"I'm sure this is an answer you've heard before, but I can look back on my career and easily say that the advent of the electronic medical record was the biggest innovation and one that I had to work hard to perfect when it was first rolled out. Being a seasoned veteran nurse, I started in the day when paper charting and filing was the only way to keep records. When it was announced that my employer would be going to electronic health records, I was honestly in fear because I was not the most computer literate or savvy person at that time of my life. But, I kept an open mind and worked really hard during our training sessions to make sure that I could hit the ground running from day one. I even spent extra time with trainers to make sure I fully understood the new system. Looking back, I don't see how I was ever an effective nurse when paper charting on patients. The EMR's now are so efficient that I spend probably a quarter of the time I once did charting and that means I have more time now for direct patient care."