. Most of them were right in the MAR binder to remind you to fill it out. But there are so many tabs and drop-downs with EPIC, it seems impossible to remember it all. I have a feeling I'll still be clinging to my "brain sheet" for a long time after we go live...
  6. by   Kurian, RN
    Hi, I have some time issues with documenting in Flowsheets in Epic and was trying to copy and paste data from one column into another as you suggested, but the system doesn't allow me to do so. Maybe it is due to Epic update or some other reason I have no idea. Could you give me any updates on this issue, please? Thank you.
  7. by   Guy in Babyland
    If you want to copy and paste an entire column, right click the time at the top of the column. It will give you an option to paste to the last column or another column. If you want to copy only one item, right click the box and you get the same two options (paste to last column or another column).
  8. by   Rnmo21
    Copying & Pasting is fast, yet can be dangerous. You have to be careful to go through ea line item & individualize. Notes made also copy. Word for word can be obvious & wrong in a case I know about. Several shift nurses over 48 hour period copied skin assessment notes, yet, pt acquired a DTI during this time. All nurses involved were liable and written up. It is safer to go line by line with your own assessment, comparing to previous for baselines. Hitting tab button, or clicking on the choices in upper corner are all fast options.
    Regardless of the millions of tasks that are added to our jobs, it all boils down to the golden standard. If it is not documented, then it's not done! The Nurse will always be like the first to be blamed! CYA!!!
  9. by   Buckeye.nurse
    I try to at least time stamp every time I am in my patients' rooms...whether it be an IV site assessment, positioning, or pain assessment. Then when I have a bit of time later, I go back and fill in the rest of what I did during that time. If your hospital has the frequent monitoring flowsheet, wrench it in. It will be your best friend. Hourly rounding, I/O, positioning, daily cares, IV assessment, neuro checks, and respiratory assessment are all on that flowsheet at my facility.

    Learn the art of tab and click. I got to the point where I could tab through an assessment pretty quickly after a few years using EPIC.

    Expectations for charting will vary from hospital to hospital, and even unit to unit. On my floor we do a full assessment at the beginning of the shift, and those of us working 12 hours chart a focused assessment in the afternoon. I usually add a quick note too. Best of luck!