Our facility is currently in the process of evaluating our initial PICC Insertion documentation process. We currently document in two different places. We have our paper form that we use. It has everything from total length of the catheter, how many cm out, what our technique was. It has a picture with which we place insertion site and tip visualization on x-ray. We also document in the EMR (PowerChart) the insert. This too captures total length and cm out and x-ray confirmation, but no picture. Because we use SurgiNet for documentation of procedures as it creates charges they are looking at us possibly documenting there as well. But essentially we would not be able to document anything line specific. It would capture our start and stop time, Time Out, supplies we used.
I want to find out what other places do for documentation and charge capturing.