Friday, June 05, 2009

Chart

Rained today, though I was only somewhat aware of the weather. Ran around being generally useful, so that's alright then. By the time I head home, the sky is a weird white haze, not apparently dust, too dry for fog, but obscuring the mountains.


I had been scheduled to attend a computer charting training, four hours worth tomorrow morning. They cancelled it on Tuesday. Any guesses on why?


If you thought something along the lines of, it's not ready to be used, it's full of bugs and glitches, that is correct. Apparently one of our nurses went to the first training, and it took her a full hour to complete a chart. This is concentrated effort, not finishing it while running the OR, bringing the patient in, positioning, assisting anesthesia during induction, prepping, assisting draping or hooking up all the cords and tubing, opening additional supplies, answering pages, or any of the other multitude of activities that constitutes circulating, that normally interrupts getting the charting done. In this setting, often for cases that may last a total of fifteen minutes, average being more like an hour. So, one could consider that an hour of attentive charting would cause some delays in care. Or we could finish up an eight hour day of four to six cases, and spend another eight to twelve just charting.

My usual charting, all lumped together, probably runs about five minutes, more for cases where hardware is implanted, think plate and screws for fractures or total joint components. Less for very simple hand cases.

Which all means, I don't have to spend four hours in fruitless frustration on an idiot computer tomorrow, before the Derby Girl double header.

Really in the mood for a long night's sleep, and waking up very slowly.

6 comments:

Pacian said...

Somehow I don't think the computer's the idiot responsible for the software being such a mess - I'd bet either the devs have been lying about their progress, or the hospital's not been giving them the right information in the first place.

Zhoen said...

Pacian,
I love how you come to the defense of the poor computer. Aw.

Quite right, it's the idiot programmers' software. I think it was mostly a matter of setting it all up without talking to the nurses who actually were to use it. Instead of beta testing, they made a big announcement and signed us up for mandatory classes, which they then had to cancel amidst ridicule and shouting.

michael.offworld said...

We are moving toward electronic charting in my part of the world too. It might be useful for me (for others) because my handwriting is hopelessly tangled.

However, as an S-LP I don't have to chart nearly as much as you would. Good luck.

Zhoen said...

Michael,
That's part of the issue. We already *have* computer charting, a program that pretty much works.

OR charting is mostly check boxes, anyway, even with paper charts. Only have to hand write in the names sort of thing. I'm not sure why they didn't just take what we had and adapt it, I've certainly seen worse.

Dale said...

Argh. How do people who work like that sell software? It's not like the old days. There's actually competition now. The days when you can say, "well, it may not do what you want it to, but it does what we thought you wanted it to" should be long gone.

Zhoen said...

Dale,
It's the University IT department. Not the highest paid IT people around, let us say.

Anyway, there is a resurgence of mediocrity. Too many choices means people often don't choose.

Check out the link Post Doc Thoughts under Friends.