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There are several minis. Mine is an Acer that has a 160 GB hard drive and a 4-5 hour battery life. There is an Acer that has a 120 GB hard drive. The HP mini has (I believe) a 16 GB hard drive, which isn't much, and the Dell has 8GB. They are a bit over two pounds -- lovely.

Not wonderful to type on -- I wouldn't want to do lots of writing on it as the keyboard is relatively small and I have big fingers so tend to often hit two keys at the same time.

You can get the Acer at Costco....I saw it there and ended up buying the one with the larger hard drive from Amazon. I think it was about $320.

JanMy blog Year of the MC

that's a great idea. i've been wondering if there was a way to get away from hand written notes! and HP mini? how much do they cost?

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com--- On Mon, 5/11/09, <5carrollssbcglobal (DOT) net> wrote:

From: <5carrollssbcglobal (DOT) net>Subject: care plan strategyTo: Date: Monday, May 11, 2009, 7:14 AM

Caryn said...> Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)plan of care will help US to provide care that will not be perceived asfraught with confusion, wrong advice, etc.I have an HP Mini (a teeny tiny laptop) that I take with me to all myconsults. I put together a plan of care for each mom while I'm sittingin their home, email it them (never been to a house where mom doesn'thave wireless connection) and have the mom print out two copies. Momsigns both copies and one stays with her and one goes in the chart.Easier than carrying a printer and neater and faster than handwritten. If mom doesn't have wireless, I have a flash drive that I can save theplan on and have mom take and print it from her computer that way. (Ithen delete it from the flash so I'm not storing electronic copies.) -- C.

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My first disclaimer is that I am old. I find typing on a computer in front of clients very impersonal. One of the documents I have is a feeding plan on NCR paper that includes a brief history -- mostly of weights -- and then I can list things I want mom to do on the paper. She gets the white sheet, I keep the yellow, and that is what I use to trigger my memory when I'm sending the physician a report. I don't have to fuss with computers, USB ports, e-mail.....and it seems more personal. My handwriting isn't terrific, but I make sure that it is readable, and I do think the moms appreciate it. It is a preprinted form, but with plenty of room for me to write on it....

JanMy blog Year of the MC

I love this approach. I could complete charting 3 times quicker on a computer than by hand.But... I have one concern, e-mail is not secure. Personally I would be reluctant to forward private health information via e-mail. I think your solution of transferring data from a flash, and transferring via the USB port to the client's computer is excellent.A compromise may be a well articulated document with check boxes for the most common written material, then spaces for the individual evaluation and assessment and unique information regarding the case, on a carbon that you can provide the client.Then again I have never received my caregiver's evaluation and assessment after a visit. You can have templates for the common instructions you give your clients and then individualize of course as warranted. A huge percentage of the client's that we see postpartum do not have computers, or internet. But you found a strategy that works for the population you support so that's perfect!>> > Caryn said...> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)> plan of care will help US to provide care that will not be perceived as> fraught with confusion, wrong advice, etc.> > > I have an HP Mini (a teeny tiny laptop) that I take with me to all my> consults. I put together a plan of care for each mom while I'm sitting> in their home, email it them (never been to a house where mom doesn't> have wireless connection) and have the mom print out two copies. Mom> signs both copies and one stays with her and one goes in the chart.> > Easier than carrying a printer and neater and faster than handwritten. > If mom doesn't have wireless, I have a flash drive that I can save the> plan on and have mom take and print it from her computer that way. (I> then delete it from the flash so I'm not storing electronic copies.) --> C.>

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that's a great idea. i've been wondering if there was a way to get away from hand written notes! and HP mini? how much do they cost?

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com---

Subject: care plan strategyTo: Date: Monday, May 11, 2009, 7:14 AM

Caryn said...> Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)plan of care will help US to provide care that will not be perceived asfraught with confusion, wrong advice, etc.I have an HP Mini (a teeny tiny laptop) that I take with me to all myconsults. I put together a plan of care for each mom while I'm sittingin their home, email it them (never been to a house where mom doesn'thave wireless connection) and have the mom print out two copies. Momsigns both copies and one stays with her and one goes in the chart.Easier than carrying a printer and neater and faster than handwritten. If mom doesn't have wireless, I have a flash drive that I can save theplan on and have mom take and print it from her computer that way. (Ithen delete it from the flash so I'm not storing electronic copies.) -- C.

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I love this approach. I could complete charting 3 times quicker on a computer

than by hand.

But... I have one concern, e-mail is not secure. Personally I would be reluctant

to forward private health information via e-mail. I think your solution of

transferring data from a flash, and transferring via the USB port to the

client's computer is excellent.

A compromise may be a well articulated document with check boxes for the most

common written material, then spaces for the individual evaluation and

assessment and unique information regarding the case, on a carbon that you can

provide the client.

Then again I have never received my caregiver's evaluation and assessment after

a visit. You can have templates for the common instructions you give your

clients and then individualize of course as warranted.

A huge percentage of the client's that we see postpartum do not have computers,

or internet. But you found a strategy that works for the population you support

so that's perfect!

>

>

> Caryn said...

> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)

> plan of care will help US to provide care that will not be perceived as

> fraught with confusion, wrong advice, etc.

>

>

> I have an HP Mini (a teeny tiny laptop) that I take with me to all my

> consults. I put together a plan of care for each mom while I'm sitting

> in their home, email it them (never been to a house where mom doesn't

> have wireless connection) and have the mom print out two copies. Mom

> signs both copies and one stays with her and one goes in the chart.

>

> Easier than carrying a printer and neater and faster than handwritten.

> If mom doesn't have wireless, I have a flash drive that I can save the

> plan on and have mom take and print it from her computer that way. (I

> then delete it from the flash so I'm not storing electronic copies.) --

> C.

>

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i do the same thing, but i keep the white copy, then fax it with a cover letter (brief!) to the drs involved. but there are times my hands feel worn out from writing and there are times i wish it was all neat and tidy and only computers can do. I think I think better with a pen in my hand anyway!

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com---

Subject: Re: Re: care plan strategyTo: Date: Monday, May 11, 2009, 11:52 AM

My first disclaimer is that I am old. I find typing on a computer in front of clients very impersonal. One of the documents I have is a feeding plan on NCR paper that includes a brief history -- mostly of weights -- and then I can list things I want mom to do on the paper. She gets the white sheet, I keep the yellow, and that is what I use to trigger my memory when I'm sending the physician a report. I don't have to fuss with computers, USB ports, e-mail.....and it seems more personal. My handwriting isn't terrific, but I make sure that it is readable, and I do think the moms appreciate it. It is a preprinted form, but with plenty of room for me to write on it....

JanMy blog Year of the MC

In a message dated 5/11/2009 1:05:32 P.M. Central Daylight Time, YabbaDabbaDoula1@ aol.com writes:

I love this approach. I could complete charting 3 times quicker on a computer than by hand.But... I have one concern, e-mail is not secure. Personally I would be reluctant to forward private health information via e-mail. I think your solution of transferring data from a flash, and transferring via the USB port to the client's computer is excellent.A compromise may be a well articulated document with check boxes for the most common written material, then spaces for the individual evaluation and assessment and unique information regarding the case, on a carbon that you can provide the client.Then again I have never received my caregiver's evaluation and assessment after a visit. You can have templates for the common instructions you give your clients and then individualize of course as warranted. A huge percentage of the client's that we see postpartum do not have computers, or internet. But you found a strategy that

works for the population you support so that's perfect!>> > Caryn said...> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)> plan of care will help US to provide care that will not be perceived as> fraught with confusion, wrong advice, etc.> > > I have an HP Mini (a teeny tiny laptop) that I take with me to all my> consults. I put together a plan of care for each mom while I'm sitting> in their home, email it them (never been to a house where mom doesn't> have wireless connection) and have the mom print out two copies. Mom> signs both copies and one stays with her and one goes in the chart.> > Easier than carrying a

printer and neater and faster than handwritten. > If mom doesn't have wireless, I have a flash drive that I can save the> plan on and have mom take and print it from her computer that way. (I> then delete it from the flash so I'm not storing electronic copies.) --> C.>

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>

> that's a great idea. i've been wondering if there was a way to get

away from hand written notes! and HP mini? how much do they cost?

>

>

They retail for about $350 USD -- BC

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>

> There are several minis. Mine is an Acer that has a 160 GB hard drive

and

> a 4-5 hour battery life. There is an Acer that has a 120 GB hard

drive.

> The HP mini has (I believe) a 16 GB hard drive, which isn't much, and

the

> Dell has 8GB. They are a bit over two pounds -- lovely.

******* We were given the HP as a gift, so I didn't get to pick BUT, I

don't mind the small size of the hard drive. I carry all of my PP

documents on a flash drive so I don't need all that much memory on my

computer and I don't have to worry about the laptop getting taken and

losing data. I also have an external hard drive (about another $100) so

that I can load software, watch movies, etc. With my 16 GB of memory, I

didn't have any problems loading Microsoft Office 2007 , my Blackberry

Software and the printer drivers that I use. All in all, I am very

happy with this little computer.

>

> Not wonderful to type on -- I wouldn't want to do lots of writing on

it as

> the keyboard is relatively small and I have big fingers so tend to

often

> hit two keys at the same time.

******** I have very small hands (my wedding ring is a size 4) so I

don't run into the issue Jan has, but it does take a little bit to get

used to the slightly reduced size of the keyboard.

-- C.

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An HP mini? Brilliant!

My plan of care form is a 2 page form (white/original for mom, yellow for my

file)

It has " plan of care " across the top, then evenly spaced lines to write down

everything I need to record for the mom (and for myself!)

I also send a brief email prior to the consultation covering some sound bytes

(well, written sound bytes!)

diet pointers (limit the dairy - avoid cruciferous vegetables)

Wish me luck - seeing a mom with a pituitary tumor and breast implants - she

was using a pump in style from 1998 - I did have a Symphony picked up for her by

her mom and " goodness, I am getting milk now! "

lightbulb flickering on insert ;)

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avoid cruciferous veggies? why?

I've been in the field for 18 years and have never seen a problem with broccoli, etc.

just my 2 cents.

good luck with the client. be sure to as WHY she got the implants in the first place. the answer can be very enlightening!

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com---

Subject: Re: care plan strategyTo: Date: Monday, May 11, 2009, 1:36 PM

An HP mini? Brilliant!My plan of care form is a 2 page form (white/original for mom, yellow for my file)It has "plan of care" across the top, then evenly spaced lines to write down everything I need to record for the mom (and for myself!)I also send a brief email prior to the consultation covering some sound bytes (well, written sound bytes!)diet pointers (limit the dairy - avoid cruciferous vegetables)Wish me luck - seeing a mom with a pituitary tumor and breast implants - she was using a pump in style from 1998 - I did have a Symphony picked up for her by her mom and "goodness, I am getting milk now!"lightbulb flickering on insert ;)

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I also prefer to write out care plans by hand, Jan. But you really ought to be keeping the white copy and giving the yellow copy to the mothers. The yellow copy will eventually fade out. The mother won't need it in a year, so if her copy fades out, no big deal. But your copy needs to remain with your records until the baby is 21 years old, so you need to keep the paper-and-ink copy so it doesn't fade and you have a record of what you suggested.

Dee Kassing

Subject: Re: Re: care plan strategyTo: Date: Monday, May 11, 2009, 1:52 PM

My first disclaimer is that I am old. I find typing on a computer in front of clients very impersonal. One of the documents I have is a feeding plan on NCR paper that includes a brief history -- mostly of weights -- and then I can list things I want mom to do on the paper. She gets the white sheet, I keep the yellow, and that is what I use to trigger my memory when I'm sending the physician a report. I don't have to fuss with computers, USB ports, e-mail.....and it seems more personal. My handwriting isn't terrific, but I make sure that it is readable, and I do think the moms appreciate it. It is a preprinted form, but with plenty of room for me to write on it....

JanMy blog Year of the MC

In a message dated 5/11/2009 1:05:32 P.M. Central Daylight Time, YabbaDabbaDoula1@ aol.com writes:

I love this approach. I could complete charting 3 times quicker on a computer than by hand.But... I have one concern, e-mail is not secure. Personally I would be reluctant to forward private health information via e-mail. I think your solution of transferring data from a flash, and transferring via the USB port to the client's computer is excellent.A compromise may be a well articulated document with check boxes for the most common written material, then spaces for the individual evaluation and assessment and unique information regarding the case, on a carbon that you can provide the client.Then again I have never received my caregiver's evaluation and assessment after a visit. You can have templates for the common instructions you give your clients and then individualize of course as warranted. A huge percentage of the client's that we see postpartum do not have computers, or internet. But you found a strategy that

works for the population you support so that's perfect!>> > Caryn said...> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)> plan of care will help US to provide care that will not be perceived as> fraught with confusion, wrong advice, etc.> > > I have an HP Mini (a teeny tiny laptop) that I take with me to all my> consults. I put together a plan of care for each mom while I'm sitting> in their home, email it them (never been to a house where mom doesn't> have wireless connection) and have the mom print out two copies. Mom> signs both copies and one stays with her and one goes in the chart.> > Easier than carrying a

printer and neater and faster than handwritten. > If mom doesn't have wireless, I have a flash drive that I can save the> plan on and have mom take and print it from her computer that way. (I> then delete it from the flash so I'm not storing electronic copies.) --> C.>

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Good point, Dee. But virtually everything I have on the care plan is also in the letter I send on to the peds, which I have a copy of (of which I have a copy???). So I've always felt covered in that way.

JanMy blog Year of the MC

I also prefer to write out care plans by hand, Jan. But you really ought to be keeping the white copy and giving the yellow copy to the mothers. The yellow copy will eventually fade out. The mother won't need it in a year, so if her copy fades out, no big deal. But your copy needs to remain with your records until the baby is 21 years old, so you need to keep the paper-and-ink copy so it doesn't fade and you have a record of what you suggested.

Dee Kassing

Subject: Re: Re: care plan strategyTo: Date: Monday, May 11, 2009, 1:52 PM

My first disclaimer is that I am old. I find typing on a computer in front of clients very impersonal. One of the documents I have is a feeding plan on NCR paper that includes a brief history -- mostly of weights -- and then I can list things I want mom to do on the paper. She gets the white sheet, I keep the yellow, and that is what I use to trigger my memory when I'm sending the physician a report. I don't have to fuss with computers, USB ports, e-mail.....and it seems more personal. My handwriting isn't terrific, but I make sure that it is readable, and I do think the moms appreciate it. It is a preprinted form, but with plenty of room for me to write on it....

JanMy blog Year of the MC

In a message dated 5/11/2009 1:05:32 P.M. Central Daylight Time, YabbaDabbaDoula1@ aol.com writes:

I love this approach. I could complete charting 3 times quicker on a computer than by hand.But... I have one concern, e-mail is not secure. Personally I would be reluctant to forward private health information via e-mail. I think your solution of transferring data from a flash, and transferring via the USB port to the client's computer is excellent.A compromise may be a well articulated document with check boxes for the most common written material, then spaces for the individual evaluation and assessment and unique information regarding the case, on a carbon that you can provide the client.Then again I have never received my caregiver's evaluation and assessment after a visit. You can have templates for the common instructions you give your clients and then individualize of course as warranted. A huge percentage of the client's that we see postpartum do not have computers, or internet. But you found a strategy that works for the population you support so that's perfect!>> > Caryn said...> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)> plan of care will help US to provide care that will not be perceived as> fraught with confusion, wrong advice, etc.> > > I have an HP Mini (a teeny tiny laptop) that I take with me to all my> consults. I put together a plan of care for each mom while I'm sitting> in their home, email it them (never been to a house where mom doesn't> have wireless connection) and have the mom print out two copies. Mom> signs both copies and one stays with her and one goes in the chart.> > Easier than carrying a printer and neater and faster than handwritten. > If mom doesn't have wireless, I have a flash drive that I can save the> plan on and have mom take and print it from her computer that way. (I> then delete it from the flash so I'm not storing electronic copies.) --> C.>

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7 is fine for taxes, but the statute of limitations on suing for untoward outcomes is 19 years, plus 2 years to finalize the suit. Hence 21 years. This is not an accountant issue, this is a legal/lawsuit/medical issue.

Hopefully it will never come to that....but I'd check with a medical attorney on how long to keep your charts, not your accountant.

JanMy blog Year of the MC

21 years old? i hope not. my acct. told me 7years is plenty....

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com--- On Mon, 5/11/09, Dee Kassing <deekassingsbcglobal (DOT) net> wrote:

From: Dee Kassing <deekassingsbcglobal (DOT) net>Subject: Re: Re: care plan strategyTo: Date: Monday, May 11, 2009, 8:55 PM

I also prefer to write out care plans by hand, Jan. But you really ought to be keeping the white copy and giving the yellow copy to the mothers. The yellow copy will eventually fade out. The mother won't need it in a year, so if her copy fades out, no big deal. But your copy needs to remain with your records until the baby is 21 years old, so you need to keep the paper-and-ink copy so it doesn't fade and you have a record of what you suggested.

Dee Kassing

Subject: Re: Re: care plan strategyTo: @yahoogroup s.comDate: Monday, May 11, 2009, 1:52 PM

My first disclaimer is that I am old. I find typing on a computer in front of clients very impersonal. One of the documents I have is a feeding plan on NCR paper that includes a brief history -- mostly of weights -- and then I can list things I want mom to do on the paper. She gets the white sheet, I keep the yellow, and that is what I use to trigger my memory when I'm sending the physician a report. I don't have to fuss with computers, USB ports, e-mail.....and it seems more personal. My handwriting isn't terrific, but I make sure that it is readable, and I do think the moms appreciate it. It is a preprinted form, but with plenty of room for me to write on it....

JanMy blog Year of the MC

In a message dated 5/11/2009 1:05:32 P.M. Central Daylight Time, YabbaDabbaDoula1@ aol.com writes:

I love this approach. I could complete charting 3 times quicker on a computer than by hand.But... I have one concern, e-mail is not secure. Personally I would be reluctant to forward private health information via e-mail. I think your solution of transferring data from a flash, and transferring via the USB port to the client's computer is excellent.A compromise may be a well articulated document with check boxes for the most common written material, then spaces for the individual evaluation and assessment and unique information regarding the case, on a carbon that you can provide the client.Then again I have never received my caregiver's evaluation and assessment after a visit. You can have templates for the common instructions you give your clients and then individualize of course as warranted. A huge percentage of the client's that we see postpartum do not have computers, or internet. But you found a strategy that works for the population you support so that's perfect!>> > Caryn said...> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)> plan of care will help US to provide care that will not be perceived as> fraught with confusion, wrong advice, etc.> > > I have an HP Mini (a teeny tiny laptop) that I take with me to all my> consults. I put together a plan of care for each mom while I'm sitting> in their home, email it them (never been to a house where mom doesn't> have wireless connection) and have the mom print out two copies. Mom> signs both copies and one stays with her and one goes in the chart.> > Easier than carrying a printer and neater and faster than handwritten. > If mom doesn't have wireless, I have a flash drive that I can save the> plan on and have mom take and print it from her computer that way. (I> then delete it from the flash so I'm not storing electronic copies.) --> C.>

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21 years old? i hope not. my acct. told me 7years is plenty....

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com---

Subject: Re: Re: care plan strategyTo: Date: Monday, May 11, 2009, 8:55 PM

I also prefer to write out care plans by hand, Jan. But you really ought to be keeping the white copy and giving the yellow copy to the mothers. The yellow copy will eventually fade out. The mother won't need it in a year, so if her copy fades out, no big deal. But your copy needs to remain with your records until the baby is 21 years old, so you need to keep the paper-and-ink copy so it doesn't fade and you have a record of what you suggested.

Dee Kassing

Subject: Re: Re: care plan strategyTo: @yahoogroup s.comDate: Monday, May 11, 2009, 1:52 PM

My first disclaimer is that I am old. I find typing on a computer in front of clients very impersonal. One of the documents I have is a feeding plan on NCR paper that includes a brief history -- mostly of weights -- and then I can list things I want mom to do on the paper. She gets the white sheet, I keep the yellow, and that is what I use to trigger my memory when I'm sending the physician a report. I don't have to fuss with computers, USB ports, e-mail.....and it seems more personal. My handwriting isn't terrific, but I make sure that it is readable, and I do think the moms appreciate it. It is a preprinted form, but with plenty of room for me to write on it....

JanMy blog Year of the MC

In a message dated 5/11/2009 1:05:32 P.M. Central Daylight Time, YabbaDabbaDoula1@ aol.com writes:

I love this approach. I could complete charting 3 times quicker on a computer than by hand.But... I have one concern, e-mail is not secure. Personally I would be reluctant to forward private health information via e-mail. I think your solution of transferring data from a flash, and transferring via the USB port to the client's computer is excellent.A compromise may be a well articulated document with check boxes for the most common written material, then spaces for the individual evaluation and assessment and unique information regarding the case, on a carbon that you can provide the client.Then again I have never received my caregiver's evaluation and assessment after a visit. You can have templates for the common instructions you give your clients and then individualize of course as warranted. A huge percentage of the client's that we see postpartum do not have computers, or internet. But you found a strategy that

works for the population you support so that's perfect!>> > Caryn said...> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)> plan of care will help US to provide care that will not be perceived as> fraught with confusion, wrong advice, etc.> > > I have an HP Mini (a teeny tiny laptop) that I take with me to all my> consults. I put together a plan of care for each mom while I'm sitting> in their home, email it them (never been to a house where mom doesn't> have wireless connection) and have the mom print out two copies. Mom> signs both copies and one stays with her and one goes in the chart.> > Easier than carrying a

printer and neater and faster than handwritten. > If mom doesn't have wireless, I have a flash drive that I can save the> plan on and have mom take and print it from her computer that way. (I> then delete it from the flash so I'm not storing electronic copies.) --> C.>

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Your accountant deals with tax issues. You only need to keep tax records for 7 years, after which the statute of limitations prevents the IRS from charging you with fraud or anything else.

But for malpractice records, you must keep the records of your dealings with the mothers until the child is legally old enough to sue you for any poor care he thinks he received from you. In Illinois, that is 21. Your state may have a different limitation.

Dee

Subject: Re: Re: care plan strategyTo: @yahoogroup s.comDate: Monday, May 11, 2009, 1:52 PM

My first disclaimer is that I am old. I find typing on a computer in front of clients very impersonal. One of the documents I have is a feeding plan on NCR paper that includes a brief history -- mostly of weights -- and then I can list things I want mom to do on the paper. She gets the white sheet, I keep the yellow, and that is what I use to trigger my memory when I'm sending the physician a report. I don't have to fuss with computers, USB ports, e-mail.....and it seems more personal. My handwriting isn't terrific, but I make sure that it is readable, and I do think the moms appreciate it. It is a preprinted form, but with plenty of room for me to write on it....

JanMy blog Year of the MC

In a message dated 5/11/2009 1:05:32 P.M. Central Daylight Time, YabbaDabbaDoula1@ aol.com writes:

I love this approach. I could complete charting 3 times quicker on a computer than by hand.But... I have one concern, e-mail is not secure. Personally I would be reluctant to forward private health information via e-mail. I think your solution of transferring data from a flash, and transferring via the USB port to the client's computer is excellent.A compromise may be a well articulated document with check boxes for the most common written material, then spaces for the individual evaluation and assessment and unique information regarding the case, on a carbon that you can provide the client.Then again I have never received my caregiver's evaluation and assessment after a visit. You can have templates for the common instructions you give your clients and then individualize of course as warranted. A huge percentage of the client's that we see postpartum do not have computers, or internet. But you found a strategy that

works for the population you support so that's perfect!>> > Caryn said...> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)> plan of care will help US to provide care that will not be perceived as> fraught with confusion, wrong advice, etc.> > > I have an HP Mini (a teeny tiny laptop) that I take with me to all my> consults. I put together a plan of care for each mom while I'm sitting> in their home, email it them (never been to a house where mom doesn't> have wireless connection) and have the mom print out two copies. Mom> signs both copies and one stays with her and one goes in the chart.> > Easier than carrying a

printer and neater and faster than handwritten. > If mom doesn't have wireless, I have a flash drive that I can save the> plan on and have mom take and print it from her computer that way. (I> then delete it from the flash so I'm not storing electronic copies.) --> C.>

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ew! i just got rid of quite a few boxes. i'll have to ask around....i specifically said records not tax stuff so she new what i was taking about. weird and scarey.

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com---

Subject: Re: Re: care plan strategyTo: Date: Tuesday, May 12, 2009, 8:40 AM

Your accountant deals with tax issues. You only need to keep tax records for 7 years, after which the statute of limitations prevents the IRS from charging you with fraud or anything else.

But for malpractice records, you must keep the records of your dealings with the mothers until the child is legally old enough to sue you for any poor care he thinks he received from you. In Illinois, that is 21. Your state may have a different limitation.

Dee

Subject: Re: Re: care plan strategyTo: @yahoogroup s.comDate: Monday, May 11, 2009, 1:52 PM

My first disclaimer is that I am old. I find typing on a computer in front of clients very impersonal. One of the documents I have is a feeding plan on NCR paper that includes a brief history -- mostly of weights -- and then I can list things I want mom to do on the paper. She gets the white sheet, I keep the yellow, and that is what I use to trigger my memory when I'm sending the physician a report. I don't have to fuss with computers, USB ports, e-mail.....and it seems more personal. My handwriting isn't terrific, but I make sure that it is readable, and I do think the moms appreciate it. It is a preprinted form, but with plenty of room for me to write on it....

JanMy blog Year of the MC

In a message dated 5/11/2009 1:05:32 P.M. Central Daylight Time, YabbaDabbaDoula1@ aol.com writes:

I love this approach. I could complete charting 3 times quicker on a computer than by hand.But... I have one concern, e-mail is not secure. Personally I would be reluctant to forward private health information via e-mail. I think your solution of transferring data from a flash, and transferring via the USB port to the client's computer is excellent.A compromise may be a well articulated document with check boxes for the most common written material, then spaces for the individual evaluation and assessment and unique information regarding the case, on a carbon that you can provide the client.Then again I have never received my caregiver's evaluation and assessment after a visit. You can have templates for the common instructions you give your clients and then individualize of course as warranted. A huge percentage of the client's that we see postpartum do not have computers, or internet. But you found a strategy that

works for the population you support so that's perfect!>> > Caryn said...> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)> plan of care will help US to provide care that will not be perceived as> fraught with confusion, wrong advice, etc.> > > I have an HP Mini (a teeny tiny laptop) that I take with me to all my> consults. I put together a plan of care for each mom while I'm sitting> in their home, email it them (never been to a house where mom doesn't> have wireless connection) and have the mom print out two copies. Mom> signs both copies and one stays with her and one goes in the chart.> > Easier than carrying a

printer and neater and faster than handwritten. > If mom doesn't have wireless, I have a flash drive that I can save the> plan on and have mom take and print it from her computer that way. (I> then delete it from the flash so I'm not storing electronic copies.) --> C.>

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I think whatever you talk about with the mother, specifically what you want her to do is helpful to have written down. I don't use any preprinted care plans because there is sometimes too much information that is too generic. I want specifics....for that mother and baby....geared to what she needs and what she can do....

JanMy blog Year of the MC

Another care plan tip is to ask the mother what she remembers from the visit. Write that down in her own words (they will make sense to her.)Is there any evidence that the care plans are effective? I wonder. I know it's good for me, because I remember what we did together and that is useful in the follow-up telephone calls.But is it useful for the mothers? Or is it just one more piece of paper?Anybody know?warmly,Nikki Lee

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But, , you said "records" to an accountant. Accountants are all about numbers. I am sure your accountant "heard" "financial records" even if you didn't say that, because that's what accountants deal with. One of those situations where one word means different things to different people.

Dee

Subject: Re: Re: care plan strategyTo: @yahoogroup s.comDate: Monday, May 11, 2009, 1:52 PM

My first disclaimer is that I am old. I find typing on a computer in front of clients very impersonal. One of the documents I have is a feeding plan on NCR paper that includes a brief history -- mostly of weights -- and then I can list things I want mom to do on the paper. She gets the white sheet, I keep the yellow, and that is what I use to trigger my memory when I'm sending the physician a report. I don't have to fuss with computers, USB ports, e-mail.....and it seems more personal. My handwriting isn't terrific, but I make sure that it is readable, and I do think the moms appreciate it. It is a preprinted form, but with plenty of room for me to write on it....

JanMy blog Year of the MC

In a message dated 5/11/2009 1:05:32 P.M. Central Daylight Time, YabbaDabbaDoula1@ aol.com writes:

I love this approach. I could complete charting 3 times quicker on a computer than by hand.But... I have one concern, e-mail is not secure. Personally I would be reluctant to forward private health information via e-mail. I think your solution of transferring data from a flash, and transferring via the USB port to the client's computer is excellent.A compromise may be a well articulated document with check boxes for the most common written material, then spaces for the individual evaluation and assessment and unique information regarding the case, on a carbon that you can provide the client.Then again I have never received my caregiver's evaluation and assessment after a visit. You can have templates for the common instructions you give your clients and then individualize of course as warranted. A huge percentage of the client's that we see postpartum do not have computers, or internet. But you found a strategy that

works for the population you support so that's perfect!>> > Caryn said...> > Providing a clear, well written (HANDWRITTEN LOL not carbon copied!)> plan of care will help US to provide care that will not be perceived as> fraught with confusion, wrong advice, etc.> > > I have an HP Mini (a teeny tiny laptop) that I take with me to all my> consults. I put together a plan of care for each mom while I'm sitting> in their home, email it them (never been to a house where mom doesn't> have wireless connection) and have the mom print out two copies. Mom> signs both copies and one stays with her and one goes in the chart.> > Easier than carrying a

printer and neater and faster than handwritten. > If mom doesn't have wireless, I have a flash drive that I can save the> plan on and have mom take and print it from her computer that way. (I> then delete it from the flash so I'm not storing electronic copies.) --> C.>

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You can be sued. That's all that counts.

JanMy blog Year of the MC

but...we are not HCP's. my state certainly does not recognize me as such. iin fact, does not recognize me at all since there is no way for me to become licensed. so i doubt that i should follow a health care protocol for record keeping., i will ask an attorney however. it;s an interestding question. sorry for all the typosk, i'm using a loaner small laptop while my computer is being repaired.

renee

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com--- On Tue, 5/12/09, Ann Faust <abeyosgmail> wrote:

From: Ann Faust <abeyosgmail>Subject: Re: Re: care plan strategyTo: Date: Tuesday, May 12, 2009, 1:00 PM

In the state of land, which ever HCP works with babies has tokeep the records for 21 years too. Just in case if they decide thatwas your wrong latch technique that failed him in the Uni...(sorry forthe sarcasm)KindlyAnn2009/5/12 Beebe <second9months@ yahoo.com>:>>> 21 years old? i hope not. my acct. told me 7years is plenty....>> Beebe, M.Ed., IBCLC> Lactation Consultant> Postpartum Doula> > www.second9months. com>

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Another care plan tip is to ask the mother what she remembers from the visit.

Write that down in her own words (they will make sense to her.)

Is there any evidence that the care plans are effective? I wonder. I know it's

good for me, because I remember what we did together and that is useful in the

follow-up telephone calls.

But is it useful for the mothers? Or is it just one more piece of paper?

Anybody know?

warmly,

Nikki Lee

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In the state of land, which ever HCP works with babies has to

keep the records for 21 years too. Just in case if they decide that

was your wrong latch technique that failed him in the Uni...(sorry for

the sarcasm)

Kindly

Ann

2009/5/12 Beebe :

>

>

> 21 years old?  i hope not.  my acct. told me 7years is plenty....

>

> Beebe, M.Ed., IBCLC

> Lactation Consultant

> Postpartum Doula

>

> www.second9months.com

>

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but...we are not HCP's. my state certainly does not recognize me as such. iin fact, does not recognize me at all since there is no way for me to become licensed. so i doubt that i should follow a health care protocol for record keeping., i will ask an attorney however. it;s an interestding question. sorry for all the typosk, i'm using a loaner small laptop while my computer is being repaired.

renee

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com---

Subject: Re: Re: care plan strategyTo: Date: Tuesday, May 12, 2009, 1:00 PM

In the state of land, which ever HCP works with babies has tokeep the records for 21 years too. Just in case if they decide thatwas your wrong latch technique that failed him in the Uni...(sorry forthe sarcasm)KindlyAnn2009/5/12 Beebe <second9months@ yahoo.com>:>>> 21 years old? i hope not. my acct. told me 7years is plenty....>> Beebe, M.Ed., IBCLC> Lactation Consultant> Postpartum Doula> > www.second9months. com>

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My attorney husband says each state is

different. Florida’s

law has the statue of limitations up

till the age 8 years .

Ellen Simpson,

BS, IBCLC

Tampa, Florida

From: @...m

[mailto:@...m] On Behalf Of Ann Faust

Sent: Tuesday, May 12, 2009 4:00

PM

To: @...m

Subject: Re: Re: care

plan strategy

In the

state of land,

which ever HCP works with babies has to

keep the records for 21 years too. Just in case if they decide that

was your wrong latch technique that failed him

in the Uni...(sorry for

the sarcasm)

Kindly

Ann

2009/5/12 Beebe <second9months>:

>

>

> 21 years old? i hope not. my

acct. told me 7years is plenty....

>

> Beebe, M.Ed., IBCLC

> Lactation Consultant

> Postpartum Doula

>

> www.second9months.com

>

No virus found in this incoming message.

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never had a problem with it with any of my clients UNLESS they're eating TONS of greens,etc. Moms are so afraid to eat what they like i always start tell them to eat what they like. if there's a problem later, we'll investigate. that seems to work well for me and my clients. just my 2 cents...

renee

Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com---

Subject: Re: care plan strategyTo: Date: Tuesday, May 12, 2009, 2:25 PM

---cruciferous veggies- GAS!;)

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Just curious, are you aware of any evidence that concludes cruciferous veggies

causes gas in infants?

My resources describe this as a myth.

>

> ---cruciferous veggies- GAS!

> ;)

>

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