fetal monitor strips and the electronic record

From: Mona Seele (mseele@tmh.tmc.edu)
Mon Dec 15 16:43:43 2003


We have an electronic record for our labor, delivery, recovery, and postpartum record, but we continue to have the paper fetal monitor strips during labor and delivery, while archiving the strips for the electronic record. We are currently discussing whether or not we need to keep the paper strips. There are conflicting opinions, i.e.

1. Nurses document directly on the strip, therefore it is part of the legal record......if the nurse transcribes the notes from the strip to the computer it is not necessary to keep the paper strip.

2. The paper strip is easier to read than the printed strip from the electronic record...however, the paper strip quality declines over time so this advantage is lost over time.

3. The strip is necessary so that the health care provider can view a continuous section of the strip over time. The strip allows you to identify subtle changes that are not as easy to see on the computer screen of the printed electronic record.

What are other institutions doing?

What is your opinion?

--
MS



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