Winter 2009 - Department of Anesthesiology

Transplant Tab
Transplant Documentation- required to enter transplant notes:
Kidneys, Kid/Panc & Liver;
tx01 1st Organ verification Time Out;
tx02 Recipient blood type viewed in chart/browser;
(make sure to indicate whether you viewed the blood type in the browser or in the
chart) blood type must be documented)
tx03 Donor blood type; blood type must be documented)
tx04 Confirm compatible donor/recipient blood types;
tx06 UNOS ID # -required UNOS ID # for cadaveric donors but not applicable
(for living donor)
tx07 Final Timeout
QI Note (Top Row)-- E-SIG
PACU Sign Out (Event Tab- Top Row)
8091 (E-SIG)--- for patients who bypass 1 st stage recovery on their way home, patients
having MAC at the eye center, and OB patients after a labor epidural for analgesia.
8092 (E-SIG)—for any PACU patients who have no complications and meet all criteria
8093 – 8131 for patients who have anesthesia complications or do not meet all
criteria at time of discharge
_____________________________________________________________________
Billing sheet
Written Signature
Document Antibiotic & CVP Bundle Compliance
Code procedure
PACU Orders
CPOE or written
TEE Documentation
E-mail notification of completed TEE studies—sign within 24hrs
This format will be placed on the Innovian Portal Website as well as a copy being sent
out to the faculty.