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Instrument sets documentation

Operating Room   (142 Views 5 Comments)
by Nurse deba Nurse deba (New Member) New Member

29 Visitors; 3 Posts

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We are in the process of changing our EMR to Cerner.  In our current system, we document every instrument set and wrapped separate in the intraoperative record.  I'm not finding any place for this in Cerner.  What are your experiences or recommendations?

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Rose_Queen is a BSN, MSN, RN and works as a Staff nurse educator.

342 Likes; 4 Followers; 4 Articles; 102,406 Visitors; 8,561 Posts

We do this via preference cards in Epic- it flows into the instruments/equipment section. Does Cerner not have the ability to have preference cards?

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29 Visitors; 3 Posts

Yes, we have preference cards but we do not have a bar scan system for the sets and individual wrapped items.

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Rose_Queen is a BSN, MSN, RN and works as a Staff nurse educator.

342 Likes; 4 Followers; 4 Articles; 102,406 Visitors; 8,561 Posts

10 hours ago, Nurse deba said:

Yes, we have preference cards but we do not have a bar scan system for the sets and individual wrapped items.

Are you looking more for the SPD side of things or to actually document in the record? We have a totally separate system for SPD, where the system utilizes barcodes to tie a set of instruments/wrapped item/peel pack to a specific patient. We do not document the specific set (such as laparotomy pan 3) in the medical record.

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29 Visitors; 3 Posts

So, I'm guessing that SPD had a bar scanning system.   I'm trying to understand how this process works.  I really appreciate your response. 

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