DOCUMENTATION
- Invasive Procedure Consent Form
- Time Out Form
PROCEDURE NOTE
CARDIOVERSION
PROCEDURE NOTE: Electrical Cardioversion
Performed by: [Provider Name]
Indication: [Atrial Fibrillation]
Universal Protocol: a time out was performed and the correct patient and procedure were verified
Consent: [written consent obtained]
Patient was placed on continuous cardiac monitoring and continuous pulse oximetry. Supplemental oxygen was administered via nasal cannula. Electrodes were placed in an [anterior/posterior] fashion. After appropriate level of sedation was achieved (please see separate sedation procedure note), synchronized cardioversion was performed at [ ] joules with [successful conversion to sinus rhythm].
Complications: [None, patient tolerated the procedure well]