Published Sep 27, 2009
Nacki, MSN, NP
344 Posts
Just wondering how other hospitals do with updates and all. I work at a facility and can't stand the whole Kardex thing, its so outdated and things get easily missed. What do you guys use?
Jjo19
9 Posts
We do use Kardex's and though it is outdated... Sometime's I don't think I could care for the patient otherwise. So much gets missed in report that actually does show up on the Kardex. When we sign off orders, we make sure the information is on the Kardex also, if it's not we either write it on ourselves or give it back to the secretary before we can sign off the order. I haven't had any issues with things being missed on our kardex's. Until computerized charting comes to our town, I think it is the best option, at least for us it is.
abundantjoy07, RN
740 Posts
No, we don't use Kardexes. We just use the clinical summaries and various areas on our COWs.
Love_2_Learn
223 Posts
We use a kardex but it is a computer generated one. We are supposed to update it each shift and whenever new orders are received. Sometimes people don't update them and that is aggravating. They are generally very, very helpful now that we are fully computer charting now.
MedSurgeMess
985 Posts
We are currently using kardexes, but are getting rid of them before Dec. Yay!! So many times, things get missed, so when things get put into the computer, they are automatically updated. If it isn't in the computer, orders can't be signed off, so this makes it nice. I think kardexes are so outdated, unless you are working somewhere without computerized charting
Chaya, ASN, RN
932 Posts
We are moving toward a fully electronic record but still using Kardexes. We have to have 2 signature when taking off an order so there are 2 oppertunities to make sure orders (labs, tx, tests) get onto the Kardex-but they still do get missed.
scootertrash nurse
49 Posts
wow!!!!!! havent used kardexes in years i like them though if kept up to date but 99 percent of the time they were not utd
NeoNurseTX, RN
1,803 Posts
We do this now. *tear*
jessi1106, BSN, RN
486 Posts
nope...it's all computerized. we add pt info under nursing on computer.
CynicallyVexed
75 Posts
We have kardex's on the computer and the actual old fashion Kardex where I work. They are trying to phase out the paper Kardex though. I like the computer version much better cause it gives the last 6 VS, 48hr I&O summary, procedures, treatments, vas access, current and future labs, ect.