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You all should push
for a maternity module. They created one for the UK. They use a version of
magic as well, so it would not be difficult for meditech to write. Tara McNamara MT (ASCP) Meditech Analyst Rehabilitation Hospital of the Cape and
Islands Ph: 508-833-4025 Fx: 508-833-4056 [EMAIL PROTECTED] Confidentiality Note: This email is
intended only for the person(s) or entity to which it is addressed and may
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from disclosure. Dissemination, distribution or copying
of this email or the information herein by anyone other than the intended
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the intended recipient, is prohibited. If you have received this email in
error, please destroy the original message and all copies. -----Original
Message----- Jennifer & Joan: Let's cut to the chase
and address the real issue here: If Meditech had a Maternity module, we
wouldn't need to have this conversation. I have been a Maternity nurse for more
years that I wish to tell you and we have always done the Delivery Record on
the Mother's account number, be it on paper or on line, and I have never seen a
Delivery Record that didn't include Apgar scores. Jennifer apparently doesn't
have a Delivery Record to pull from, possibly because her facility either uses an
outside vendor for labor and delivery or they still document the Delivery
Record on paper. We do our Delivery Record
on line in Meditech because we had once tried to document L & D in
Meditech. That lasted less than a day (what a nightmare!). It was impossible to
keep up with all the logging on and off every few minutes and it wasn't going
to the monitor strip so they were still double entering everything. However,
the nurses weren't opposed to entering the Delivery Record in Meditech and our
UR people love it. So much so that when we purchased L&D software from an
outside vendor, they insisted that we keep the Delivery Record in Meditech so
that they could pull data from it rather than entering it in the new software
from which data could not be extracted by them. Jennifer's solution will
depend on what her L&D or postpartum nurses do document in Meditech.
At any rate, I have been able to successfully pull queries from the mother's
admission assessment or delivery record to the newborn's admission assessment,
but I have never been able to pull queries (specifically birth weight) back to
the mother's delivery record. I guess my question to
Jennifer would be: Since the QM/RM is an internal tracking module that isn't
looking at the broader picture as described by Joan, wouldn't you really be
interested at looking at the infants, anyway? Or are you planning to use the
information (APGARs, birth weight) to try to track how well the physicians'
managed the antepartal or perinatal course? If the latter, APGAR scores are not
as reliable of a predictor as tracking cord pHs, but your facility may not do
these routinely. Low birth weight can be an indicator of many issues from the
mother's diet and nutrition, to PIH, to drug usage or a host of placental
problems or may simply be genetic. Certainly, low APGAR scores and low birth
weight are indicators for increased risk of birth injury or potential lawsuits,
but surely if you pull this information from the infant's abstracting, you'll
be able to track which mother it was. I hope this information
is helpful. June
Emrick, RN [EMAIL PROTECTED] -----Original Message----- Yes, the
greatest medical risk is to newborn. However, the greatest emotional risk
is to the family as a whole. The goal is to keep the family a cohesive
functioning unit. Clinical
Project Leader 301-552-8867 [EMAIL PROTECTED] CONFIDENTIALITY
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Thank you. From: Jenifer Brewer
[mailto:[EMAIL PROTECTED] Jen From: Clinical
Project Leader 301-552-8867 [EMAIL PROTECTED] From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Elizabeth Kirksey From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Jenifer Brewer Jen |
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