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| No. 20 | 
Jan 03, 2006, 07:54 PM
 Re: New hosptial computer systems pull nurses away from patient care
Has anyone used eclipsis, sunrise clinical manager????
 | | Advertisement Sponsored Links | | | | No. 21 |
Feb 20, 2006, 11:23 AM
Re: New hosptial computer systems pull nurses away from patient care
How did everyone find a type of workflow when you went live? Our hospital still hasn't figured out how the tablets are going to be handled. How they aren't going to grow feet and walk. Also since there will be a time needed for recharging the tablets/laptops what will we do for charting then?
I think I work at the same hospital as poster Nell, or in the same situation. We were suppose to go live with Eclipsys in November and it got postponed when they realized they weren't ready. Most of the staff went through training then about 12 hours. To gear up for our new "go Live " date staff is expected to train or attend computer lab on their own. I know most staff aren't doing this yet. I think they should have had a mandatory review course for all staff.
I am more nervous this time because I never thought it was going to fly for our last "go Live " date. Now I know the time is nearing. I am a superuser so I am pretty computer savy but I am still freaked out.
| | No. 22 |
Feb 21, 2006, 05:07 PM
Re: New hosptial computer systems pull nurses away from patient care
I'm not sure about some of the systems being mentioned. I work at a hospital where Meditech is used for charting. As far as I know, almost everything is done via computers. The doctors still hand write their orders, but those are immediately scanned into the computer system, so it becomes part of the permanent file and the orders inputed via the computer. All assessments, VS, I/Os, goals/outcomes, discharge orders, etc. are done with the computer. Only the necessary personnel are allowed to access the charts, even then most users are limited to what they can view or 'chart'.
I have been to another hospital as a student where computer charting was very limited. Most things were still done on paper and then inputed into a computer later on. I hate this and it drove me crazy trying to find the actual chart, so things could be documented. It took extra time to hand write things that I could have been using to take care of patients' needs.
I very much prefer systems like Meditech to do my charting. It is very user friendly, saves loads of time, and can readily be accessed without hunting down a paper chart.
| | No. 23 |
Feb 21, 2006, 06:03 PM
Re: New hosptial computer systems pull nurses away from patient care Originally Posted by lee1 Hi all,
Just want to know if any of you have been involved in a new computer roll out in your hospital where bedside paper charting is being eliminated and all done in the computer----eclypsis, cerner, etc. have systems
How was it handled. How many hours of computer instruction? The whole place going "live" or only selected units??? How many "super users" on all shifts. How long did it take to learn the system? What were your nurse/pt ratios? Did you feel you denied care to your patients while trying to learn this system???
Being a bit of computer GEEK, I absolutely love our completely PAPERLESS charting system!!! Beside charting is the best! I actually spend LESS time charting and more time is devoted to patient care. All new computer systems and programs take more time when you are first learning, but in the end it's completely worth it. We usually had one "super user" on each shift and if he/she was not there, they would leave a pager number.
| | No. 24 |
Feb 23, 2006, 09:32 PM
Re: New hosptial computer systems pull nurses away from patient care
Those of you who work in the ICUS when these new computer systems went live. Did you have interfaces from your monitoring system??? How did you computer chart all of the many IVs, drips, titrations, frequent VS???? How did you differeniate artifact, false VS readings??? Did you end up doing double charting just to remember what took place, say in a code situation or a plain old hectic hi acuity patient undergoing procedures simulataneously. What about field trips, say to CAT scan, MRI, etc.
| | No. 25 |
Feb 23, 2006, 10:31 PM
Updated
Feb 23, 2006 at 10:33 PM by bethin
Re: New hosptial computer systems pull nurses away from patient care
I think computer charting can be better in some cases. At the hospital where I work now, nurses chart everything on the computer but one MD refuses to use the computer so that means no MD uses the computer. We still have to chart on the hard chart also. From what I've seen, it is much safer when it comes to passing meds. You need to scan the med you're going to give and then you have to scan the patient's ID band.
I'm a CNA so when I need to chart a BM I have to chart it in 3 places. Once in output, another in stool, then I need to chart in GI regarding size, color, etc. Then to exit out of the thing I have to hit exit 5 times. Very time consuming. The nurses have it worse. I feel so sorry for them. They have to double chart because one doc refuses to catch up with the times. Plus, the things don't like to be unplugged longer than 5 mins.
We use CPSI system. Of course our hospital stuck us with the cheapest system. We could be upgraded to make our lives easier.
| | No. 26 |
Feb 26, 2006, 02:33 PM
Re: New hosptial computer systems pull nurses away from patient care
I've been using computer charting at my hospital for the past 9 years -it saves time and you don't have to worry about reading someone's writing......
| | No. 27 |
Mar 11, 2006, 09:13 PM
Updated
Mar 11, 2006 at 09:16 PM by JLynnOR
Re: New hosptial computer systems pull nurses away from patient care
My hospital system implemented it on a hospital-wide basis for our brand new hospital before the rest of the system went live on this particular system. The software system, although not in its infancy, has a lot of "issues". And, in many ways, my hospital system was not ready with the IR support or infrastructure that we needed. I work in the OR, and I'd go back to paper OR documentation and paper charge forms in a heartbeat.
And I think that, in some ways, it has been a pt. care and safety issue--orders placed by doc and being overlooked by nursing staff on the floors, taking time away from patients, documents that seemingly "disappear" in the computer system. It could be a real time-saver, but totally depends on how good the software, IR support, and hospital implementation is.
| | No. 28 |
Mar 12, 2006, 11:39 AM
Re: New hosptial computer systems pull nurses away from patient care Originally Posted by JLynnOR My hospital system implemented it on a hospital-wide basis for our brand new hospital before the rest of the system went live on this particular system. The software system, although not in its infancy, has a lot of "issues". And, in many ways, my hospital system was not ready with the IR support or infrastructure that we needed. I work in the OR, and I'd go back to paper OR documentation and paper charge forms in a heartbeat.
And I think that, in some ways, it has been a pt. care and safety issue--orders placed by doc and being overlooked by nursing staff on the floors, taking time away from patients, documents that seemingly "disappear" in the computer system. It could be a real time-saver, but totally depends on how good the software, IR support, and hospital implementation is.
I work in a hospital where only some units have gone to computerized charting, and it just so happened that the staff there was mostly senior nurses that had graduated before 1990, which according to common sense as well as AJN research, means that there is a strong possibility of decreased computer literacy among them. On top of that, typing skills were never a part of their CV, so the start up was very painful, frustrating and slow. You would have thought that the hospital's administration would have known their employee population and would have made adjustments for their individual requirements, but that would have made too much sense, right?
Because we work in a unionized facility, we were able to grieve the process and have input into the remedial program. Otherwise, both patient care and the nurses' job performance would have suffered.  | | No. 29 |
Mar 13, 2006, 04:15 PM
Updated
Mar 13, 2006 at 04:17 PM by RNadvocate
Re: New hosptial computer systems pull nurses away from patient care
sorry -- i just cant belive that they have the money for these computers systems (ours was 30k per mobile terminal) but not for raises or staff or linen pads.
See the IWPR on misplaced priorities for hc industry: http://www.iwpr.org/ and the report on how higher wage would help recruit & retain (duh) is there or http://www.valuecarevaluenurses.org/..._SEIU_Book.pdf
ps -- great that you are at union facility -- makes a difference!!
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