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Double Setup/Other OR Cases in L&D

 

It looks like we have finally resolved the issue with cases other than C-Sections going to the L&D OR.

 

The system should now contain the ability to link to a procedure titled, “Double Setup”. There are two scenarios.

 

Case is booked prior to Epidural placement:

 

1) Find the case on the LDR+Triage grease board.

 

2) Double click on the patient or click the C-Section/Double Setup button in the header.   The Double Setup procedure will be pre-selected.   Click Accept.

 

3) You are taken to the Pre-procedure section and have access to a full grid/graph.

 

 

4) The default macro is “Epidural L&D”.  If this doesn’t work for you, then remove the Macro.

 

5) Go to the “Macro” icon and select what you want.

 

Case is booked after Epidural placement:

 

1) Find the patient on the LDR + Triage or Epidural Round grease board.

 

2) Double click on the patient or click C-Section/Double Setup.

 

3) Select the Double Setup procedure and click Accept

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4) Merge the Labour Analgesia case with the Double Set up; click Labor Analgesia then click Accept

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5) The records are now merged and you have access to the full grid/graph.   Select the appropriate macro and complete the documentation.

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This process should also work for an L&D patient coming to the OR for an operative procedure-eg.D&C for retained products or PPH.

 

Proceed as per above.  To avoid confusion, you can select the “Other OR Case” or double click.

 

 

 

 

 

What about a patient coming to the OR for something other than above-eg. Twin delivery.

 

All we do in this case is to continue the Epidural.

 

1.       Find the patient on the Epidural Rounding list or the LDR & Triage.

 

2.       Select the current “Labor Analgesia” Procedure.

 

 

 

 

 

 

 

3.       You will open to the Preprocedure area.  Navigate to the “Epidural”

 

 

4.       Hitting the “Epi à OR” icon will place a marker on the timeline and prompt for the time of this event.

 

 

A reminder to add the C-Section Macro currently appears.  You don’t have to do this unless you know it’s going to be a C-Section.  This needs to be fixed.  No macro need be selected unless required.

 

 

5. Click the “intra” to view the traditional anesthesia record grid and graph

 

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