there is no way to upload pictures from procedures directly onto nightingale - you have to print and then scan them in? what a waste! isnt the point of having an EMR supposed to be that it bypasses the use of paper? This process requires you to utilize electronic format transfer to paper then transfer back to electronic format. USELESS! Attempts have been made to upload pictures in every possible format. To top off the annoyance - depending on who you speak with they are either "quite positive it can be done" or "it doesnt seem to be an option" so what is the right answer? USELESS EMR!