Drawing on a critical perspective stemming from socially informed studies of medicine, we analyze an ongoing effort to establish electronic nursing plans at the university hospital of central Norway (St. Olav’s hospital). We argue for an alternative interpretation of the relative lack of success to date of making the nurses use the nursing plans. Rather than a preoccupation with the singular artifact – the plan – we emphasize the process of planning as a collective, ongoing and heterogeneous achievement. Our perspective on plans implies that they should be recognized as more of a network and less a singular artifact. Categories and Subject Descriptors J.3 [Computer Applications]: Life and Medical Sciences – Medical Information Systems K.4.3 [Computers and Society]: Organizational Impacts Computer-supported collaborative work General Terms Documentation, Human Factors, Standardization Keywords Planning, Cooperation, Coordination, Redundancy, Formal, Informal, Nursing, HealthCar...