Documentation of Equipment use

Documentation of Equipment use

posted by Cherie Clemmons on Nov 2, 2016 10:26 am

Does anyone else document in the patient record the  identification numbers of the bovie used?  I would also like to know if so what other equipment numbers are documented ie. (bovie pad, SCD machine, Heart Lung machine). 

Re: Documentation of Equipment use

posted by Emily Stewart on Nov 2, 2016 7:07 pm

We document all equipment used (Bair Huggers, Bovie, Fluid Warmer, Camera, Light Source, Laser, Smoke Evacuator, etc.) anything that has an ID number is charted. 

Re: Documentation of Equipment use

posted by Kendra Hardy Dunnigan on Nov 3, 2016 8:52 am

We also document all equipment used.

Spin off of this quesiton: is any one using arefernece book to keep numbers in and just calling the machine ESU #1, #2 etc? Currently we document the entire number, but some of the staff would like to do this- wanted to see if any one has had success with this method.
 

Re: Documentation of Equipment use

posted by Dawn Hampton on Nov 3, 2016 1:48 pm

We document the Biomed number of the units in the intra-operative record.  We use Epic; equipment such as ESU, SCD machine, tourniquet, Bair Hugger, etc., is pre-loaded and there is a drop down box that allows the nurse to click on the correct unit number and it automaticlly populates the record.  The staff in the OR write down the numbers of the equipment in the room at the beginning of the day and put it on a sticky note or label, it's on their computer so they can refer to it all day.

Re: Documentation of Equipment use

posted by Christine English on Nov 4, 2016 9:52 am

Do you retire the easy number (like #1, #34) if that piece of equipment is removed from service?

Re: Documentation of Equipment use

posted by Kristin Davis on Feb 12, 2018 4:26 pm

Staff are good about documenting some numbers for equipment, but not all.  Does anyone have a resource that specifies what is mandatory to chart (if any)?  If it is mandatory, it may help with complinace in this.

Thank you,
Kristin

Re: Documentation of Equipment use

posted by Jennifer Hehl on Feb 13, 2018 11:54 am

We also document equipment with full 5 or 6 digit biomed number from the stickers our biomed place on items.  We chart the top 5 most commonly used that have direct action or contact with patient (bovie, tourniquet, carm, scd, and bair hugger) but do not chart items that are not so direct on patient {neptune suction machine, microscope used, biomed number of exact OR table used (but we do note the type of bed - ie: jackson flat , trios fracture top, Glide top bed, etc...), also we do not note the scope equipment}.   

A related question for all of you: Are you charting biomed numbers of robotic equipment? We are currently debating if we need to chart the exact Mako or Mazor robot used on each case or not, and are not sure if we need to capture the robot used, or the sterile power tool attached to it or both to give us meaningful information.  

Re: Documentation of Equipment use

posted by Juliana Mower on Feb 14, 2018 10:46 am

Hello-this is an interesting discussion. Obviously we cannot document every piece of equipment used on a patient-but I would think those items that have the greatest risk for harm (e.g., tourniquet, ESU unit) should have top billing, as that would make it easier to trace back to the affending item. In addition to risk mitigation, those items that are billed may also want to be documented on the patient record for audit purposes. I believe that transparency in costs will become more common as we look for ways to control our expenses.
Julie Mower, MSN, RN, CNS, CNS-CP, CNOR    

Re: Documentation of Equipment use

posted by Cynthia Thomas on Feb 15, 2018 9:41 am

We have all the equipment built into our MediTech system.  Staff is required to select all equipment for the case.  We have staff assigned in the evenings to monitor equipment that is in each OR.  A list of equipment tracking nuimbers for stationary equipment  (camera box, light sources, insufflators, bovie, etc) are kept next to the computer in each OR for accuracy.  If additional equipment is brought ito the room, the drop down box built into the computer system with all of our equipement, allows staff to select with ease.   If equipment has to go out for repair, the superuser staff assigned to this task makes sure it is adjusted on list.  This system as worked well for our hospital.  Hope this helps.

Re: Documentation of Equipment use

posted by Mary Von Ohlen on Feb 15, 2018 10:08 am

Yes, we document the number of the bovie machine and the grounding pad used. We have experienced a problem with one device and it caused an injury to the patient. We collected the bovie machine, cautery pencil and had the batch number for the grounding pad. Everything was tested and it turned out there was a problem with the machine surging. Since that point we always document the machine ID number and the grounding pad number on all cautery machines used.
Mary H. von Ohlen BSN, RN, LMT, CNOR

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