EPIC Computer Program - page 2

by al7139

88,669 Views | 53 Comments

Hi, Does anyone's hospital use the EPIC system for charting? Our hospital is going to this system this month, and I am really interested in how other nurses feel about it. For me, it is very difficult to learn, and I feel... Read More


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    EPIC be the cause of patients death? Don't be such an alarmist, explain to me how a computer program can cause death. If you are acting as a competant proficient nurse as we all are supposed to be, patient care is still hands on and you are always utilizing critical thinking skills.
    newnurse20 and sicushells like this.
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    Quote from evilnightwitch
    EPIC be the cause of patients death? Don't be such an alarmist, explain to me how a computer program can cause death. If you are acting as a competant proficient nurse as we all are supposed to be, patient care is still hands on and you are always utilizing critical thinking skills.
    OOOOO, you know not what of you speak...the first day epic went up at my facility, it took over an hour to get blood from the blood bank for patients in the ICU and over an hour to get lab results...this could all feasibly result in patient's deaths... there is also an ongoing problem of direct admissions to the ICU being properly "pended in" so orders can be done. I will not give further details. These issues are all system issues and as much as we nurses have been up at arms, the system still has its problems. I have written the incident reports several times on system issues with EPIC. I know of one case, where care was seriously delayed because of EPIC and the patient did die. That patient may well have died anyway, but maybe not, we will never know.
    Cardiolyte likes this.
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    deeDawntee
    Still the problem is NOT with EPIC it is with your IT dept theyare responsible for getting and keeping the program running. GIGO Garbage in Garbage out!!!! Your IT department needs to be competant, in my experience most hospitals do not have competant IT departments. DO NOT blame the program, and if you do not have emergency overide policies in place before using any computerized charting then that is your administrations problem and shows serious lack of responsibility on their part. Again not a problem with EPIC. If you understand anything about computers at all you should know that they can only process the information put into them, computers really can not think on their own even in this 21st century. All facilities I have worked with that are using any computerized charting absolutely have made sure to have emergency backup procedures in place.
    newnurse20 and pheid like this.
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    Very good point...I wish those existed where I work.
    newnurse20 likes this.
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    Wow,
    I am glad of all your responses. I am continuing to practice, and suprisingly enough, other nurses I work with tell me they think I will have no problem with the change and that I seem confident...I guess I am really good at hiding my true feelings.
    I too am worried about the possible danger to the patient, the "real time" charting issue, and the fact that nobody I have talked to from MD to housekeeping feels fully competent with the system. We have had minimal class time, and the "refresher course" was a joke. We have yet to hear how we will determine when to do a procedure (i.e. dressing change q3days), and where we look to see what needs to be done. Meds are made more complicated by this system in my opinion, and it seems like we need to check the pts charts frequently to determine new orders, etc. also retroactive charting is more difficult, and my unit supervisor has stated that from day one we should not be using pen and paper to remember what to document, and what to do, and that anyone caught doing so will be reprimanded.
    I am so scared that I will miss the important things because I have my nose in a computer screen. I am also afraid that patient care and customer service will suffer as a result.
    Also "down time" sounds like a major problem.
    I hope it gets easier, but right now, I don't look forward to it.
    Amy
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    I worked as an EPIC abstractor at my last job and thought the system was slicker than snot. The med contraindications function alone is the greatest thing.
    newnurse20 likes this.
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    I love it. I'm a student nurse and it makes prepping for clinical so much easier. At first it's a little confusing but it really does get better. It's awesome.
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    My hospital went to the Epic System in September '07. Accodring to the company, this was the largest system they had ever done. We switched the entire hospital in one nine. We spent most of the summer arranging traing classes. Everyone recieved 24 hrs of training for the new system. What I can tell you is there are good points and bad points and it takes a while to get used to. Our ER doctors usually input their own orders, unfortunately, we have found out that the system tends to make it very easy to put an order in erroniusly on a wrong pt. Bestthing I can say is know your pt and the Dr writing the order and ask if you have a question about it. The system is an open software system, so itis designed specifically to a hospital's needs. It tends to limit the freehand notes, which I don't really like and certain procedures, such as conscious sedation, restraint logs, etc. really suck to use. No other way to put it. Some things really should be kept long hand. Now if you have Dr.s associated with the hospital using the same program, it can really be nice. The entire pts chart is on the computer. Allergies, meds, medical history, all available.
    Give it a few months, you'll adapt and it won't be all that bad. Who knows, you may really like it.
    Sorry about the extended post
    RockinChick66 likes this.
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    i am now sitting in a session where i am supposed to be entering orders for epic conversion. the whole teaching facility here in palo alto will change over tonight at mn. it is a little bumpy. hopefully, the whole changeover of the hospital will be smooth, and this system will be better than the system it replaces. :typingall md must place orders in the computer. many of the housestaff will have laptops to enter the orders, so no more verbals.
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    Quote from al7139
    and my unit supervisor has stated that from day one we should not be using pen and paper to remember what to document, and what to do, and that anyone caught doing so will be reprimanded.
    I couldn't do my job without pen/paper. This looks like a setup for forgetting stuff and making errors. Do they expect you to document everything as you go, and still get everything done timely? Does Epic have a notepad option so that you can use the computer to help you remember stuff that needs to be done?


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