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

Posted on 5/26/14 at 3:50 pm to
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
36296 posts
Posted on 5/26/14 at 3:50 pm to
quote:

makes us slower, less efficient and in turn more expensive


This isn't always the case.

Also, CPOE for medication orders has saved countless lives, I'd say that's worth it.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27573 posts
Posted on 5/26/14 at 4:02 pm to
Paper being totally taken away always scares me. One problem is use of old computer programs. HCA still uses meditech which is a program that still uses F keys.

Until they pony up cash for the right systems there will always be glitches.

In addition there is no motivation to change. They have massive IT departments trained on one type of program that is outdated.
Posted by SmackoverHawg
Member since Oct 2011
30933 posts
Posted on 5/26/14 at 4:02 pm to
Inpt maybe, but my wife is a pharmacist. Her and her colleagues all report far more errors with escripts than handwritten. Over 10 to 1 according to one of her academic type friends that has been tracking it at her pharmacy. And there is no system to report these errors here in Arkansas. They can report written errors, not escribed ones. Makes it kinda hard to tout the superiority of one over the other when the data is so skewed. And I can dictate a helluva lot faster than any EMR I've ever used. I was on EMR throughout med school and residency. So, it's not like it's new to me. But, if people want to waste that money in their practices they are certainly welcome to. When it makes me more efficient, I'll change.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 5/26/14 at 4:10 pm to
quote:

Sleeping around is a pretty true stereotype too.


Not the case on my floor at all.


The only whorish nurse we had was legit bipolar and she works on an adult floor now. Sweet girl, great nurse. Just crazy and used the monthly rotation of interns as her personal dating service. Slept around hoping to find love at work.
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
36296 posts
Posted on 5/26/14 at 4:11 pm to
I think you're right that there is a greater need for EMR's inpatient/ED vs outpatient/office setting.
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
36296 posts
Posted on 5/26/14 at 4:12 pm to
quote:

Paper being totally taken away always scares me. One problem is use of old computer programs. HCA still uses meditech which is a program that still uses F keys.


Meditech is terrible
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 5/26/14 at 4:14 pm to
We had a computer system for ordering diets and labs, etc before EPIC
Can't remember the name but it was ancient



As in black screen...orange letters, no use of the mouse ancient
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
36296 posts
Posted on 5/26/14 at 4:17 pm to
That's very similar to my experience with Meditech. Maybe it was on an older version though.

I think it's important to have a system that updates regularly and has a qualified and educated team optimizing it.
Posted by Scruffy
Kansas City
Member since Jul 2011
76534 posts
Posted on 5/26/14 at 4:18 pm to
quote:

The only whorish nurse we had was legit bipolar and she works on an adult floor now. Sweet girl, great nurse. Just crazy and used the monthly rotation of interns as her personal dating service. Slept around hoping to find love at work.
Was talking about L&D nurses.
Posted by SmackoverHawg
Member since Oct 2011
30933 posts
Posted on 5/26/14 at 4:23 pm to
quote:

I think you're right that there is a greater need for EMR's inpatient/ED vs outpatient/office setting.

I like immediate access to lab history and old notes. Hate the data input. Hospital allowed me to dictate though so it wasn't too bad. I preferred entering orders on computer v. handwritten. I would love to have some of those benefits in my office but charting via templates in primary care is a nightmare when you have virtually every patient with multiple unassociated complaints in a variety of organ systems. If everyone just had ONE issue, it would be great!!!!
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 5/26/14 at 4:25 pm to
Well many people that aren't in the medical field assume most nurses sleep around with the docs. They think work is like Grey's Anatomy or any other medical show

Just was pointing out not the case usually in Peds.


I never worked L&D. Only Peds and mother/baby. The lazy stereotype for mother/baby is def true. But it's just a boring floor to work on so it is well suited for nurses that don't actually want to work or be challenged.

It's why I went back to Peds....couldn't see myself massaging a fundus and dealing with lochia the rest of my nursing career, just too routine every shift.


Posted by SmackoverHawg
Member since Oct 2011
30933 posts
Posted on 5/26/14 at 5:01 pm to
quote:

medical field assume most nurses sleep around with the docs. They think work is like Grey's Anatomy or any other medical show

I've found the hot ones do.
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 5/26/14 at 5:51 pm to
quote:

The only whorish nurse we had was legit bipolar and she works on an adult floor now.


Sounds like she was doing some pretty adult work before.
Posted by MDTiger 13
Member since Nov 2010
1043 posts
Posted on 5/26/14 at 6:07 pm to
quote:

Finishing up 3rd year


Nice. Just finishing up intern year myself. I'm sure you've heard it before, but live up 4th year. It is an awesome time. You get to travel a lot for interviews, which can get old, but you also get to explore tons of new cities you'd probably never go to otherwise. What are you trying to match in?
Posted by Geauxtiga
No man's land
Member since Jan 2008
34400 posts
Posted on 5/26/14 at 6:11 pm to
quote:

I don't deny my mistakes. Fortunately, I've become much wiser as I've aged.

Posted by TMDawg
Member since Nov 2012
5383 posts
Posted on 5/26/14 at 7:16 pm to
Second that times a million, finishing up intern year as well and 4th year of med school was so great, especially after you've submitted rank list and everyone knows you're checked out (even though it's really that way from start of 4th year)
Posted by foshizzle
Washington DC metro
Member since Mar 2008
40599 posts
Posted on 5/26/14 at 7:21 pm to
I see the OP also follows Marginal Revolution.

LINK
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 5/26/14 at 7:49 pm to
quote:

AI systems functioning as clinicians is an inevitability.



It will never replace a person's clinical judgment skills. Knowing which symptoms to ignore and how a patient's answers to questions are/aren't worrisome isn't something that a computer can do.
Posted by TMDawg
Member since Nov 2012
5383 posts
Posted on 5/26/14 at 7:54 pm to
Yea I'm picturing a system letting a lot of patients enter their own review of systems (I realize that's not actually what it is), with some of the frequent flyers the machine might overload haha
This post was edited on 5/26/14 at 7:55 pm
Posted by Scruffy
Kansas City
Member since Jul 2011
76534 posts
Posted on 5/26/14 at 7:55 pm to
quote:

Nice. Just finishing up intern year myself. I'm sure you've heard it before, but live up 4th year. It is an awesome time. You get to travel a lot for interviews, which can get old, but you also get to explore tons of new cities you'd probably never go to otherwise. What are you trying to match in?
Going for pediatrics.

Definitely looking forward to next year though. First half of the year will blow. 2nd half is going to be awesome though.
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