<div> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt; font-weight:bold">Double Setup/Other OR Cases in L&amp;D</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">It looks like we have finally resolved the issue with cases other than C-Sections going to the L&amp;D OR.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">The system should now contain the ability to link to a procedure titled, “Double Setup”. There are two scenarios.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt; font-weight:bold; text-decoration:underline">Case is booked </span> <span style="color:#ff0000; font-family:Calibri; font-size:11pt; font-weight:bold; text-decoration:underline">prior</span> <span style="font-family:Calibri; font-size:11pt; font-weight:bold; text-decoration:underline"> to Epidural placement:</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt; font-weight:bold"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt; font-weight:bold">1) </span> <span style="font-family:Calibri; font-size:11pt">Find the case on the LDR+Triage grease board.</span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-1.jpeg" width="625" height="263" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt; font-weight:bold">2) </span> <span style="font-family:Calibri; font-size:11pt">Double click on the patient or click the C-Section/Double Setup button in the header.</span> <span style="font-family:Calibri; font-size:11pt"> </span> <span style="font-family:Calibri; font-size:11pt"> The Double Setup procedure will be pre-selected.</span> <span style="font-family:Calibri; font-size:11pt"> </span> <span style="font-family:Calibri; font-size:11pt"> Click Accept.</span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-2.jpeg" width="543" height="348" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt; font-weight:bold">3)</span> <span style="font-family:Calibri; font-size:11pt"> You are taken to the Pre-procedure section and have access to a full grid/graph.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-3.jpeg" width="401" height="273" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">4) The default macro is “Epidural L&amp;D”.  If this doesn’t work for you, then remove the Macro.</span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-4.jpeg" width="406" height="228" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">5) Go to the “Macro” icon and select what you want.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-5.jpeg" width="406" height="237" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt; font-weight:bold; text-decoration:underline">Case is booked </span> <span style="color:#ff0000; font-family:Calibri; font-size:11pt; font-weight:bold; text-decoration:underline">after</span> <span style="font-family:Calibri; font-size:11pt; font-weight:bold; text-decoration:underline"> Epidural placement:</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">1) Find the patient on the LDR + Triage or Epidural Round grease board.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">2) Double click on the patient or click C-Section/Double Setup.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">3) Select the Double Setup procedure and click Accept</span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-6.png" width="624" height="341" alt="cid:image007.jpg@01D54799.9B2CF1C0" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt; font-weight:bold">4) </span> <span style="font-family:Calibri; font-size:11pt">Merge the Labour Analgesia case with the Double Set up; click Labor Analgesia then click Accept</span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-7.png" width="624" height="340" alt="cid:image008.jpg@01D54799.9B2CF1C0" style="border:none"/> <span style="font-family:Calibri; font-size:11pt">\</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt; font-weight:bold">5)</span> <span style="font-family:Calibri; font-size:11pt"> The records are now merged and you have access to the full grid/graph.</span> <span style="font-family:Calibri; font-size:11pt"> </span> <span style="font-family:Calibri; font-size:11pt"> Select the appropriate macro and complete the documentation.</span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-8.jpeg" width="624" height="341" alt="cid:image009.jpg@01D54799.9B2CF1C0" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">This process should also work for an L&amp;D patient coming to the OR for an operative procedure-eg.D&amp;C for retained products or PPH.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">Proceed as per above.  To avoid confusion, you can select the “Other OR Case” or double click.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-9.jpeg" width="625" height="263" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">What about a patient coming to the OR for something other than above-eg. Twin delivery.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">All we do in this case is to continue the Epidural.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt 0pt 0pt 36pt; text-indent:-18pt"> <span style="font-family:Calibri; font-size:11pt">1.</span> <span style="font:7.0pt 'Times New Roman'">      </span> <span style="font-family:Calibri; font-size:11pt"> Find the patient on the Epidural Rounding list or the LDR &amp; Triage.</span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-10.jpeg" width="625" height="206" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt 0pt 0pt 36pt; text-indent:-18pt"> <span style="font-family:Calibri; font-size:11pt">2.</span> <span style="font:7.0pt 'Times New Roman'">      </span> <span style="font-family:Calibri; font-size:11pt">Select the current “Labor Analgesia” Procedure.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-11.jpeg" width="624" height="389" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt 0pt 0pt 36pt; text-indent:-18pt"> <span style="font-family:Calibri; font-size:11pt">3.</span> <span style="font:7.0pt 'Times New Roman'">      </span> <span style="font-family:Calibri; font-size:11pt">You will open to the Preprocedure area.  Navigate to the “Epidural”</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-12.jpeg" width="400" height="278" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt 0pt 0pt 36pt; text-indent:-18pt"> <span style="font-family:Calibri; font-size:11pt">4.</span> <span style="font:7.0pt 'Times New Roman'">      </span> <span style="font-family:Calibri; font-size:11pt"> Hitting the “Epi</span> <span style="font-family:Wingdings; font-size:11pt">à</span> <span style="font-family:Calibri; font-size:11pt">OR” icon will place a marker on the timeline and prompt for the time of this event.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-13.jpeg" width="398" height="459" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">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.</span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-14.jpeg" width="513" height="364" alt="" style="border:none"/> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt"> <span style="font-family:Calibri; font-size:11pt">5. Click the “intra” to view the traditional anesthesia record grid and graph</span> </p> <p style="margin:0pt 0pt 0pt 36pt"> <span style="font-family:Calibri; font-size:11pt"> </span> </p> <p style="margin:0pt 0pt 0pt 36pt"> <img src="/plugins/servlet/benryanconversion?pageId=38469637&amp;attachment=Double+Setup_Other+Labor+OR+cases.doc&amp;name=38567938&amp;val=/image-15.jpeg" width="466" height="376" alt="" style="border:none"/> </p> </div>