CPOE and still using paper UGH

At my facility we implemented CPOE about 1 year ago. We have multiple systems that do and don't talk to one another, but we are still using paper charts. One of the hardest things is getting all of the physicians to use CPOE and not handwrite orders. I suggested that we take away the "paper" physician order sheets but then there was a question as to how the nurses were to do their chart checks without the physician order sheets. My suggestion was to make up some type of form that reviews everything that should be done in chart check, and have the nurse sign off that they did that each shift.

Has anyone had this type of issue implementing CPOE, have any suggestions??? Thanks
What worked for my facility was that the medical leadership set a hard date to switch to cpoe and stuck to it, period. The paper option was simply off the table. Someone in your facility needs to present that to your leadership. Of course, the message of just how broken it is right now needs to get through to them, as well. If they care, then it will change. If they don't, it will remain on nursing's shoulders like so many other issues.Our EMR system has chart checking capabilities built-in. It's only good for the core charting items, as OR, ER, Cath lab, etc don't "talk" to it...perhaps similar to your situation.

Quote from Wile E CoyoteWhat worked for my facility was that the medical leadership set a hard date to switch to cpoe and stuck to it, period. The paper option was simply off the table. Someone in your facility needs to present that to your leadership. Of course, the message of just how broken it is right now needs to get through to them, as well. If they care, then it will change. If they don't, it will remain on nursing's shoulders like so many other issues.Our EMR system has chart checking capabilities built-in. It's only good for the core charting items, as OR, ER, Cath lab, etc don't "talk" to it...perhaps similar to your situation.

I'm not sure why it is you feel you still need to do chart checks with CPOE? Generally, the purpose of chart checks is to review back over a specified time period in the paper chart and make sure all the written orders have been seen and entered into the computer. Since that step (writing an order that now needs to be entered by someone else), no longer exists, there is nothing to "check". The only thing left is to "acknowledge" the new orders which typically an EMR will have some way of doing; usually a screen of new orders that can be reviewed and cleared after being acknowledged.