Bedside Procedure Documentation

Reminder:  When you are doing a bedside procedure on an inpatient basis (in the ICU, on the floor, or in the ER) the correct Document type to be used is Bedside Procedure Documentation.  This applies regardless of the service you are with (internal med, family practice, surgery, etc.)  There has been some recent confusion with which note type to use and this is causing problems with billing, signature lines, locating the document in clinical notes, etc.

Below is an example of the note type you need and examples of possible note templates of procedures that may be used in conjunction with this note type.

Note:  Operative Note or Brief Operative Note should only be used as a note type if the procedure is performed in the operating room.

If you need assistance locating or adding this note type, please call the Physician Concierge Hotline @ 775-TALK (8255)

 

This will be placed in a subfolder and can be found by expanding out the tree under Physician Documentation and looking under Progress Notes - Physician