[ORNation Listserv] Documenting serial numbers in electronic records
Slater, Beth S
slaterbs at upmc.edu
Thu May 10 11:24:26 EDT 2012
We currently document the only the electrocautery generator used only and also any GI endoscopes. The anesthesia group applies and is responsible for the forced air warming unit used and they document the number of the unit on their chart along with the setting and the patient temperature. Our preference cards serve as "physician orders" and that's where we list the preferred insufflation and irrigation pressures.
I made the mistake of asking the staff what should be documented and there were actually nurses who said "everything that had electricity to it".
We have records of all equipment that is serviced and maintained by our Biomed department so charting "everything" would take forever and is unnecessary.
From: listserv-bounces at theornation.com [mailto:listserv-bounces at theornation.com] On Behalf Of BUSCH, KATHLEEN
Sent: Thursday, May 10, 2012 9:46 AM
To: listserv at theornation.com
Subject: [ORNation Listserv] Documenting serial numbers in electronic records
We are in the process of implementing a new documentation system using Meditech ORM. I am interested in knowing what other facilities are documenting in regards to serial numbers of equipment used. We currently document bovie serial numbers and settings but not bovie pad numbers. We document sequential stocking serial numbers. I cannot find specific information on what needs to be documented. Do you document pressure settings on irrigation pumps or gas insufflators? Do you document serial numbers on all electronic equipment used? Any insight into current practices at different facilities would be helpful and greatly appreciated.
Thanks in advance!
Kathy Busch RN, CNOR
Operating Room Education Coordinator
Milford Regional Medical Center
Milford, MA 01757
kbusch at milreg.org<mailto:kbusch at milreg.org>
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