info on charting

[dava]

looking for information on how charting is done in the usa, uk and australia. anything new and exciting or still flagged charts and written notes.

dava

[dava]

sorry, i'm nursing in canada

dava

[AMarie85]

Well, in the nursing home I think they're still charting on paper...

But in the hospital we chart on computer and it's MUCH easier... There's an IT dept that educates new hires on the programs... I like the one we have at work... McKessen... (Does anyone else use it?) It's basically idiot proof... I've also seen MARs on computers at other hospitals... you can print out the page to take to the bedside and then chart that the med has been given right on the computer.

[mscwebb]

I work in the hospital, we have the computer program meditech. It's pretty neat, the doctors and nurse managers actually have access to the program from doctors office's and their home computers too. In meditech there are flowsheets for your daily assessment that covers the patient's from head to toe, pain, wounds, fall assessments, skin scores, and places for nursing rounds,everything, it's awesome! We also have electronic MAR's, at first they were a hassel, but now they are great, don't have to worry about overlooking a med, because when it is due it shows up highlighted on the screen, click it and it is charted right then that you gave it. With the EMAR if you have iv pushes you enter the time you started it, same with ivpb, and with im shots or insulin injections you enter the site that you gave it in. It sounds like alot but it makes life so much easier and you don't have so much paper to keep up with.

[mpccrn, BSN, RN]

we use computer charting.....it usually is ok unless i'm faster than the speed of the computer at the time, then it's a bit frustrating.....hoping MD orders go computerized soon.....their writing is still HORRIBLE!