ChristineW0729
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Hello everyone! We are getting some conflicting feedback regarding our documentation for conscious sedation. Currently, the note states:
"Moderate intravenous conscious sedation was supervised by Dr. ____________. The patient was independently monitored by a Registered Nurse using automated blood pressure, heart rate, and oxygen saturation. The detailed Registered Nursing Record is permanently stored in ____Our Practice name_____________ EMR. The following is the conscious sedation record: MEDS GIVEN 4 MG VERSED AND 200 MCG FENTANYL; FACE TO FACE TIME: 28 MINUTES."
Any feedback is appreciated. We were recently informed that the specific RN needs to be documented, and the face to face time does not satisfy the start and end time of the procedure.
"Moderate intravenous conscious sedation was supervised by Dr. ____________. The patient was independently monitored by a Registered Nurse using automated blood pressure, heart rate, and oxygen saturation. The detailed Registered Nursing Record is permanently stored in ____Our Practice name_____________ EMR. The following is the conscious sedation record: MEDS GIVEN 4 MG VERSED AND 200 MCG FENTANYL; FACE TO FACE TIME: 28 MINUTES."
Any feedback is appreciated. We were recently informed that the specific RN needs to be documented, and the face to face time does not satisfy the start and end time of the procedure.