Some nurses objected to a platform in the Epic EHR that determines nurse staffing based on real-time charting. Cathy Kennedy, RN, neonatal intensive care nurse at Kaiser’s Roseville (Calif.) Medical Center and a nursing union leader, told the San Francisco Standard that if nurses don’t log charts right away the next shift could be short-staffed.

Other nurses said it might not account for their time-sensitive work that can’t easily be measured, such as educating patient family members or preparing for chemotherapy treatments before a patient arrives, the San Francisco Chronicle reported.

“We are the providers at the bedside, we know how to take care of patients best,” Amy Grewal, RN, an oncology nurse at Kaiser Permanente Fresno (Calif.) Medical Center, told the Chronicle. “No algorithm can tell us.”