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- Jul 21, 2015
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- Attending Physician
Trying to gauge how other groups do this. It will probably differ depending if people are paper or electronic, but how thorough and when do you guys do the "48 hr post anesthesia care assessment?" I know how it's SUPPOSED to be done in theory, but I have trouble believing that's how people actually perform it.
So how do you guys do it? Immediately postop, right before discharge, some other time? Canned vague statements, actual individualized vitals, exam, etc? Separate note, statement on the anesthesia record itself?
I ask because our group currently has a canned statement printed on our paper record that we attest to with a signature. We are transitioning to electronic and they want us to create a whole separate document with its own set of various clicks and whatnot and it seems cumbersome.
So how do you guys do it? Immediately postop, right before discharge, some other time? Canned vague statements, actual individualized vitals, exam, etc? Separate note, statement on the anesthesia record itself?
I ask because our group currently has a canned statement printed on our paper record that we attest to with a signature. We are transitioning to electronic and they want us to create a whole separate document with its own set of various clicks and whatnot and it seems cumbersome.