At the VA, that's all we have - its called the Computerized Patient Record System, and I love it. We do spend a fair amount of time on notes, but I think it saves time since everything about the pt is right at our fingertips - orders, notes, meds, labs, procedures, imaging, etc. I believe it leaves us more time to care for the pts. Also, most of our notes are on templates, although we can add freehand notes. Administering meds is computerized, too - we scan every arm band and every med. It makes it hard to make a mistake - but not impossible, of course! This is my first hospital job, though, so I can't really compare it to anything else.