10/1/07 (1445)		Blow, Joe	(MR# 12345678)
Procedure Note - Scripps Green Hospital
Procedure: right radial arterial line placement
Physician: Dr. Kenneth J. Serio
Anesthesiologist: N/A
Anesthesia Type: N/A
Indication: hypotension
Consent: The patient was counseled as to the risks, benefits, and alternatives to the procedure and they agreed to proceed.  Signed consent was obtained and placed into chart.
Time-Out: Prior to the procedure, time-out was performed to verify patient's name, date of birth, correct procedure, correct side, correct site, correct patient position, correct radiographic data, and special equipment required.
Pre-Op Dx: hypotension-presumed sepsis
Post-Op Dx: hypotension-presumed sepsis
Medications: none
Description: Hand hygiene was perfomed.  The site was selected as the optimal site for procedure, given considerations of sterility and safety.  The right radial region was prepped with Chloraprep prior to catheter insertion and with maximal sterile precautions (including gown, sterile gloves, mask, cap, and large sterile draping).

The radial artery was entered with the finder needle -> wire passed through needle into artery -> passage of catheter into radial artery.  Catheter was secured in place, sutured, and dressed.  Arterial waveform was noted from the transduced pressure signal.
EBL: 0 ml
Complications: none
Specimens Sent: none
Implants: N/A
F/U: routine arterial line care

**The attending physician was present for the entire procedure.

____________________________________________ Kenneth J. Serio, MD