re: Nurses starting to fight against the dangers of medical technology

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Good nurses are great professionals but there are a ton of nurses, the ones working up in the wards, that are a bunch of lazy, don't give a crap hourly employees. Any real nurse will admit to that. (Pre-emptive comment aimed at the next RN to read this thread and jump down my throat in auto defense of their profession. You know the nurses I am talking about.)

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Mother/Baby floors and some of the regular adult floors seem to be home to the lazy nurses you are describing.


Just the other night a NICU nurse and myself were discussing what floors had the laziest nurses.

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I work at another hospital that uses CERNER...I much prefer EPIC

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Good to hear. Our scheduled down times are usually during the night, too. I don't think the system is down too long though.

It's always good to hear that end users enjoy the system that we spend so much time on.

Interesting theory, I've thought about that a lot as well. Unlike the industrial revolution, the machines being created now don't create a job for everyone they replace. Therefore, I wonder if we are gonna hit some sort of breaking point with 30% unemployment because of automation or something.

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Computer charting is faster and efficient. But one thing I've noticed....our interns/residents don't come up to our floor as often. Before they had to come up to enter orders, etc physically in the charts. Now they have become too accustomed to just entering it on a computer someplace else in the hospital.

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Were they not allowed to give verbal orders before you moved to an EMR?

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I've never heard of these computers that give a diagnosis. We use algorithms all the time for certain medical problems, but by no means are they automated.

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AI systems functioning as clinicians is an inevitability.

Physicians spend over a decade to learn and assimilate a fraction of medical knowledge. All the medical knowledge in the world can be uploaded and impeccably retained by a computer within seconds. With the right algorithms, this becomes a powerful combination.

LINK

LINK

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As a professional, how do you like the system?

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I love it. My third year as a med student was paper charting, my fourth was with EPIC. As Nurse was saying, it makes charting and writing notes unbelievably more efficient and productive. It was unbelievable to me when I just typed in one "dot phrase" while in the ICU and my note automatically had the last 3 sets of labs, most recent imaging results, and all of the current meds in the note. Getting ICU notes done in an hour vs three was enough for me to buy in.

To Scruffy, I think you are a year or two behind me in training. You would need a thirty minute training session on how to paper chart your notes, place orders, etc... The problem when the system goes down is everyone else involved in putting your orders to work. We had EPIC downtime for about 3 hours the other night. I didn't write notes, but I kept seeing patients and putting in tons of orders (labs, imaging, etc). At the end of the downtime, the ER was at a standstill and my orders were in a pile at the nurses station because no one knew what to do with them once I wrote them...

Health professionals, how do you manage cyber-security with EPIC? Patient records only stored on site or in cloud?

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The benefits of EMR/EHR far outweigh any potential issues that come with them.

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No they don't. Especially from a financial standpoint. Everyone wants cheaper healthcare, yet people push EMR which makes us slower, less efficient and in turn more expensive. That's why I'll stay paper only in my office until they improve EMR to the point that it is of benefit to change to.

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To Scruffy, I think you are a year or two behind me in training.

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Finishing up 3rd year.

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The problem when the system goes down is everyone else involved in putting your orders to work. We had EPIC downtime for about 3 hours the other night. I didn't write notes, but I kept seeing patients and putting in tons of orders (labs, imaging, etc). At the end of the downtime, the ER was at a standstill and my orders were in a pile at the nurses station because no one knew what to do with them once I wrote them...

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That was definitely an issue, along with everyone scrambling to even find the forms to paper chart.

No one was prepared and shite hit the fan.

Usually true for the hotties