Our NICU needs a new Kardex/report system - page 2

I work in a 40 bed NICU that needs a new Kardex and a consistent method of giving report. Our current Kardex is old and usually not updated because it just doesn't work for us anymore. Our shift report is very casual and nurses... Read More

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    We use a report sheet for shift change that is filled out each shift and updated. It starts with the history, birth date and gest. age, birth wt and current wt, recent and pertinent tests and results. It also has a place for us to check what kind of respiratory support they're on, meds, fluids/drips they're on and the total fluid volume, labs for the morning and any parent contact we've had for the shift. There's a lot of other things on there but I covered the basics. It's very thorough so that everything gets covered in shift change and the current nurse and receiving nurse sign it. We have a one tailored to intensive babies vs. intermediate babies which has more info related to discharge planning.

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    We are a 52 bed, level 4 ECMO center, we have 2 clerks up front at all times, they put all our orders in and have plenty of time to do the rest of their work.
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    I'm also currently working on creating a more effective kardex for my nurses in a 60 bed nursery. I am hoping that you were able to find some useful ideas/samples during your search that you may be able to share with me...or perhaps someone else may have something to offer.
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    Quote from Cambria1023
    We use computer charting and have a bedside chart in which the doctors write their orders, the kardex is kept, other info. We chart our assessments, etc on the computer. Whenever a doctor writes new orders, we sign them off and then our secretaries put in the orders and are usually the ones who update the kardex. It is our job though to look over the kardex and make sure all the information is updated and correct.
    Pretty much what we do, too.

    My main problem with our Kardex is that it's too cluttered and there's no room for some of the information we'd all like to share (ie. bl cx results, feedings, vent settings), and all the info is written in tiny little script that some of us can barely read.
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    We use SBAR, but we also use a bedside worksheet. It has the admitting diagnosis, birthdate, weight, band number and parent names. Then it is divided into columns for Resp, Cardiac, Neuro, GI/GU/ Nutrition, Other. For example, on admission we would put under Resp: Intubated, survanata x2, CXR grade 3 RDS Cardiac: NS bolus x2, Dopa 10mcg Neuro: WNL GI/GU: NPO, starter TPN at 100ml/kg, D10 bolus x2, foley placed Other: SWU, Abx started, UAC at 7 UVC at 14, MRSA cx sent

    Simple and to the point, updated daily with anything pertinent.
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    I would very much like to have a copy of your Kardex as well!! I will PM you my address if you can get me a sample

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