Basic Workflow:

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Pre Procedure:

Get consent signed

Sign off moderate sedation paperwork in Pwrchart

H and P if needed needs to be performed

Discussion with patient family, need to say hello to patient

Documentation in chart of pre procedure note and moderate sedation orders for procedure

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Procedure:

Perform procedure

Make sure to perform Time out / Call to Order with strict department guideline (to prevent wrong patient surgery- it happens)

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Post Procedure:

Place brief op note in Pwrchart

Communicate results with family / patient

Communicate results with referring physician

Place post op orders - use powerplans but briefly orders are for post op pain, nausea and discharge

Dictate case

if have to admit, call admitting service (usually hospital medicine)

if admitting to IR, use powerplan for admission

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