Operating Room nursing documentation
- 0Dec 7, '11 by agrjCan anyone share how your documenting your care in the OR or RR..what charting system is being used? sopie, fdar?
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- 0Dec 7, '11 by AnisettesWe use Essentris electronic charting. We have 2 forms specifically the nurses fill out for every case 1) OR Intra-operative Record and 2) Pre/Post-Op Document. We are required to sign several other documents (Medication Reconcilliation, Procedure and Site Verification, etc...), but the first 2 are specific nursing forms.