EP/Cath Lab Device documentation.

Specialties Cardiac

Published

I work in an EP lab where we place ICD's and Pacemakers. I would like to know what we need to document. I think we OVER document. Of course we document, in room times, supplies and procedures, "Time out". What I don't know is, do we have to document specific details like, "access obtained using a micro puncture needle, guide wire inserted, 7 FR peel away sheath inserted, lead inserted, tested, sheath peeled away, RV lead sutured with O non absorbable suture...etc. We had a surgeon do a pacer with us and he thought we were writing out his OP note, which made me think, "I wonder if we are documenting WAY too much!

What is expected of the person who documents for a pacer or ICD?

We use EPIC EMR

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