We have the "EPIC" EMR at my facility. If you have that system I can help with how you can replace getting virtually the same information though it is slightly time consuming (about 20 min for 23 patients).
the actual kardex format the same way you develop your personal patient list. EPIC will print out just your assigned patients or the whole unit, you choose. The kardex listing can contain most basic things, e.g., Room No. Patient, Age, Sex, Primary Problem (admitting dx), Pending D/C Date, Length of Stay, and Admission Comments (i.e., a blank space to write in stuff) of each individual patient on one sheet as well as the total number of patients and the time the data was assembled. Label your new listing "kardex" so you know what it contains. Patients from your list is dragged to the kardex title. All appear! Or drag the Unit Patients to the kardex title to get the whole unit. Ah... sorry it is an individual patient name drag.
2nd - RESEARCH
with that matrix printed out (sorry only in portrait set-up style) you can write in what you need that is lacking. To get the latter information you have to go into each individual patient profile under "Patient Summary" or "History" in the menu . For example I am in a psych specialty, the primary diagnosis is only psych. It is dangerous nursing not being aware of the medical (physical) dx as well so we have to write it in. After you open a patient's medical record, vertically down the left side is the menu. We click on History (or Patient Sumary) and get the other stuff we write in: diabetic, seizure d/o, fractured arm, etc.
that original information matrix as your personal kardex via copier print-out. That will be a copy you can write shift notes on then discard it at the end of shift report or give it to your relief nurse. The next time you work, print off another copy for shift notes...etc.
Our kardex was snatched away in the night by an unauthorized supervisor who apparently learned that leadership felt the "kardex" was outdated and she wanted to bully staff. Because of our mileu setting we can not do bedside shift report
with a WOW which is all the rage! But even with the info on the screen you have to jot notes and reminders on paper in your shift report as an on-coming nurse. Our charge nurse has to give report on all 23 patients to the Treatment Team in less than 30 min from shift report. The above process is what has saved us from a dangerous shift report where the off-going shift nurse never gathered some detailed information external to EPIC and can not convey to the on-coming nurses, and/or doctors (especially if they do not know any of the patients!) basic things in shift report.
I created the above survival tool and colleagues are extremely grateful! It is supposedly temporary until Informatics creates something exclusively from EPIC in a simple print-out. Otherwise tons of toner and reams of paper is being used as individual nurses print excessive information from the electronic files to get the basic clinical information they need. Contact me if you want me to walk you through it. Or PLEASE
contact me or post if you can improve on my system!!