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Is there some kind of back up? If the attorney has someone who knows about L&D they are going to ask about the strips. If they or their information can't be produced that is going to put up a very large, bright red, with blinking stars flag. Your hospital attorney should have this covered already and it should not be a problem. Just to make sure that when you go to bed at nite and rest your wee little head on that nice soft pillow-you don't wake up screaming-talk to your unit manager, make a policy and make sure everyone follows it. If you all document on the strips that documentation better be somewhere else too!!!
we're going from paper charting to OB Trace-vue in a couple weeks. Currently we document on the strips and flowsheet, but when we go to computer charting we're no longer going to be able to chart on the strips as the hospital will not be keeping them. They are going to be backing up the computer system weekly, and discarding the paper strips after the computer-archived strips have been successfully backed up to optical disk each week. If we write on the strips, they become part of the medical record and we cannot discard them.
It's going to be a big adjustment period for everyone! (Overall, most of the staff are pretty tense about going to computer documentation but I'm looking forward to it- I have horrible handwriting! And I like using computers anyway)
rdhdnrs
305 Posts
What are the legal ramifications of charting directly on a fetal heart monitor strip?