Our hospital just started using "Care Cast". We were trained in March but didn't start using it until June 1st. I chart all my wound and ostomy notes on the program and I am able to read the Physicians History and Physicals without leaving my desk. The Doctor's orders are hand written and there are no body diagrams to mark wounds on so those are the two things I don't like about it. The big thing is my carpal tunnel doesn't hurt so bad by the end of the day because I'm not writing!