1). In the last 5 years we have gone from paper charting, to computer charting, from paper MAR to electronic... and every pill we give has to be scanned like we work at Wal Mart. Well I actually like that helps prevent medication errors. 2). No one likes change. There were a lot of issues, complaints, and a lot of I am turning in my two weeks notice, however, after a couple of weeks after we went live, THEY LOVE the new programs because it takes less time to chart now. 3). Big hospitals, Nurses talk. I think that is the only way a lot of the information is passed is via the grapevine than from administration. 4). with paper charting, we were told there were way to many people interjecting their opinion about things instead of the facts. And with the electronic MARs they have saved a lot of medication errors is what I was told. 5). No it didn't change my role or any other roles 6). since I work in the ICU yes, we had a little say in how the changes were done because the programs that they had did not have Charting for say, 15 min vitals, or for post procedures... Hard to chart pulses after a cath procedure when there isn't a place to chart it... 7). I like computers and technology. I think it was great. saves me time, and I love when I get a new patient... that I can look up a year or two in the past online and I don't have to worry with Medical Records and wait and wait for that chart that I need that I might get next week If I am lucky :0) 8). I couldn't imagine life without the changes and computers now. I don't know if I remember how to paper chart (kidding) 9). it's been years now since we changed the way we chart and give medications... I like it... but I love change, and trying new things.... the bulk of my job is still the same. I still provide healthcare to my patients... I still assess... ABC... 10). It's healthcare.... it's all about change... and learning everyday... if you aren't learning something everyday and stay stagnant you need to move onto another job... I know every time I go to work something else has changed. A New drug a new procedure a new way of doing things.. a new doctor... :) Hope that helps