from preop to postop care

Check out the individual components below.

Preoperative Evaluation

Automated aggregation of demographics, laboratory values, medications and review of systems for the creation of the Preoperative Assessment

This web-based application can function as “stand alone” or through an optional HL7 interface, can interact with the facility’s Information System

Creates the Preoperative Assessment.

 

intraoperative workstation

Automated collection of vital signs, facilitated entry of medications, observations and other information for the creation of the Intraoperative Record

Creates the Automated Anesthesia Record.

post anesthesia care evaluation

Automated collection of vitals signs, facilitated documentation of medications, observations, and related information to create Post Anesthesia Care Unit Record.

Creates the Automated PACU Record.

POST ANESTHESIA CARE/DAILY ROUNDS

For patients with indwelling pain management catheters and for routine postoperative assessments, this application allows daily rounds notes to be created and saved in the centralized archive.

Creates the Postoperative Daily Assessment. 

SEPARATE Special Procedures

This application is for the creation of separate documents for Labor Epidural; Regional Anesthetic Placement; Invasive Monitoring Catheter Placement; Regional Anesthetic or Catheter Placement; Chest Tube Placement; Epidural Blood Patch; Dural Puncture and other separate procedures.

Creates the Special Procedure Note.

Transfer of Anesthesia Care Report

hl7 server

Optional bilateral interface to facility information system for demographics, laboratory, radiology, consultations, medications, allergies and other critical data.  Imagine one-click importing of this data into preoperative reports.

This application also imports demographic information into anesthetic records for a complete billing summary.

Central server web portal

preoperative evaluation module.

Users with tiered levels of medical knowledge can interact with patients and make individual, editable contributions to the preoperative record. In clinics with dedicated preoperative evaluation units, health care personnel can gather critical information prior to the anesthesia care team’s final preoperative contribution to verify the anesthetic plan and resuscitation status. Live updates to preoperative laboratory data are shown as flags for review.

walk-through

Recordation Preoperative Evaluation when accessed on a portable computer with secure wifi network (laptop or tablet), can serve as an ergonomic addition to the patient’s bedside interaction.

In this walk-through demonstration, fictitious patient Johnathan Cricket presents with shoulder arthrosis for arthroscopy on 9/10/2017.
ICD10 and CPT4 databases can be used for accurate coding of the diagnosis and procedure, or a free text description.
 
Elements of the Medical Review of Systems can be checked and described in detail.
 
Medication lists can be imported from the facility Health Information System or entered manually.
Previous surgical history and untoward reactions to anesthesia can be entered easily.
Social history can be used to document tobacco, alcohol and recreational drug use.
Substance allergies can be entered here.
Laboratory values can be obtained from the facility's Health Information System with one click, or can be entered manually.
 
Consultation results can be obtained from the facility's Health Information System or entered manually.
Elements of the anesthesia-focused physical examination can be entered here.
Flags or essential details can be entered for any element of the physical examination.
The anesthetic plan can be described in detail.
Physician or CRNA can review and complete the final note, as determined by Department Policy.

Recordation Preoperative Evaluation when accessed on a portable computer with secure wifi network (laptop or tablet), can serve as an ergonomic addition to the patient’s bedside interaction.

are you ready for improved workflow?

Consider your operating room environment and see how Recordation Perioperative Information Systems can help.

RECORDATION INTRAOPERATIVE WORKSTATION

Recordation Intraoperative Workstation is used for the creation of intraoperative anesthetic records. Microsoft® Windows® based Touchscreen Tablets, Laptops, or dedicated Touchscreen/Computer combinations are dedicated to each anesthetizing location (operating room, for example). Instead of pen and paper, members of the anesthesia care team interact with the Recordation System via an intuitive Graphical User Interface (GUI) using gestures and button clicks, much like the use of a Smart Phone.

Typical interactions with the system easily documents the customary handwritten anesthetic interventions.

The user interface is designed to facilitate data entry, and rules are built into the system and can be configured based on the Department of Anesthesia and insurance practice patterns, such as Solo Anesthesiologist, Medical Direction of CRNA, and CRNA solo practice.

Documentation of commonly occurring events such as Airway Management, Regional Anesthetic Placement, Invasive Monitoring Line placement, are facilitated by the use of the Documentation Wizard, which provides a customized user-specific, simplified interface.

Click the image above to see a three hour surgical procedure in thirty seconds in case-review mode.    Show Video in Light Box…

Recordation Preoperative Evaluation when accessed on a portable computer with secure wifi network (laptop or tablet), can serve as an ergonomic addition to the patient’s bedside interaction.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Recordation, Inc. 

Recordation Perioperative Information Systems
30 Boston Post Road
Wayland, MA 01778

Copyright © 2017 by Recordation, Inc. All rights reserved.

 

 

 

 


Contact Information.

tel: (800)-418-1587
fax: (508) 532-4912

solutions@recordation.com