EPIC Computer Program - page 3

Hi, Does anyone's hospital use the EPIC system for charting? Our hospital is going to this system this month, and I am really interested in how other nurses feel about it. For me, it is very... Read More

  1. by   FlyingScot
    We are switching over to Epic in an ambulatory setting. We are getting a total of 6 count 'em 6 hours of training on this behemoth. I've worked with 4 other programs and this is by far the most cumbersome ever. I all ready know which one of our nurses will never get it and which one is going to cry and have a melt-down when she can't figure it out. Not to mention the PTB are rolling it out the first week of July (hello..med students who have magically turned into residents overnight time). One of my friends is scheduled to go on vacation, she's all ready chortling with glee!
  2. by   suanna
    BE THANKFUL. Computer charting is becoming the standard everywhere. Even though I have no experience with EPIC, my hospital went with a different program -- what a nightmare! Several of the nurses I work with have used EPIC at another hospital in the area and LOVE it compaired to what we got stuck with. Like anything else- there is a learning curve. Even with a poorly designed system- once you get it down, patient care is still what you spend your time with.
  3. by   trebugRN
    Hi Epic users,

    (thought I posted this Friday, but I don't see it anywhere - pardon me if it's hiding out there somewhere!)

    We are going live with Epic soon. I work in a Pediatric hospital on a Renal floor. Wondering a few things about items I couldn't find during training:

    Place to chart fistuals but nowhere to chart Hemodialysis catheters or peritoneal dialysis caths.
    Careplan for kidney transplant/dialysis pt's.

  4. by   al7139
    Hi again!

    I posted this thread originally last year prior to our hospitals "Go Live" date. I have to say that the hospital and the IT people have been really great. We even have a committee of floor nurses from all units who meet regularly with Mgt and IT to improve the system.
    I have really changed my opinion and even helped out my sister hospitals (there are 7 in the system) as a "Superuser" when they went live.
    Now, I love the system, and I recently picked up a shift at one hospital that had not yet made the change, and was still using paper charts, and hated it.
    I am all for the EPIC program now, and recommend it to any hospital, but they have to tweak it to what works for them.
  5. by   Roy Fokker

    While I've never worked with EPIC, I work with PICIS/IBEX and cannot recommend it enough!

    I WILL however state that MEDITECH is probably one of the worst, most cumbersome documentation software on Earth!

  6. by   FlyingScot
    I'm all for computer documentation (been doing it for at least 10 years). But I'm not a big fan of doing a huge system change with minimal education and the expectation that we will "figure it out as we go along" which is what they have actually been telling us. There will be no EPIC representatives on our go-live date. Only "superusers" who have had an additional 4 hours of class. Nor will there be extra staff to help keep the flow going. It is going to be a baptism by fire and I don't particularly like getting burned. Talk to me again in 6 months and by then I'll probably like EPIC. I just don't like how it's being rolled out.
  7. by   mama_d
    We're getting ready to roll out EPIC at my facility...several hospitals in the system along with doc's offices have already. I was selected to be a superuser, and have to do 40 (!!!!) hours of training on top of what everyone else does, for a grand total of 56 hours of training. Part of that training includes giving coverage in the classes that everyone has to take to practice helping people through the system. Supposedly we (superusers) are going to have either no patients or else extremely limited number of patients with 24/7 coverage of all floors the first several weeks so that there is always a superuser available to other staff. There is also, I believe, going to be 24/7 IS coverage on site. My system started with the smallest hospital and worked their way up, eliminating bugs and glitches in training along the way.

    I cracked up when I saw that the superusers have to take classes with the physicians...then shuddered when I thought about some of the more traditional docs that we're going to be forced to be helping along.

    My biggest worry is trying to teach those staff who still, after years, haven't even figured out the current ordering system that we have. It's not very user-friendly and is old and clunky, but I feel like if you've worked with the same darn computer system for a decade and still can't figure it out enough to order a CXR, either you're totally computer deficient or else you just don't want to learn. Either way a potential nightmare for me to deal with.

    We go live in August, I may well come back and give updates...with the federal regs that EHR is supposed to be mandatory in a few years (2012 now right?), I'm sure that there will be more and more people dealing with the transition.
  8. by   Epiccrazy
    Hi, My hospital has been on EPIC since February. A 2 phase Go-live was used. I have been working with epic since august 2008. I am now an AND on a surgical floor. I need to get my nurses on the same page with charting. They are all over the place & have huge frustrations. I can help individuals on a daily basis but need to get away from this. I need a tool/plan something to bring everyone together. We are still very new to Epic & still uncovering all the layers. Our doctors do all their orders but are also very frustrated. If anyone has any suggestions, big or small, please share! Thank you!
  9. by   angel_gurl121
    It is not the fault of the computer system or IT for a death... There should always be a back up system, like the paper way if the system goes down etc. We have computer charting and when it goes down we use paper and if we need blood STAT we get it... it takes a phone call, fax or someone to run it over...
  10. by   NancyMSNRN
    I am a former staff nurse user of Epic and now an Epic trainer at our hospital. I have used several other EHR's as a traveler, I feel strongly that Epic is the best system. One of it's biggest selling points is that it can be tailored to each hospital that utilizes it. Hopefully at your hospital you do or will have some group that works on optimization so that it can be used to it's full potential at your institution.
  11. by   pincush23
    Question... cause I didn't see it in other posts...But do you guys use the focused charting aspect of EPIC "DAR" Data, Action, Response? It totally felt like I was double/triple charting I worked for a hospital with EPIC and when I wrote a DAR note with my preceptor, it felt like I was writing it in front of an English teacher...I read other notes from previous nurses that cared for the pt. and there was not much to them...Maybe a reason that I didn't care for the program much. Didn't care much for the care plan portion either. Just curious cause my hospital is getting the system soon...Thanks for all for your posts.:spin:
  12. by   CocoP
    Has anyone worked with Epic in the ICU setting? I attended a 4 hour Epic computer class that wasn't set up for ICU so I had no way of seeing how IV meds/fluids were calculated, how to enter ICU orders, what to do in a code situation. As a registry nurse I am expected to function with minimal assistance. At the end of the training I felt that I would be putting my patient and my nursing license at risk. For anyone in ICU, does the system flow smoothly after getting the hang of it?
  13. by   Tina, RN
    Oh, boy. I just attended my first session of training for EPIC. I feel totally overwhelmed! Eek! I am really hoping that it'll all "click". My concern is that I am only a per diem nurse. Since I won't be working with it every day, will it take me forever to catch on?! We get 16 hours of training all together.

    Any words of encouragement are welcome! LOL