10:35
Patient in
Pre-op
Pre-op
EHR · AUTO
11:00
Anesthesia
Start
Start
TAP
11:02
Patient into
OR
OR
TAP
11:05
Surgical
Timeout
Timeout
TAP
11:14
Induction
TAP
— now —
Anesthesia
Ready
Ready
TAP NOW
— —
Procedure
Start
Start
TAP
— —
Procedure
End
End
TAP
— —
Patient into
PACU
PACU
TAP
— —
Anesthesia
End
End
TAP
Billing events · Pay-gate
5 of 10 required pay-gate events · Anesthesia Ready needs tap
Patient in Pre-op
EHR auto-feed · holding
10:35
AUTO
Anesthesia Start
Billable time begins · §Intra-op
CPT 00740 · time start · AA modifier
11:00
TAPPED
Patient into OR
OR 4 · transport completed
11:02
TAPPED
Surgical Timeout
5/5 elements · team confirmed
11:05
TAPPED
Induction
RSI · ETT · CL grade I
11:14
TAPPED
Anesthesia Ready
Ready for surgical incision · attest now
Pay-gate · attest before incision · routes-to-review if missed
— now —
TAP
○
Procedure Start
Surgical incision · scope advanced
— —
TAP
○
Procedure End
Scope withdrawn · dressings on
— —
TAP
○
Patient into PACU
Handoff to PACU RN
— —
TAP
○
Anesthesia End
Billable time ends
CPT 00740 · time end · 837P-ready
— —
TAP
Flowsheet · live
Monitor live
68HR
112/68NIBP
99%SpO₂
36EtCO₂
11:00
Pre-induction · in room
11:00
EV
Patient in room · OR 4 Me
11:02
EV
Standard ASA monitors · 2nd PIV 18g R AC CRNA
11:08
Anesthesia start · induction
11:09
M
Cefazolin 2 g IV · ID-cleared Pump
11:12
M
Propofol 200 mg · IV bolus Me
11:12
M
Rocuronium 80 mg · RSI dose Me
11:13
EV
Cricoid pressure · 2-prov Me
11:14
EV
Intubation · VL · 7.0 ETT · CL II Me
11:14
V
EtCO₂ confirmed 38 · ETT 22 cm Monitor
11:16
Maintenance
11:16
G
Sevo 2.0% · O₂ 50% · TV 480 / RR 12 Monitor
11:18
M
Fentanyl 100 mcg · multimodal Me
11:18
M
Ketorolac 30 mg · MMA Me
11:24
EV
Surgical incision · scope advanced Me
11:30
V
Brief tachycardia → 92, resolved Monitor
11:34
M
Ondansetron 4 mg · OSA-spare Me
11:38
EV
Stent placement next per Dr. Park AIMS · confirm