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Our stepdown program specializes in adolescent behavioral and psychiatric health care. We oftenfeel that the electronic record we are using was created more for those in an inpatient medical setting. We do not document or access our patient information in the same manner, and our program nurses are required to document their care in a separate flowsheet section of the patient record. This setup makes it is difficult for others inside and outside of our program to access our nursing documentation of care. Although this health record is available for numerous nursing specialties, the lack of flexibility in our documentation of psychiatric care has created difficulty for us. Although a new medical record system has promising benefits, it is not guaranteed to be a direct fit for all. (Heisey-Grove, Danehy, Consolazio, Lynch, & Mostashar (2014) shared that EHR adoption and MU (Meaningful Use) challenges are unique to practice setting and stage of the adoption process. Not every program will function in the same manner, so EHR systems must include input from the varying providers that will be utilizing the system. As you mentioned, the