Cardiac Stress Testing

I'm just starting to use Lexiscan, but I'm having a hard time with my documentation process. I have an exercise data sheet with the 1 min increments, but Lexiscan is so fast, I feel so out of time with everything. Anyone else experience this when they started using Lexiscan? Anybody wanna share their documentation sheets? My rep wasnt' available to walk thru one with me, so I'm just out of time.

Thanks

I understand the issue about the documentation of Lexiscan with the one minute increments on your sheet. Our sheet only has the lines for the minutes and we write the times in ourselves.

We document Supine HR, BP and Pain Level (0-10) [Joint Commission NPSG] on our sheet; then the nurse injects the Lexiscan, the NucMed tech injects the isotope, and the treadmill tech will run an EKG so that there is a HR for documentation during the test. Rarely can the tech get a blood pressure done during that time. The test is put into the recovery stage and there is a BP and another EKG performed giving a HR post procedure. [We document the pain level again for Joint Commission.] This is all we document on tests without any type of complications. Perhaps you can draw a dash through the times you do not use.

Does this make sense?

I been starting with a baseline EKG, then starting my exercise testing and when all injections are in, I'm switching to Recovery phase and monitoring for 4 minutes. Don't know if this is too much or what. I think I'm going to redo my sheet with any times so I can make that part work. Seems like Lexiscan reps would have something for us to work with.

My cardio tech and I were doing double charting of VS and Sats. She is tracking EKG, b/p and sats while I administer drugs and has handwritten oxygen sats on the EKG. On my paper, I do my baseline VS, and Discharge numbers, but inbetween, make a comment to refer to the EKG for VS, Oxygen Sats and isotope times.