There will be times that you wish to have actions in both the anesthetic sheet and the flowsheet however you will only want this to be billed once. An example of this is a pre-medication or a peri-operative antibiotic dose.

The program currently views events on the flowsheet and anesthetic sheet as separate billing events and so will charge for items appearing on the flowsheet and the anesthetic sheet.

To work around this you will need to identify items which would be used on both the anesthetic sheet and flow sheet. This would include premedication, peri-operative antibiotics and analgesia. You may also like to include suture material, screws and pins and any other hardware.

Once you have this list you will create an additional parameter for each of these however you will include a suffix which will indicate to the user that this item is the one to be used in the anesthetic sheet.