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10-Step Interrogation Perioperative Electrophysiology: 1. Get the - PDF document

11/25/2019 10-Step Interrogation Perioperative Electrophysiology: 1. Get the Cardiac Anesthesia Programmer Cart Perioperative Device Interrogation: How does an 2. Initiate interrogation with appropriate programmer Anesthesiologist do it 3.


  1. 11/25/2019 10-Step Interrogation Perioperative Electrophysiology: 1. Get the Cardiac Anesthesia Programmer Cart Perioperative Device Interrogation: How does an 2. Initiate interrogation with appropriate programmer Anesthesiologist do it 3. Print baseline settings Part II Documentation in Depth 4. Review baseline information 5. Check underlying rhythm 6. Test the leads 7. Make indicated programming changes for surgery Scott Streckenbach, MD 8. Print final settings Cardiac Anesthesia Group 9. End session Director, Perioperative Electrophysiology Service 10. Document Massachusetts General Hospital I have no conflict of Interest 1 2 10-Step Interrogation Sequence EPIC Smart Phrase 10. Document – Enter note in EPIC – Record what you did in your log book – Place programmer report in paper chart/upload electronic report into EPIC 3 4 Epic Smart Phrase Completed Epic Smart Phrase 5 6 1

  2. 11/25/2019 Completed Epic Smart Phrase Manual Epic Note 7 8 My Log book My Log Book 1. Device Manufacturer 2. Device Type 3. Pacing Mode and Rate 4. Type of RRM Sensor 5. Degree of Pacer Dependence 6. Presence of Special Functions 1. Rest Mode etc. 2. MVP/VIP etc. 7. Surgical Procedure 8. My Intervention 9. Any pertinent info from case 9 10 Programmer Reports Documentation Summary • Paper report most universally accessible • Enter note in EPIC • Use hole puncher • Record what you did in your log book • Label reports as preop and postop • Place programmer report in paper chart/upload electronic report into EPIC 11 12 2

  3. 11/25/2019 The End Yosemite NP at Midnight 13 3

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