New hosptial computer systems pull nurses away from patient care - page 5
Hi all, Just want to know if any of you have been involved in a new computer roll out in your hospital where bedside paper charting is being eliminated and all done in the computer----eclypsis,... Read More
Sep 20, '06Ii HAVE BEEN USING THE COMMPUTER SYSTEM FOR 5 YRS AND I WOULD GO BACK TO PAPER CHARTING IN A MINUTE. WE STILL HAVE TO WRITE INFO DOWN THEN ENTER INTO COMMPUTER LATER. OUR SYSTEM IS SLOW AND EVERYTIME YOU START SOMETHING SOMEONE CALLS YOU AWAY AND THEN YOU HAVE TO START ALL OVER CAUSE YOUR TIMED OUT,PLUS YOU HAVE TO REBOOT UP TO INDEX PICK THE PT YOUR WANTING TO CHART. WAIT TILL IT IS PULLED UP THEN YOUR CALLED AWAY AGAIN. YES WE HAVE MEDCARTS WITH A COMPUTER BUT YOU CAN'T DRAG IT INTO EVERY PT ROOM EVERY MINUTE AND YOU SHOULDN'T LEAVE IT IN THE ROOM IF YOU HAVE TO GO GET SOMETHING YOU DON'T HAVE THAT THE PT NEEDS. 9OUT OF 10TIMES. AS YOU CAN TELL I AM NOT VERY HAPPY. NOW OUR MEDICATIONS ARE ON COMPUTER AND THAT IS ANOTHER TIME CONSUMING PROCEDURE ESPECIALLY IF THE COMPUTER STARTS ACTING UP AND IT MAKES YOU LOOK INCOMPETENT. IT IS BETTER FOR THE PT THOUGH TO KEEP A PERSON FROM MAKING ERRORS BUT IT IS A PAIN FOR THE NURSES.
JUST WONDERING IF OTHER HAVE ELECTONIC MEDICATION RECORDS AND HOW THEY LIKE IT OR NOT.
Sep 20, '06To ERN91,
We Use Meditech also and I DON'T LIKE IT I Usually Have To Stay On Ot For 1-1/2hrs everytime I work. My usual day starts W 6 pts dc 3 and get 3 more in everyday I Work. Plus I am not very good At typing and That Makes Me Slower Too. Just Sounding Off. ALSO DEEP IN THE HEART OF TEXAS.Last edit by KITTEN-KITTEN on Sep 20, '06
Sep 20, '06My manager says that when we go to computerized charting, we will still have to do paper also... right now, we do incident reports on the computer, but still have to write paper ones to give to the manager... so I think it will really take away from patient time...
Sep 20, '06I was curious if the computerized systems have improved the admission process. For instance, if the ER enters in patient information, is it available when they arrive to the floor? without the need for another 100 questions and duplicate charting? What a wonderful concept! Just like a transfer- assess, check orders, and chart. Certainly beats the dreaded four-paged admission paperwork. Whew!
Oct 6, '06they gave us a 8 hour course, and i'm a "superuser" for the system, and you have to open all these "parameters." I'm learning...But it does pull you away from your patient...
One of the neurologists at my facility said about his patients "my patient needs my ear, my heart, and my hand...he doesn't need me to put my nose in a computer...."
Oct 7, '06Hello, I am new to this site but the topic of computerized charting caught my eye. I have worked at three hospitals (in the past 20 yrs) that have had computerized charting. i can say from experience that when you get use to it (and that might take one week to 2 months) it does give you more time for patient care. And I know that is why I became a nurse, to take care of the ill. We all hate paper work and this frees us in alot of ways. In fact I am looking into nurse informatics as a new career ( when I get old LOL) so would like any input on that. Again this is a great site and have enjoyed reading and getting to know everyone.
Feb 8, '08Quote from KITTEN-KITTENOh my gosh! We have had Meditech for a week and I have never seen such chaos in my life! We knew through trial runs, classes and forums that the system is inefficient -and the hospital went ahead with Meditech anyway!!!! Even after going "live" months later than planned because of the problems! Found the East Coast reps to be no less than arrogant and unprofessional-not to mention digging for info on which docs said what about Meditech. I hope this system crashes and burns. It in itself is not a difficult way to chart, but the problems are time consuming-6 hours time consumed over one med in one shift!!!To ERN91,
We Use Meditech also and I DON'T LIKE IT I Usually Have To Stay On Ot For 1-1/2hrs everytime I work. My usual day starts W 6 pts dc 3 and get 3 more in everyday I Work. Plus I am not very good At typing and That Makes Me Slower Too. Just Sounding Off. ALSO DEEP IN THE HEART OF TEXAS.
Thanks for letting me vent.
Mar 2, '08We were provided 8 hours of system training prior to installation. The instructor said, "There is no way you can learn all this." Part of this problem is management insists on 35 different interventions for each patient. It also takes at least an hour to admit a somewhat healthy patient. This nightmare is called Meditech. I have worked in Star, Emtech, and Cerner and have found Meditech the worst by far. While this system takes away patient contact time, management decided to increase our patient ratio. Management also did not use this system on the floor and refused to listen to those that do.
Jul 19, '08My opinion is paper charting is best. As an International Nurse observing nurses using the computer method is slower to use, it might be a good security tool but nothing is guaranteed. When there is downtime, nurses have to use paper method and then put all data back into the computer once downtime is completed. I find that it does take you away from patient care and doting more on the time on the computer. I dont think its useful when in the end you have to use paper charting. So whats the point of using the computer program when there is downtime.
Also when it comes to computer programmes for hospitals, it can be confusing and for those that are not good with computer programmes it can be frustrating. Paper method is so much quicker. Thats my opinion anyways and also speaking to a few nurses they are getting frustrated with the the computer method too.
Plus, I have witnessed SOME nurses use the computer to act more busy on it when really they are not and could be assisting another co worker or helping with patient care.
Thats my opinion
Jul 19, '08I have dealt with at least a handful of computer charting programs. At least half of them wer more time-consuming that your "known" paper charting.
I do like getting access to patients labs, H&P's and other stuff. But there are computer charting programs out there that are WAY more time-consuming to do and YES they pull you away from patient care. By the way, I am very quick with computers and teach people how to use them.
Jul 20, '08HAHA! I worked in medical records in a facility that used Meditech prior to becoming an RN. The chart was printed after D/C and was more cumbersome to read than you would ever believe. It prints every question you are asked even if you don't answer that section. We had to pay some company to store our records within 2 years of going live after 15 years of barely using our own offsite storage because the charts became so large. The only satisfaction that I got from it was that the attorneys would have so much garbage to wade through!
We went live with a McKesson product in March. Admissions are a bear but are fairly quick on readmissions because all of the info is right there instead of waiting for medical records to find the chart. Charting does take longer but I wouldn't go back to paper. I wish someone would take the best from all of the programs and make a more universal product. It must be a nightmare to travel these days. My main complaint about McKesson is that it obviously had more input from IT than nursing. There are so many things listed that are inappropriate. We have to chart tremors under psychosocial and edema under skin! I can't chart that my patient is oliguric or anuric without making an annotated note and the docs have a really hard time reading our assessments (which of course means that they need a ton of hand holding!).
As far as the questions about go-live...all staff had 3 - four hour sessions of training. Superusers had 16 hours of training. Biggest issue was that the people training us were either non-clinical people or had never used the system. Staffing was improved for a few days and we had superusers on every unit who did not take pts (unless we were short-staffed) for about 3 weeks. We rolled out everything at once, but I do wish that they had done charting first and then meds at a later date. It's nice to have one thing stay the same for awhile.
Good luck to whoever is going-live soon. It's a rough transition, but good God, they don't even teach cursive in school anymore. Computers are the way of doing business for all professionals now, including us.
Jul 23, '08I've worked with computer charting at the VA about 7 years ago, I type pretty fast so the narrative charting was a breeze. As far as "known paper" charting, there is a learning curve to anything you do. I remember getting my first desk top that was as big as an SUV and wondering why I couldn't just use my old electric typewriter. I also remember going from a manual typewriter to an electric one, I smashed the crap out of the Right side of the electric typewriter for about 4 days looking for the return lever (I"m sure there are VERY few of you that even know about manual type writers and manual returns). Just like the thread about cell phones and other technology, it's here, it's gonna stay here, we may as well adjust. The BIGGEST suggestion I could give is to brush up on your typing skills and if you have ANY input in the selection of a computerized product, INSIST that it has spell checker as part of the program. It's one thing to see messy handwriting on a chart in court and have to defend yourself for possibly misspelled words, it's a WHOLE different story when you have to look at misspelled works and poor sentence structure that is typeset.
May 27, '09Here's a nightmare even the bravest will quake at..............I work in a Critical Care unit, we were charting using paper flow sheets but had to do admissions in Meditech and process interventions documentation which most nurses would just check everything off whether done or not and hit the enter key through all the screens.....then we got a new computer charting system in the Critical Care Unit only. It does not talk to Meditech which the rest of the hospital uses and the other floors do not have access to the application. We still have to do admissions histories in Meditech and document our meds and fall risk scores and look up H&P's in the same Meditech. For our assessments you log out of Meditech log into the other program name escapes me at this point......and chart our nursing assessments and vitals and I&O's and interventions in the other program.
When a patient is transferred out of the ICU we have to print all of our charting out (it generates about 20-30 pages per pt day in the ICU) and send all that mess with the pt to the other floor................print outs are not user friendly so I really don't see some poor Med-Surg or Tele nurse pawing through all that garbage to find information without getting really steamed over it. And when the pt is finally dc'd from the hosiptal the medical record department has to scan all those pages into Meditech so if the pt comes back in at some point in the future the information will be available..........................this is paperless charting??????????? We are going to be killing entire forests monthly with this nonsense...................