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What computer charting system do you use?



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No. 20
from Da Monk
Old Aug 29, 2005, 05:29 PM

We are in the top 100 wired hospitals in the US. We use McKesson Care Manager. I did not like it when I came on board about 6 months ago. But the system is infinitely adaptable and I think it's a pretty good system now. All units use it. It is a windows driven setup and so you use it just by clicking with a mouse. There are free text boxes. Orders are put into the system via the program also. A few older programs are used too, but I think they are being phased out. The only problem is that most of the MD's on our service can't (or won't) use the system and there are still thick paper charts. Some of the cardiac unit MD's put in their own orders. Of course, the goal is to get everything computerized. I must say that the only thing I see as problematic is that too much time can be spent nursing the computer and not the patients which can foster functionality over professionalism. But program familiarity with the system lessens this problem.
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No. 21
from midwife2b
Old Aug 30, 2005, 04:12 AM

We also used McKesson Care Manager. In fact, our upgrade to HED doesn't cover 100% of charting so it is still available. Talk about a PITA! In addition we have Watchchild for archiving our tracings. BP's are recorded here, and annotations about the strip, but these don't "talk" to and can't go to Care Manager or HED. So my charting consists of recopying things I should not have to do in the first place. And why??? Because "we all should be charting on the same form". The critical care units hate it... PACU is going to have to start using it... STILL have a wad of paper because of various peoples desires.... I wish we could utilize the WatchChild since it is sitting right there...
My biggest frustration about my job is the computer charting. Not user friendly and not time saving because I have to know what I want to chart and where it is located...
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No. 22
Old Aug 30, 2005, 12:51 PM

we use Watchchild. Am I the only one?



Originally Posted by stevielynn
Oh my gosh, we have one doc in particular who would through a "s**t fit" (as granny used to say) . . if he didn't have I/O and VS IN THE CHART ON A PIECE OF PAPER. We actually have paper charting in OB and PP that has a place for VS and I/O, which we use but also have a separate graphic for the docs so they don't have to go looking through the nurse's notes . . .so we chart some things more than twice.

I agree with you deb . . . . . .the word is definitely

CUMBERSOME

steph
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No. 23
from Ethereal
Old Aug 30, 2005, 01:01 PM

We used Meditech in L/D for about 5 years. Finally all the L/D nurses, including our manager, voted to go back to paper charting and the flow sheet. Now we are much happier and charting is much more accurate and faster. Meditech is the worst. Every time they say they are upgrading, it results in some kind of problem that takes 6 months to fix.
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No. 24
Old Aug 30, 2005, 01:03 PM

We use Meditech and it's the only computer charting I know so I'm ok with it. Definately better than paper. Our OB dept does not use meditech. They use a program called childwatch. The OB nurses seem to like the childwatch program.
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No. 25
Old Aug 31, 2005, 04:03 PM

Originally Posted by ocankhe
I agree with Blue Eyes, that Meditech is old antiquated and not worth it.
On another note, if you are paid hourly then you must be paid overtime if you work it even if your employer doesn't authorize it. This is federal law.
Well this is good to know. I was thinking the other day that I needed to find out what my rights "by law" are and not let the hospital run over us. Thanks for reminding me of this.
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No. 26
from hrtprncss
Old Aug 31, 2005, 04:20 PM

meditech is so time consuming, i liked paper charting better....u keep ''shift-f5ing'' on meditech and really it's so redundant.
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No. 27
from VickyRN
Old Aug 31, 2005, 05:28 PM

We use QMI (Quadramed?) at our large teaching hospital clinical facility. I think overall it is very efficient and the students generally catch on like lightning.
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No. 28
from imenid37
Old Sep 01, 2005, 03:19 PM

We use meditech for pp, gyn, and neonates. Gotta agree...I HATE IT!!! We've had it for a couple of years now and it has not endeared itself to me. We use watchild for L/D. I do like that one. We were told they would communicate w/ each other eventually (when we first got meditech-had watchild for 5 years), BUT they do not and never will. It's great when a pt. has a C/S. Our post-op checklist is in Meditech, so we have to bring that up to do the checklist and care for pt. in PACU. Just what you feel like do when you have a stat situation. OR no longer "sees" the pre-op checklist. as it is in the computer which they do not bring up. I think I would like doing everything in Watchild or another user friendly system. I prefer paper to meditech. We are also a small rural hospital.
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No. 29
from Apothecary
Old Sep 07, 2005, 06:14 PM

Default In's and Out's
Originally Posted by SmilingBluEyes
Meditech is the WORST.

I have struggled w/this antiquated 1985-DOS-style system for 8 years in 2 separate hospitals.

I can't encourage you; it's cumbersome and time-consuming.

Good luck

If you have specific questions as to "ins and outs" let me know . Maybe i can help.
Do you know how to work the F1= "start block", F2="end block" function in the word processing feature. Options include copying/ deleteing to buffer or clipboard. I can get this far, then I can't find buffer or clipboard to reteive the info.
Tx Apothecary
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