Procedure Basics
The plan for the procedure.
What is case?
The icon you click on to make edits or add a new entry in your navigator sections.
What is the pencil?
Tool used to document intra-procedure events.
What is the Procedure Log?
Purposes (2) behind why it is important for there to be an accurate record of the events.
What is 1) it is the legal record of the procedure and 2) time-based charging is based off of events.
Place to document Pre-procedure documentation for TEEs.
What is the Cardiology Navigator?
The legal record of what occurred during the procedure.
What is log?
The checkbox to click in The MAR to make changes to your saved medication documentation.
What is Edit Administration?
Tab that shows the chronological list of events that are documented in a procedure.
What is the Event Log?
The link in the LDA Removal section that allows you take away and complete your patient's LDA documentation before discharge.
What is Assess and Remove?
The tool is used to document intra-procedure sedation information.
What is the TEE/Cardio Documentation Narrator?
Your home workspace where you can find and track your patients.
What are Status Boards?
Orders that are not yet active, but instead in a held state until patient is arrived so that medications and other orders aren't given at the wrong time.
What are signed and held orders?
Place where medications are documented during intra-procedure documentation.
What is the Meds Toolbox group in the Procedure Log?
Section where you can add specific discharge instructions for the patient based on performed procedures.
What is Instructions and Attachments?
Where you go during a procedure with sedation to document a medication.
What is the Medications section in the TEE/Cardioversion Narrator?
The status board you use to find patients that need to be called leading up to their procedure.
The final step in completing your documentation in the PreProcedure Navigator.
What is PreProcedure Complete?
The end of procedure time stamp, which is important for medication charges, reporting and analytics, and data filing from the hemodynamic system.
What is documenting Procedure Finished (Exam Ended)?
Final buttons to click at the top of the Post-Procedure Navigator (after verifying) to signify patient care is complete.
Tool used in the TEE/Cardio Documentation Narrator to record brief vitals in regular intervals.
What is the QuickBar?
The button to click on so you document an event that you were unable to document in real-time.
The activity where you can see active, signed and held, discontinued, and other types of orders.
What is the Orders Activity?
Final step of your intra-procedure documentation which also sends the study to the cardiologist and triggers charges.
What is clicking Complete?
What is Patient Movement?
One of the final steps that acts as a time stamp and bookend for the procedure documentation.
What is click on End of Procedure Documentation?