Question for Electronic charting for Labor, Delivery and beyond

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Specializes in High Risk OB.

I am looking for some information on what L&D nurses use for their electronic labor record(if you are the lucky ones do not chart on paper:), and what system does it interface with within the organization you work for. For example Watchchild(Navicare), OB Trace Vue, CPN( QS) or KBC. ANY information would be greatly appreciated.

Thank you in advance!

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

We use the QS system for all our charting in L/D and PP. It's ok, better than some, not as good as others. Like any system, it takes getting used to and there is lag time for everyone to learn it and work bugs out. But it works pretty well.

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Specializes in High Risk OB.

Thanks for your quick reply! What other system do you use with it? Ie SCM, EPIC etc. If you don't mind me asking to put things into perspective, how many deliveries do you do a year, are you on LDRP or L&D and PP transfers, does the system you use flow to your PP flowsheet and then to the nursery?

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I was on a project where every area of this facility went live ALL ON THE SAME DAY!! YIKES!!

I've worked with Epic's Stork program for L&D and PP. As the above poster said, once the bugs get worked out, it's a fairly nice program. The hard part is getting the doctors accustomed to using it so the nurses don't have to enter all of their orders. There is a navigator called the L&D Console, which is where the nurses go to document everything from the patient arrival to adding the newborn as a patient.

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Specializes in OB, House Sup, ER, Med Surg.

We just switched to electronic medical records and are using CPSI. It is a bit cumbersome, with flowsheets and e-forms. The worst thing is that information does not populate from one flowsheet or form to another, so there is still a lot of double charting.

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Specializes in L&D.

My facility does around 8,000 deliveries/year. On labor and delivery we use OBTV tracevue. This system does not interface with Cerner, the system that the rest of the hospital uses. We use Cerner for some things on L&D, but we also chart a few things on paper.....if this sounds confusing that's because it is! I like OBTV over-all b/c there is much individualizing that can be done, but information is all over the place and things don't necessarily "flow" well. I would love ONE system that EVERYTHING could be charted on by EVERYBODY.

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Specializes in Nurse Leader specializing in Labor & Delivery.

We use Obix at both facilities at which I work. At one facility, Obix is used throughout the PP stay (and the L&D charting gets transferred through the entire stay). At another facility, it's used only for L&D, and then the PP stay is charted on Meditech (which I hate).

Personally, I prefer paper charting (something I did up until about 6 weeks ago). With computer charting, I spend about an hour charting, whereas with paper, I would spend maybe 10 minutes.

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Specializes in High Risk OB.

I have used OB Trace Vue and loved it! That was at a small community hospital I used to work at but we only used it for labor. PP was on paper and we used Meditech for emar. The hospital I am at now is just going live with KBC throughout the house for electronic charting, with the exception of a few floors. The problem is making it work for L&D. We use SCM which KBC interfaces with and from what I have seen with KBC, I like it, it is easy to use and I think it will improve the quality of charting within the hospital. If anyone has used KBC (knowledge based charting) for their electronic chart in L&D PLEASE let me know, we are going to try to make it work in L&D but I don't think there are many hospitals out there that have used it. OR if you are using another system for L&D and have SCM I would love to know how well the chart flows from SCM to another labor record.

Again, thank you for your replies:yeah:

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

We are a small community hospital, doing only about 650-700 del/year. We are an LDRP so we do it all.

And we use QS for triage, labor/delivery, post op c/s recovery (ALDRETE scoring) and Post partum charting.

Does that help?

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Specializes in High Risk OB.

smilingblueeyes, Thank you. What other system does the hospital use? Epic, eclypsis? Do you know if QS interfaces with your other system? We have QS, old version, only to view the tracings for central monitoring. The hospital wants to make KBC work to have continuim of care throughout the hospital and avoid the confusion that redbeads brought up. QS, at this point, does not interface with SCM so they don't want to look at it, not to mention the expense! We have about 4000 deliveries/year and growing!

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Specializes in L&D, PP, a little WB, note taker NICU.

We use QS for traige, L&D, recovery...then change to Meditech. I would love to have EVERYBODY, L&D PP WB NICU, on the same system, but no luck yet...

I would love to hear if anyone has built an interface for QS and Meditech and how involved/diffulcult/time consuming it was...

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Specializes in Community, OB, Nursery.

Obix for L&D charting, and eventually mother/baby will go to Obix as well, but currently still using paper there. Obix does not interface at all with the rest of the hospital's charting, which uses Soarian (including our GYNs).

Teaching hospital, 6000ish deliveries a year.

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