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We are currently in the testing phase for
implementation of BMV/eMAR.

For facilities up and running with these, how are you
utilizing BMV in the birthing units and nursery?

1.  What about the drugs given immediately after birth
to baby?  Are you scanning them?  How are you getting
baby registered timely enough to document these meds.

2.  Are armbands worn by babies?  How does scanning
them work?  I see the baby's wrist circumfrence being
so small around that the scanner won't read them
easily.

3.  For our epidurals, the nurse pulls the drugs the
anesthesiologist wants to use.  The anesthesiologist
mixes them, and starts the epidural.  How are
facilities entering/documenting epidurals?  How and
how often are you documenting rates of flow for epi's?

4.  For the many one time orders that are given, I see
nurses falling back to how they document now ....
hours after delivery:  long after the med was given. 
Now they just sign on a paper MAR hours after the fact
as they do all their charting.  I fear they will just
do the same with BMV, utilizing the FULL DOCUMENT
feature to document after the fact.

Any ideas would be most appreciated!!

Thanks.

Brenda Wiley, RN
Transylvania Community Hospital, Inc.
 

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