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Demi Broderson
Hi everyone! I am interested in receiving feedback regarding POCT testing. We have new leadership and have had ...
Our POCT department requires initial, 6-month, and 12-month training and demonstration of competency and then ...
Jennifer Metrejean
Can anyone share with me your EMR documentation for use of the mini c-arm? Location, dose, patient protection?
Monica Skeat
We are considering adding a quick button to our intraoperative EHR to document different ESU blend settings. Does ...
Monica Skeat Category Documentation Mar '21
Thomas Ludwig
Do any hospitals use a specific count sheet for their CVOR? Ours is requesting their own sheet and I am not sure if ...
Thomas Ludwig Category Documentation 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 ...
Amy Lau
Would someone be willing to share their hospital policy on spine surgery marking? Does your hospital always do ...
Amy Lau Category Documentation Feb '21
The surgeon is required to place a mark at the approximate spine level in holding. then in the OR we take an ...
Donna Hale
I am seeking documentation requirements for use of the impella device as we are getting ready to implement soon.  ...
Donna Hale Category Documentation Jan '21
Amanda Barron
Is it a conflict of interest for the circulating RN to witness a surgical consent form on a patient for which they are ...
Amanda Barron Category Documentation Jan '21
Donna Hale Donna Hale Jan '21
Amanda, 
Here are some suggestions.   Obviously you have read your consent policy and must follow that being your ...
Beverly Stiles
Can anyone speak to how you are documenting specimens in the EMR that are taken intraoperatively, but don't go to ...
Beverly Stiles Category Documentation Jan '21
Jean McCoy Jean McCoy Jan '21
The documentation inside the OR is the same.  I am not sure how the lab documents these.  

We enter the information ...
Heather Leigh
Hello does anyone know if there is a regulatory requirement to place an order for allograft tissue requested by the ...
Heather Leigh Category Documentation Dec '20
Alyson Stalzer
At your institution: Do all phases of care (pre/intra/post) need to update the care plan and how often? What are the ...
Alyson Stalzer Category Documentation Dec '20
We recently changed from a standard OR template to more personal options for each patient regarding the Care ...
Theresa Bruno
Hi everyone,  I need help !!! We are being asked to enter MD orders, for example C Arm use, in the OR record. Can anyone ...
Theresa Bruno Category Documentation Dec '20
We have to order meds used in our cases and foleys, if they are left in after the case.  We do not order c-arm or other ...
Felicia Mettler
Hello all my fellow Epic users.  We had a question come up today.  If a patient is coming to the OR to have an AV fistula ...
Felicia Mettler Category Documentation Dec '20
Jean McCoy Jean McCoy Jan '21
I believe it should be documented as an LDA as well.  That is what we do at our facility as well as the last facility I ...
Terri Dreswick
We are doing total joint arthroplasty with the mako at our asc. Does the use of the mako need to be on the consent?
Terri Dreswick Category Documentation Dec '20
No because there’s this slim chance that an alternative system can be used due to unforeseen conditions during the ...
Felicia Parkman
Hi everyone, Who is responsible for ensuring intraoperative charting errors are identified and corrected at ...
Felicia Parkman Category Documentation Nov '20
Look for guidance in your GB by laws and QI program. 
Each professional organization as well as CMS may have ...
Emily Hardin
Should the Endoscopy unit be performing and documenting a fire risk assessment on all the cases they perform? They ...
Emily Hardin Category Documentation Oct '20
We follow SGNA practices for FI Procedure Rooms, no fire risk assessment is documented. In the QI Program we do ...

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