We have been live in our L&D since June. This unit delivers around 200 babies a month and have done very well. They were also a little resistant but mostly because they have not really used Meditech except for completing an Admission Assessment. The majority of their charting is still on their paper flow sheet. We allow the nurses to use the Enter Med routine for those meds they keep in their AcuDose but may not be on the patients profile. This is pretty quick and easy for the nurse. The order goes across to PHA as an unverified order. The nurse later scans an order for the med to PHA who in turn verifies the order. Using this routine has worked well for us not only in L&D but throughout the hospital. Another issue they had was the frequent titration of Pitocin drips. They didn't want to have to adjust the rate in eMAR each time they rate was adjusted (which is sometimes every 5-15 minutes). Since this titration is recorded diligently on their flow sheet we agreed and their policy is to document a summary in eMAR at least every two hours of the rate adjustments. Narcan, if needed at the time of delivery for the baby, was also a concern. This was resolved by considering this as a "code" situation. Throughout the hospital we do not use eMAR for the documentation of medications during a code. Hope this helps.
Thanks, Susan :-) ________________________________ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Elizabeth A. Nye Sent: Wednesday, July 25, 2007 9:06 AM To: [email protected] Subject: [MEDITECH-L] BMV BMV was implemented at our hospital in March and is going pretty well. We do have a question though. Is anyone using BMV in Labor and Delivery and if so how is it working for you. We have met some resistance due to urgency of L&D and the time it takes to scan. Please let us know how it is working or not working at other sites. Liz Liz Nye,RN Project Coordinator Licking Memorial Health Systems Phone:740-348-4124 Fax:740-348-4769 [EMAIL PROTECTED] www.LMHealth.org
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