I work in PACU,and as part of the OR,which has instituted a program through MacKesson,we are working very rapidly toward computerized charting,and are very close now to going 'live'.
It has caused a major upheaval for all of us RNs - granted,some of it is likely the response most people have to change of any kind - anxiety/stress about learning something new,doing away with what one is comfortable with,etc - but we do think,and feel in our gut, that implementing this in a fast-paced/high-turnover/Critical Care area like PACU is,at best,going to be mindnumbingly stressful (for instance,the program is NOT interfaced with our moniters,so every vital sign has to be logged in by hand - even those being done Q 3 minutes if the patient is receiving treatment for hypo- or hypertension!!!!!!!!!!!!!!). We think the program sucks,and BIG time. Of course,the RNs USING the program were never consulted before the program was bought by some behind-the-desk staffperson.
We are meeting soon with our Nurse Manager,complete with a formal letter of concern. It would be extremely helpful to hear the opinions and experiences of my fellow nursing colleagues who are working with computer charting. Has it slowed down your practise significantly? Have there been patient-safety concerns? Did it become something 'second nature' to the nurses,something they're very comfortable with now?