Integrated time and material billing accurately tracks items used along with procedure and recovery room utilization.
Nursing History Evaluation & Pre-Procedure
The Nursing History Evaluation collects pertinent data including indications for exam, allergies, patient history, medications, prior anesthesia complications and more. Pre-Procedure allows nurses to capture all of the required data prior to beginning a procedure, including NPO status, prep results, advanced directives, sedation plan, anesthesia classification, vitals, allergies, and isolation precautions.
Nursing Intra-Procedure Evaluation & Post-Procedure
The Intra-Procedure Evaluation documents intubation, IV site assessment, vitals, condition log, medicines used, intra sedation score, post procedure diagnosis and more. Post-Procedure documents a patient’s pain scale, IV site assessment, adverse events, level of consciousness, vitals, fluids intake and post procedure comments.
Nursing Discharge & Charge
The Nursing Discharge documents when the IV was discontinued, prescriptions, ambulation, post sedation score, medication reconciliation, and discharge comments. The Nursing Charge tab accurately tracks items used along with procedure and recovery room utilization.