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Critical Values - EKG
Critical Values - EKG
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Created by Qualaris Staff
Critical Access Hospital
Quality
Table of Contents
Audit Form
Audit Form
Critical Values - EKG
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Time EKG Performed
Do not enter protected health information (PHI)
Time Critical Value Reported to Provider
Do not enter protected health information (PHI)
Critical Values - EKG Checklist
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Was ordering physician notified of value?
Yes
No
No, but reason given
If unable to reach ordering physician, was patient encouraged to go to the ED?
Yes
No
N/A
