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Our computerized documentation system automatically fills in the Surgeon “time in” as the documented “cut ...
I have never heard of the incision time as being surgeon’s time in. We track the pt. time in and surgeons’s time in ...
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Is there any regulatory guidelines that I can cite that state that there should not be any abbreviations on ...
Ola Darwish
23d
I totally agree with you, the place where I work , we had put it in the facility consent policy , No abbreviation ...
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Do you document the amount of arthroscopic fluid irrigation on the operative record? Document pump settings ?
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If the needle count matches the needle packages but less on the paper count sheet is it a reconciliation that can ...
Constance Chun
Aug '21
I've worked in one place where they said, yes- if you can trace it back and figure out where it came from; such as, ...
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Our pain management physicians withdraw and waste what is left in the pump when they refill pain pumps. This is ...
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I had a surgeon ask if anesthesia and circulator amend their documents post date of service if CPT code is changed ...
Theresa Loechner
Jul '21
I have not encountered this but I would contact your Quality person in your facility.
Best,
Theresa
Best,
Theresa
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Does anyone have a syntegrity cerner charting perioperative charting segment that autopopulates from the ...
Ann Dennis
Jul '21
Yes, we use Epic and all of that information flows into his brief op note
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I would like to know if you document tissue sealants/hemostatic agents such as SurgiFlo, Vistaseal, Duraseal, ...
Joy Chau
Jun '21
At my facility, all tissue sealants/hemostatic agents are documented as implants with lot # and expiration ...
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Good Morning, The Clinical Nursing Practice Committee is about to get started on creation of a hybrid OR tool kit. ...
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Hey folks, Looking for some example of paper intraop records. My facility, in rural Upstate NY, is still using ...
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Our healthcare system is looking to involve the Circ RN to document/order blood specimens drawn by the Anesthesia ...
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Hi everyone! I am interested in receiving feedback regarding POCT testing. We have new leadership and have had ...
Georgia Papoutsakis
May '21
Our POCT department requires initial, 6-month, and 12-month training and demonstration of competency and then ...
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Can anyone share with me your EMR documentation for use of the mini c-arm? Location, dose, patient protection?
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We are considering adding a quick button to our intraoperative EHR to document different ESU blend settings. Does ...
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Do any hospitals use a specific count sheet for their CVOR? Ours is requesting their own sheet and I am not sure if ...
Maria Carmencita Duffy
Feb '21
Yes, it would be wise to have a separate CVOR count sheet. There are more countable items in this service as well as ...
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