EKG documentation intraop

[anbuitachi]

I always thought its every 5 min i document ekg (eg NSR). but now that i look into it, i see a statement from ASA saying

"Every patient receiving anesthesia shall have arterial blood pressure and heart rate determined and evaluated at least every five minutes.*"

This only says BP and HR. but doesnt include EKG. are there any other documents im missing?

do we even need to document it?? i see some people do it every 5, others chart it every 15 or so

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[Lecithin5]

I document every 15, but many of my partners do every 5. Dont know if there is a rule or not.

 

[DocVapor]

Q15min unless there's a significant change

 

[abolt18]

On Epic, I chart it at the beginning and never again unless there's changes. It says my selected rhythm and draws a blue line after it indicating that it's unchanged.

When we had paper charts, we charted rhythm every 15 minutes.

 

[UscGhost]

I use a paper chart. I just write NSR once and then a line across the rest of the chart

 

[nimbus]

I use a paper chart. I just write NSR once and then a line across the rest of the chart

When I used to paper chart, I left out the “N”.

 

[UscGhost]

When I used to paper chart, I left out the “N”.

33% increase in productivity!!

 

[Iso4ane]

When I used to paper chart, I left out the “N”.

So if they go into Afib right after induction they would be SR AF?

 

[anbuitachi]

I document every 15, but many of my partners do every 5. Dont know if there is a rule or not.

Q15min unless there's a significant change

On Epic, I chart it at the beginning and never again unless there's changes. It says my selected rhythm and draws a blue line after it indicating that it's unchanged.

When we had paper charts, we charted rhythm every 15 minutes.

so why q15? any source? or just the way taught

 

[Lecithin5]

so why q15? any source? or just the way taught

Only because Epic automatically pops up a prompt every 15 minutes where i fill out heart rhythm, positioning, etc. No other reason

 

[DocVapor]

so why q15? any source? or just the way taught

Way I was taught, plus my epic macros are set up to ask for an assessment q15. When I am using paper charts there's an empty box that spans 15 minutes.

 

[anbuitachi]

Only because Epic automatically pops up a prompt every 15 minutes where i fill out heart rhythm, positioning, etc. No other reason

Way I was taught, plus my epic macros are set up to ask for an assessment q15. When I am using paper charts there's an empty box that spans 15 minutes.

Oh i see. we dont have that pop up

 

[DrOwnage]

Every 15 minutes, I write a quick note when something weird happens like a junctional, SVT, ectopy, vtach, so on..

 

[Ashers]

I do every 15 minutes on electronic charts based on paper charts where the big blocks were 15, and the small blocks were 5. If something changes, I document when it happens, but it's based on my training of documenting in q15min paper blocks.