Re: fetal monitor strips and the electronic record

From: Richard & Katrina Carter (rkkcarter@zianet.com)
Mon Dec 15 18:59:26 2003


Hello,

My wife is an L&D nurse at 2 different hospitals. One hospital saves strips & the other uses only the electronic record. These hospitals are in the same town and do within 35 deliveries of one another. I think she prefers to save the paper strips, because you can view long periods of time to see if there is a pattern, esp. of decelerations like lates. One of the hospitals microfiches the strips after a year or two. Anyway, just thought I'd give you her opinion. RDC

>----- Original Message -----
From: "Mona Seele" <mseele@tmh.tmc.edu> To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net> Sent: Monday, December 15, 2003 4:44 PM Subject: fetal monitor strips and the electronic record

> 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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