Cath lab documentation......

The lab I work with doesn't have nsg diagnoses in MacLab so I'm curious where and how nursing diagnoses were worked into your Mac Lab. Are they part of custom-built macros? Forms? It also sounds like your lab has a nurse sign off on the report after the case is finished. Do they sign-off after sections that are specifically nursing-related or are they signing off on the full report?

I, too, am concerned about using Mac Lab and still be able to identify exactly who was responsible for what, as well as non-nurses doing clinical documentation that in other cases would be restricted to licensed nurses only. If anyone else has a better grasp on what are and aren't appropriate documentation methods in a system like MacLab, I'm interested to learn more.

Thanks, OP, for asking the question!