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Epic Training - Pros and Cons

Posted

Specializes in Epic Trainer ClinDoc/Orders/Ambulatory. Has 15 years experience.

Grade Epic vs Paper Charts

  1. 1. Grade Epic vs Paper Charts

    • 5
      A - Excellent
    • 2
      B - Good
    • 3
      C- Average
    • 2
      F- Epic Fail
    • 0
      No Opinion

12 members have participated

I am a Credentialed Epic ClinDoc Trainer. I have taught over 4000 nurses in my career with Epic. I would like to hear from you about what works and what doesn't in the Epic classroom environment. Thank you!

amzyRN

Specializes in ED, Cardiac-step down, tele, med surg.

I hate paper charts with a passion. I've used Epic ad other electronic systems and Epic was the best. Charting became a breeze, and we had excellent flow sheets. We documented very specifically very quickly. Charting was very easy to do in real time. Seeing the treatment team and who was following the case. I'd like to know who the neurologist is, but If I cant read the writing, how do I know? I like being able to read progress notes easily. I miss Epic.

Hands on practice works best in the classroom environment. Teach people how to set up their patient lists and other shortcuts.

klone, MSN, RN

Specializes in Women's Health/OB Leadership. Has 15 years experience.

Instead of "Epic v. Paper Charts" your poll should be "Epic v. Other Popular EMR" to make it more like comparing apples and apples. Hell, just about any EMR, no matter how archaic, is preferable to paper charting.

Been there,done that, ASN, RN

Has 33 years experience.

EPIC versus paper charting is a moot question

EPIC is currently the EMR standard across the board. I have had to learn the basics of EPIC in a 4 hour class.. to apply it in the real world of travel/ agency. Perhaps you could focus on how to assist nurses in that situation.

mmc51264, ADN, BSN, MSN, RN

Specializes in orthopedic; Informatics, diabetes. Has 9 years experience.

Love Epic. So much faster and more user-friendly than what we had before. Hard to get changes made, but overall, it's great. I'm a super user in my organization.

VANurse2010

Has 6 years experience.

I preferred the new versions (5.0 - 6.0) of Meditech to EPIC. I am NOT a fan of spreadsheet charting and would prefer to check boxes. I also liked that Meditech compiled the information in the EMR portion of the PCS instead of the documentation portion.

jcbhappy

Specializes in diabetic wound care/podiatry.

My current facility is attempting to go paperless using a program that is not EPIC. I would prefer to learn EPIC as it is larger and more compatible with government billing requirements. Our DR's are not happy that the new system is not EPIC, but hopefully after this new system goes live they will push the hospital to move forward with the larger, more user friendly system. I have been trained on EPIC for my PRN job and love it!

RNperdiem, RN

Has 14 years experience.

I agree with the above poster who thinks it is more relevant to compare EPIC with other EMR. I used to have 5 passwords to access the sites for lab results, the order entry, the nursing charting etc.

To be honest, I liked paper. I could chart a full assessment, vital signs and I & O in 5 minutes. Giving a report followed the well designed flow sheet. Times move on, and so did paper charting.

I was amazed that I liked EPIC. I discovered that getting a patient from the OR meant having the OR I&O's already in the chart. Any admission info taken in another department flowed over when the patient switched departments.

What made the classroom work is 1. My employer set aside enough time and proper facilities for training. 2. The trainers were nurses as well as EPIC trainers. They were older women too. If the trainer had been a young tech guy, I admit I might have rolled my eyes and thought "easy for you maybe". 3. The classes were interactive. We were not just listening to a lecture. We had a computer and did practice charting for the classes. A lot of us learn by doing.

BuckyBadgerRN, ASN, RN

Specializes in HH, Peds, Rehab, Clinical. Has 4 years experience.

We are switching to a new emr system this coming summer, wish it was epic, I've heard so many awesome things, but epic is three times the cost. Gotta pay for all those new buildings lol! I live less than an hour from epic hq, no less than 7 huge building cranes on the ground last time I was by :)

That Guy, BSN, RN, EMT-B

Specializes in Emergency/Cath Lab. Has 6 years experience.

I have no issues with EPIC....other than the client for the ER is a pile of cow dung roasting on a fry pan. It is horrible.

BrnEyedGirl, BSN, MSN, RN, APRN

Specializes in Cardiac, ER. Has 18 years experience.

I have no issues with EPIC....other than the client for the ER is a pile of cow dung roasting on a fry pan. It is horrible.

I work ED as well,...I'm a huge MedHost fan!!

That Guy, BSN, RN, EMT-B

Specializes in Emergency/Cath Lab. Has 6 years experience.

I work ED as well,...I'm a huge MedHost fan!!

Medhost was amazing. It should be the gold standard.

RN_Fan_Club

Specializes in Epic Trainer ClinDoc/Orders/Ambulatory. Has 15 years experience.

Thank you to all who responded to my poll about Epic vs Paper Charts. Don't worry....I am including all aspects of charting in future polls. The next is Epic vs Cerner EMR.

OCNRN63, RN

Specializes in Oncology; medical specialty website.

Hated Epic with a passion. Unwieldy, not user-friendly, 10x more time consuming than paper charts.

roser13, ASN, RN

Specializes in Med/Surg, Ortho, ASC. Has 17 years experience.

This is not what you asked, but it is what it is.

I HATE Epic. Classroom training did not/perhaps could not prepare us for real-time operation.

Different users/providers have vastly different views on Epic. We can never tell which providers will or will not be able to see what we chart.

Some providers have chosen to abuse the shared-chart concept and routinely remove information that they feel "clutters up" their view. It's not incorrect or misleading information - these specialists just don't want to see it because it does not pertain to their specialty. They are easily able to remove previous providers' charting.

Medical Assistants, receptionists and techs routinely enter surgeon pre-op and post-op orders. The level of incompetency/inability to understand and correctly enter basic orders cannot be overstated. For the first time in my career, I am obliged to Release & act upon MD orders as understood & transmitted by non-medical personnel.

I could go on & on, but I will spare you.

Edited by roser13

kaylee.

Specializes in Stepdown . Telemetry. Has 8 years experience.

In regards to the epic training process, the classroom sessions were moderately helpful, bc they were the real intro.

however, we had to complete 12 hours of "playground" in 3 sessions prior to go-live, where we had to sit for 4 hours at a time and explore the system. they were the longest 4 hours i ever spent!

specifically, we had to real clinical context yet, so there was just very little i gained from them. i was just clicking on random patients, and after a few minutes, i was like...ok...not sure what to do with this...so i just zoned out for 3 hours and 30 minutes.

the playground had no structure, but maybe if they gave us a packet to simulate a complete patient case study, that told you what was happening and you had to chart on it, read doc notes etc, with some goals and endpoints, it would have been of use.

i literally did very little "exploring" during playground, and i can say i was not disadvantaged one bit.

the epic trainers during the shift were my lifevests. they are what made epic transition a success! some were tech wizards and some were experienced epic nurses already using epic, so they provided a very well-rounded team!

BuckyBadgerRN, ASN, RN

Specializes in HH, Peds, Rehab, Clinical. Has 4 years experience.

Thank you to all who responded to my poll about Epic vs Paper Charts. Don't worry....I am including all aspects of charting in future polls. The next is Epic vs Cerner EMR.

OHHHHH, looking forward to this----Cerner is being launched for us this summer