Computerized charting in the ED

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Help! Can anyone recommend a computerized documentation program for ED documentation--both nursing and medical charting--from triage to D/C???

Specializes in Utilization Review/Case Management.

We use Cerner, the docs use t-sheets. We pray for the system to go down just so we can paper chart :rolleyes:

But seriously, most of my notes are narratives under special charting because Cerner is so cumbersome and I don't have the time to open/close so many different windows.

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Specializes in ER.
Help! Can anyone recommend a computerized documentation program for ED documentation--both nursing and medical charting--from triage to D/C???

Medhost. Hands down, awesome (as long as you have great support people available 24/7 in case...)

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Specializes in ER.
We had IBEX and they switched to Meditech!!!:eek: :no::no::no: :bluecry1:

It is horrible! IBEX was so easy to use....of course we had to change that!

we have Meditech where I work now hospital wide, stupid stupid system. Maybe for the floor it's ok, but not for the ER.... no no no.

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we have Meditech where I work now hospital wide, stupid stupid system. Maybe for the floor it's ok, but not for the ER.... no no no.

In our ED we are still using Meditec along with Codonix. After using both of these, I must say that I find Meditec to be the better of the two.

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Specializes in emergency nursing-ENPC, CATN, CEN.
We had IBEX and they switched to Meditech!!!:eek: :no::no::no: :bluecry1:

It is horrible! IBEX was so easy to use....of course we had to change that!

Shoot-- our mgt is looking to switch to Meditech!!!

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Specializes in ER/Trauma.
We use PICIS. It was implemented last year. I moved from floor nursing to the ED a few months ago so it's all new to me. I like it but it's still strange that there is no chart!!! The chart is in the computer. We have a tracking board and PICIS shows empty beds and icons for tasks that need to be completed or have been completed. The icons turn green after you chart them. We also have handheld computers that do everything our desktops can do and that's where the patients sign for their discharge instructions. We hand them the paper instructions and then they sign the computer. It's actually pretty neat. :D

Ann

PICIS acquired Ibex in 2004. Link to story. And yes, it's pretty neat :)

We had IBEX and they switched to Meditech!!!:eek: :no::no::no: :bluecry1:

It is horrible! IBEX was so easy to use....of course we had to change that!

Oh you poor thing! :(

we have Meditech where I work now hospital wide, stupid stupid system. Maybe for the floor it's ok
:no: Trust me, Meditech is horrible even on the floors.

Our hospital is looking to expand our Ibex/Picis system wide. Eventually even the floors will have 'em. Great step forward, IMHO :up:

cheers,

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Specializes in OB, Telephone Triage, Chart Review/Code.

I know of one that McKesson offers...EDIS. Haven't used it but if you would like to know who to contact, PM me and I can give you a phone # for further information.

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Specializes in Emergency/Trauma/Critical Care Nursing.

My ER uses Emstat as well, i LOVE it, like everyone else said, simple point and click ur orders to complete them, and have little receipt-like papers that print up when an order is put on emstat that also tells u the order so u can carry it w/u if you've forgotten one of the labs u won't have to go back to the computer. the drs do their charting on emstat Physician, but nurses also have access to that for med reconciliation and triage prelim info. it has diff. colors on the screen of all the pts, colors identify which nurses have which pts, and which doctors are the PMP caring for them, their age is in blue if its a boy, pink if its a girl, then theres colors designating if they are cat 1 pts, cat2 or 3 pts, and the Peds pts. then all the columns for NURS/PHYS/LAB/XRAY/CLERK etc will have numbers down them if there is an order that the nurse/doc/lab etc needs to complete. that way if the pt gets taken away for a test, we can check the status of the test w/out having to call them! its great! i highly recommend it

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Specializes in Emergency/Trauma.

My ER uses EDIS. I love, love, love it. Things are so simple, quick, and efficient. You can see the entire ER on a flow sheet, as well as who is caring for what patient and what needs to be done for each patient. We are just about to switch to EPIC, and in comparision EPIC is clumsly and slow. EDIS has a very limited number of screens to chart in, is easy to read and understand, and makes it easy to help your co-workers. Triage is rapid, Doctor orders are easy to place/complete, and even charting in a code is quick and easy.

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Specializes in Medical, Pediatric and ER.

We have been using MEDHOST for several years for documentation and recently upgraded to order entry. I love it. We have touch screens and it make the charting so much simpler. I actually helped build our MEDHOST to our facility specifications and charting, and it is really user friendly.

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Specializes in Critical Care/Pediatrics/Cardiac/ER.

I believe the advantage I see in Epic, which we went to this spring (from paper) is the ability to pull up all linked information: Lab results, Primary Care visits, imaging results, Triage to discharge and then PCP or Speciality follow-up. Access rights and read/write privileges vary. The interface could be better, but Epic IT adapts it to each department's needs. Some of our ED nurses have used systems they like better, but I think EPIC may be becoming a hospital standard in our Metropolitan area--not sure. At least the big Academic Hospitals are moving toward some sort of standardization because there are so many affiliated institutions everywhere. The medical information is linked which seems to benefit our patients continuity of care.

:twocents:

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Specializes in ED.

I am the Application Administrator for HealthMatics ED which is owned by the same company as EmSTAT. "HMED" has an awesome tracking board and is VERY easy to customize to meet your hospital's work flow. The support from the vendor is outstanding!!! The system is easy to use, contains MD and nursing documentation, over 1,000 Aftercare Instructions, holds up very well in legal situations, is easy to modify to comply with JCAHO rules and regulations, has a charge feature, sketch drawing, Quality components and the reports are endless, both standard and custom reports that you can create!!!!! I can go on and on. I like EPIC but I love "HMED" You can contact them at Allscripts.com

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