BPOC in the birthing center

We are currently in the testing phase for= implementation of BMV[MEDITECH's BPOC system]/eMAR.

For facilities up and running with these, how are you utilizing BMV in the birthing units and nursery?

1. What about the drugs given immediately after birth to baby? Are you scanning them? How are you getting baby registered timely enough to document these meds.

2. Are armbands worn by babies? How does scanning them work? I see the baby's wrist circumfrence being so small around that the scanner won't read them easily.

3. For our epidurals, the nurse pulls the drugs the anesthesiologist wants to use. The anesthesiologist mixes them, and starts the epidural. How are
facilities entering/documenting epidurals? How and how often are you documenting rates of flow for epi's?

4. For the many one time orders that are given, I see nurses falling back to how they document now .... hours after delivery: long after the med was given.

Now they just sign on a paper MAR hours after the fact as they do all their charting. I fear they will just do the same with BMV, utilizing the FULL DOCUMENT feature to document after the fact.

Any ideas would be most appreciated!!

Thanks.

Brenda Wiley, RN
Transylvania Community Hospital, Inc.