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Karen Geittmann
Our pain management physicians withdraw and waste what is left in the pump when they refill pain pumps. This is ...
Melissa Waibel
I had a surgeon ask if anesthesia and circulator amend their documents post date of service if CPT code is changed ...
I have not encountered this but I would contact your Quality person in your facility.

Best,
Theresa
Patricia Boettger
Does anyone have a syntegrity cerner charting perioperative charting segment that autopopulates from the ...
Patricia Boettger Category Documentation Jun '21

Yes, we use Epic and all of that information flows into his brief op note

Elizabeth Yates
I would like to know if you document tissue sealants/hemostatic agents such as SurgiFlo, Vistaseal, Duraseal, ...
Elizabeth Yates Category Documentation Jun '21
Joy Chau Joy Chau Jun '21
At my facility, all tissue sealants/hemostatic agents are documented as implants with lot # and expiration ...
Julie Cahn
Good Morning, The Clinical Nursing Practice Committee is about to get started on creation of a hybrid OR tool kit. ...
Julie Cahn Category Documentation Jun '21
Warren Perry
Hey folks, Looking for some example of paper intraop records. My facility, in rural Upstate NY, is still using ...
Warren Perry Category Documentation May '21
Patricia Schlagel
Our healthcare system is looking to involve the Circ RN to document/order blood specimens drawn by the Anesthesia ...
Patricia Schlagel Category Documentation May '21
Demi Broderson
Hi everyone! I am interested in receiving feedback regarding POCT testing. We have new leadership and have had ...
Demi Broderson Category Documentation May '21
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.  

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