Recordation Perioperative Product Suite Overview
Preop
Comprehensive web-based intuitive interface for preoperative evaluations. Stand-alone OR facility information system integration for live update of Labs, Medications, Allergies, Radiology…
Intraop
Automated vital sign capture with simple interface for creating robust intraoperative anesthetic records.
postop
Post anesthesia care stay can be documented separately with automated vital sign capture or integrated to end of the anesthetic record.
data analysis
Aggregated completed pre-, intra- postoperative records and special procedures form the basis of statistical analysis reports concerning patient safety, operational and financial efficiency.
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
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For each intraoperative record, a Transfer of Care from Anesthesia is generated, listing key elements of the medical history and anesthetic care to facilitate the receiving care team’s patient management. Creates the Transfer of Patient 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
| Secure User Gateway to access Perioperative Information, Reports, Administration functions, and workflow analyses. |
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.
are you ready for improved workflow?
Consider your operating room environment and see how Recordation Perioperative Information Systems can help.
RECORDATION INTRAOPERATIVE WORKSTATION
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.
Contact Recordation, Inc.
Recordation, Inc.
Recordation Perioperative Information Systems
30 Boston Post Road
Wayland, MA 01778
Copyright © 2019 by Recordation, Inc. All rights reserved.