Wednesday, March 12, 2008

The damn computer

Okay, I read GuitarGirl's rant today about old, cranky nurses and I want to also express my irritation with nurses and doctors who do nothing but bitch about the computer all day and all night.

Yes, I get it. You don't like the computer.

There are some doctors that won't order certain things because they can't figure out how to enter it on the computer or order something Q6 hrs PRN instead of "one time" because they can't figure out how to switch the default order to "one time". If they forget to order something, it's the computer's fault. "Oh, I didn't order that because I can't find it on the computer."

Dude, I get it, but this happens every shift all shift. Maybe you should take notes or something. The computer ain't going away anytime soon, so you may as well take a bite of the big sh*t sandwich like everyone else, suck it up like a man, and learn the dang program. It's not that hard. I'd even go so far as to say it's intuitive.

Some nurses and doctors feel that the general skill of typing isn't a particularly useful thing to know. I frickin' learned to type in second grade on Mavis Beacon Teaches Typing on the Amiga 1000. Maybe you should pick up a $5 typing program at Wally World and practice a little bit. If a 2nd grader can learn to do it, you can too. Twenty minutes to triage someone because you can't type is too much. When you take 20 minutes per patient and I take 5-10, guess who triages a lot of patients?

Watching you type is worse than listening to the lazy charge nurse complain about having to get up off her butt and help settle an ambulance.

Let's just lay it all on the line: Computers are important for almost every job out there, including medicine. Learn to type. Learn to click on stuff. Learn that shutting down the EMR after every use so someone has to re-load the entire program is a pain in the ass.

Being old is not an excuse anymore.

8 comments:

beadnik said...

I'm with you on this one! I'm old (57), but I can use a computer, and type easily and quickly. One doc we work with in the ER still continues to write his orders on the face sheet and expect the nurses to enter them for him. We do it, 'cause otherwise he's a decent doc, but DAMN! he's not that much older than I am, and he could darn well learn to use the machine! Funny, most women my age were taught to type, and to type well. I can't imagine why they aren't able to find their way around the keyboard. Even many of the younger nurses I work with are, if not computer illiterate, at least computer averse. I love micromedex, and being able to google for info when I need it. I wouldn't go to work without my Palm loaded with ICU/ER toolbox and Epocrates, either! I don't think computers have made our patient flow faster, but that's a whole other story.

JenL said...

Typing was arguable the most useful class I took in high school (and I am now a doctor). I learned on actual typewriters .

Nurse K said...

I type REALLY fast, but you must never tell a soul if you're in college; otherwise, people will passive-aggressively make you type entire group papers.

GuitarGirlRN said...

Oh my GOD the whole computer-illiteracy thing drives me completely NUTSO. My mother-in-law has TWO masters degrees and cannot figure out THING ONE about the computer. She can barely manage e-mail. She also can't type. Well, I learned how to type by DOING IT. I was bored one summer when I was about ten and got a touch-typing book and went to town. As a result, I always got interesting summer jobs because I could type.

Also, re: the whole triage computer thing. Do these nurses not realize that each form IS THE SAME? You can talk to the patient for like two minutes, get the vitals, and clickety clickety tabbety tabbety type type type, enter the meds, and there you go! All done! They hunt and peck for six days and we get a triage that reads (and it's always in ALL CAPS):

ABD PN X 6 DYAS PT STATE NO VOMITS NO DIAERREA ALSO GAS PT IN BED 9

It's like a stupid-o-gram.

Sorry for the long comment. whew.

Nurse K said...

I should point out that obviously those who like to blog or hang around blogs PROBABLY are the best typists in their departments.

My "Grease" post of a few days ago describes your last comment.

All caps, weird spelling, non-existent syntax, succinct to the point of being pointless.

Can you just not type or are you, ya know, typing at the speed you think? S-L-O-W. After we switched to computers, I questioned the mental abilities of some of my colleagues, which is sad. The notes are so embarrassing.

melissa smith said...

These guys (docs) have set them selves above you. They think they are better than you (us) and it never ceases to amaze me how year after year after year they can't remeber there *&^% password from one hospital to the next.

Rogue Medic said...

You can't teach intuitive.

I type by hunt and peck, but it is still much faster to do charts on a computer than by hand. Especially if you know how to use templates so that you are not just creating liabilities legally.

And then there is the matter of legibility, which is not at all important.

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